---
title: 'Senior Revenue Cycle Strategy and Operations Manager at Pomelo Care'
canonical: 'https://feeny.ai/job/senior-revenue-cycle-strategy-and-operations-manager-pomelo-care-united-states-6fwjfhvyyh0a'
type: 'job'
last_seen: '2026-09-11'
---

# Senior Revenue Cycle Strategy and Operations Manager at Pomelo Care

- **Company:** Pomelo Care
- **Location:** United States
- **Work type:** remote
- **Posted:** 2026-08-28
- **Last confirmed live:** 2026-09-11
- **Apply:** https://job-boards.greenhouse.io/pomelocare/jobs/6174154004

## Job description

## About us

Pomelo Care is the leading virtual medical practice for women and children, providing care across pregnancy, postpartum, pediatrics, menopause, and perimenopause. We combine proactive, 24/7 clinical care with technology that helps us reach patients earlier, identify risks sooner, and deliver personalized care throughout their journey. Our team includes clinicians, technologists, operators, and problem-solvers working together to make high-quality care more accessible for families nationwide.

About The Role:

Your north star: To serve as a trusted strategic partner that enables sustainable growth and high-quality patient care through rigorous financial stewardship, data-driven insights, and operational excellence.

As the Senior Revenue Cycle Strategy and Operations Manager, you will sit at the intersection of strategic RCM, financial collaboration, data analytics, and operational project management. In our fast-growing startup environment, we operate across multiple complex lines of business, ranging from a per engaged member per month (PEMPM) capitation model to highly specialized Fee-For-Service (FFS) lines with new novel models being piloted. In this role, you will step up to navigate complex commercial agreements to secure high-value partnerships and improve deal velocity, design novel FFS/PEMPM hybrid billing structures to unlock additional revenue opportunities, and serve as the dedicated resource for high-level RCM escalations that currently flow directly to leadership.

This role reports to the Head of RCM and is open to any candidates located in the continental US.

What You'll Do:

- Partner with Finance and Sales to design competitive pricing strategies, build hybrid FFS/PEMPM billing models, and lead RCM onboarding for new B2B clients.
- Serve as the dedicated resolution point for high-level RCM escalations to streamline operations and protect leadership bandwidth.
- Collaborate with internal tech teams to build, optimize, and scale proprietary RCM software, maintaining data integrity across EHRs, clearinghouses, and BI platforms.
- Monitor regulatory updates, healthcare policy shifts, and payer rule changes to evaluate their financial impact and adapt systems preemptively.
- Use BI tools and advanced financial modeling to analyze key performance metrics, audit billing workflows, reconcile payments, and surface denial patterns.
- Develop quality assurance frameworks, standard operating procedures, and audit guidelines to elevate operational rigor.
- Oversee day-to-day revenue cycle execution—including claims submission, clearinghouse error resolution, payment posting, and root-cause denial prevention.

Who You Are:

- 5–7 years of healthcare revenue cycle experience, ideally within a healthcare startup, digital health company, or a multi-specialty group.
- Proven ability to partner with Finance to design pricing structures and collaborate with Product/Tech to build scalable operational tools.
- Deep understanding of commercial and Medicaid insurance billing, claim formats, and denial resolution. Experience leading coding discussions and navigating non-traditional or emerging healthcare benefits (like doula care or value-based capitation models) is highly preferred.
- Advanced proficiency in Google Sheets/Excel. Experience writing basic SQL or using BI tools like Metabase, Tableau, or Looker to pull data is highly preferred, alongside leveraging AI to improve efficiency and effectiveness of work products.
- Proven track record of managing high-impact projects, implementing new software configurations, and building cross-departmental consensus as a senior individual contributor.
- A builder and a strategist. You thrive in ambiguity, take pride in resolving complex organizational headwinds, and enjoy designing "how things should work" rather than just following an old playbook.

## Why you should join our team

By joining Pomelo, you will get in on the ground floor of a fast-moving, well-funded, and mission-driven startup that always puts the patient first. You will learn, grow and be challenged, and have fun with your team while doing it.

We strive to create an environment where employees from all backgrounds are respected. We value working across disciplines, moving fast, data-driven decision making, learning, and always putting the patient first.

Benefits and Perks:

- Comprehensive Health, Dental, and Vision coverage for employees and their families
- High deductible Health Plans with Health Savings Account (HSA) options
- Flexible Spending Account (FSA)
- Equity grant participation
- 401(k) program
- Competitive vacation policy
- 16 weeks paid parental leave
- Fully remote work flexibility (within the US)

Compensation:

The expected base salary range offered for this role is $135,000-$150,000. This role is also eligible for an annual discretionary bonus and equity, giving you an ownership stake in Pomelo’s mission. Actual compensation may vary based on relevant experience, skills, competencies, and certifications.

At Pomelo, we are committed to hiring the best team to improve outcomes for all mothers and babies, regardless of their background. We need diverse perspectives to reflect the diversity of problems we face and the population we serve. We look to hire people from a variety of backgrounds, including but not limited to race, age, sexual orientation, gender identity and expression, national origin, religion, disability, and veteran status. Potential Fraud Warning

Please be cautious of potential recruitment fraud. With the increase of remote work and digital hiring, phishing and job scams are on the rise with malicious actors impersonating real employees and sending fake job offers in an effort to collect personal or financial information.

