Manager, Revenue Cycle

About us

Pomelo Care is a multi-disciplinary team of clinicians, engineers and problem solvers who are passionate about improving care for moms and babies. We are transforming outcomes for pregnant people and babies with evidence-based pregnancy and newborn care at scale. Our technology-driven care platform enables us to engage patients early, conduct individualized risk assessments for poor pregnancy outcomes, and deliver coordinated, personalized virtual care throughout pregnancy, NICU stays, and the first postpartum year. We measure ourselves by reductions in preterm births, NICU admissions, c-sections and maternal mortality; we improve outcomes and reduce healthcare spend.

About us

Pomelo Care is building the first at-scale, evidence-based pregnancy and newborn care platform, transforming outcomes for pregnant people and babies. Our technology-enabled care platform engages patients early, conducts continuous risk assessments, creates a personalized care plan and team for each patient, and delivers coordinated virtual care and care management throughout pregnancy, NICU, and in the postpartum year to improve outcomes. 

Pomelo manages individual risk factors for poor pregnancy outcomes (e.g., diabetes, hypertension, behavioral health, substance use disorder, social determinants, etc.) to reduce preterm births, NICU admissions, c-sections, and maternal mortality and morbidity. We also support families whose babies are in the NICU to help them care for their newborns, prepare for timely discharge, and confidently transition to home care with 24/7 telemedicine access to the Pomelo care team.  

We are a multi-disciplinary team of clinicians, technologists, and problem solvers who are humble, eager to learn, and passionate about improving care for moms and babies. We are backed by leading investors, including a16z, First Round Capital, Box Group, SV Angel, Operator Partners, and the founders of leading digital health companies such as Landmark, Flatiron Health, and Pillpack.

Role Description

Your north star: Build out and oversee the revenue cycle function for the Pomelo doula business line, ensuring that we are submitting accurate claims and collecting payment in a timely manner.

In this role, you will have the following responsibilities: 

• Oversee all revenue cycle metrics for the doula business line, including AR, collections rate, clean claims rate, etc, and regularly implement plans to continuously improve performance
• Set up all internal processes and infrastructure for fee-for-service claims submission, adhering to any federal, state, or plan-specific guidelines
• Develop a revenue cycle playbook that outlines all of the processes required for new launch set up and plan-specific …