Pomelo Care will never ask you to pay a fee or download software as part of the interview process with our company. Pomelo Care will also never ask for your personal banking or other financial information until after you have signed an offer of employment and completed onboarding paperwork that is provided by our People Operations team. All official communication with Pomelo Care People Operations team will come from domain email addresses ending in @pomelocare.com.

If you receive a message that seems suspicious, we encourage you to pause communication and contact us directly at careers@pomelocare.com to confirm its legitimacy. For your safety, we also recommend applying only through our official [Careers](https://www.pomelocare.com/careers) page. If you believe you have been the victim of a scam or identity theft, please contact your local law enforcement agency or another trusted authority for guidance.

## About Pomelo Care

## Company Overview
- **One-liner**: Pomelo Care is a virtual-first healthcare company providing evidence-based, 24/7 multispecialty care for women and children across pregnancy, postpartum, pediatrics, and midlife health.
- **Entity Type**: Private (Series C)
- **Headquarters**: New York, New York, United States
- **Founded**: 2021
- **Founders**: Marta Bralic Kerns (CEO)

## Core Business
- **Primary industry**: Healthcare (Virtual Care / Digital Health)
- **Target customers**: B2B2C — Partners with health plans and employers to offer services to their members and employees. Serves patients directly (B2C) through these partnerships.
- **Mission/purpose**: To improve outcomes and lower costs for women and families by delivering high-quality, personalized evidence-based care.

## Products & Services
- **Pregnancy & Newborn Care**: Personalized 24/7 care from a multidisciplinary team (midwives, dietitians, therapists, lactation consultants) during pregnancy and postpartum, designed to supplement in-person OB-GYN care.
- **Fertility & Preconception Support**: Evidence-based guidance for individuals planning a pregnancy, covering cycle tracking, nutrition, and conditions like PCOS.
- **Pediatric Care & NICU Support**: 24/7 NICU family support for transitioning home, plus ongoing pediatric care for routine childhood illnesses.
- **Midlife Care & Healthspan**: Empathetic, evidence-based care from menopause specialists for perimenopause and menopause symptom management, wellness, and mental health.
- **Doula Support**: In-person and virtual doula services (acquired The Doula Network in 2024).

## Market Standing
- **Valuation**: Not publicly disclosed
- **Key Metric**: Total funding of **$179 million** across 4 rounds (Seed, Series A, B, C).
- **Notable Investors**: Andreessen Horowitz, First Round Capital, Stripes.
- **Growth Signals**:
  - Raised a **$92 million Series C** in 2026 led by Stripes.
  - Revenue of ~$2 million annually; significant growth trajectory as it scales payer and employer contracts.
  - **25 million covered lives** and growing.
  - **Proven outcomes**: 37% reduction in preterm birth, 12% reduction in ER costs, 6.8-day reduction in average NICU length of stay, 3-5x return on investment for partners.
  - Employee count of **319** with 3% monthly headcount growth.
  - Acquired **The Doula Network** in 2024 to expand service offering.

## Competitive Advantages
- **Integrated, lifelong care model**: Covers women across multiple life stages (fertility, pregnancy, pediatrics, midlife) under one virtual platform, creating stickiness and continuity.
- **Clinically validated outcomes**: Published, measurable impact on preterm birth rates and NICU stays, building trust with payers and employers.
- **AI-native approach**: Actively building AI-native products to extend clinician capabilities and deliver longitudinal care.
- **Data-driven culture**: Decides with data to prioritize problems and drive continuous improvement.

## Strategic Focus
- **Doubling down on AI**: The Series C is being used to build AI-native products that enhance clinician workflows and patient outcomes.
- **Expanding payer and employer partnerships**: Most recent hires (VP Customer Success, Head of Member Growth) signal a push toward scaling member acquisition and enterprise relationships.
- **Growth of midlife health programs**: Launching new services for perimenopause and menopause as a new growth vertical.
- **Talent acquisition**: Currently has 47 active job postings across engineering, data science, product, clinical, marketing, and operations.

## Why Work Here
- **Culture**: Fast-paced, mission-driven environment with strong values: "Own the Outcome," "Decide with Data," "Find a Way," "Combine our Superpowers," "Be Humble." Emphasis on tenacity, collaboration, and personal accountability.
- **Engineering & Data**: Strong focus on data science and engineering; a significant portion of the team (8%) is in technical roles (Product, Data, Engineering). The company is investing heavily in AI.
- **Impact**: Directly measurable impact on maternal and child health outcomes, with clinicians reporting improved ability to practice at the top of their license.
- **Work Model**: Highly collaborative environment; the specific remote/hybrid policy is not publicly detailed but roles are likely remote-friendly given the virtual nature of the business.
- **Diversity of Roles**: Range from clinical (midwives, dietitians, therapists) to technical (engineering, data science) to commercial (marketing, sales, customer success).
- **Perks**: Not explicitly listed, but the company highlights a "data-driven and decisive" culture and invests in tools that make clinicians' lives easier.

## Sources
1. [pomelocare.com](https://www.pomelocare.com/)
2. [pomelocare.com/careers](https://www.pomelocare.com/careers)
3. [linkedin.com/company/pomelo-care](https://www.linkedin.com/company/pomelo-care)

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