Referral Specialist Manager jobs in United States
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Pomelo Care · 1 week ago

Referral Specialist Manager

Pomelo Care is the national leader in evidence-based healthcare for women and children. As the Referral Specialist Manager, you will supervise a team of Referral Specialists to ensure they meet enrollment and doula matching targets while providing high-quality member experiences.

ChildrenHealth CareMobile AppsWomen's

Responsibilities

Manage a team of three Referral Specialists, providing daily guidance and coaching, conducting weekly 1:1s, and fostering a culture of accountability
Monitor team KPIs—including outreach volume, enrollment conversion rates, and doula matches—to ensure the team meets or exceeds targets
Continuously evaluate the referral-to-match pipeline to identify bottlenecks and implement process improvements that increase efficiency
Act as the first point of escalation for difficult enrollments, eligibility discrepancies, or sensitive health plan partner inquiries
Directly manage outreach and enrollment for high-priority or complex referrals, utilizing phone, SMS, and email to drive conversions
Maintain expert-level accuracy in our systems of record, ensuring all member interactions and doula matches are documented in real-time
Coordinate with health plan case managers and external providers to share updates on referral status and ensure a seamless handoff for the member
Regularly audit team quality to ensure compliance with health plan partners’ and Pomelo’s high standards

Qualification

Team SupervisionPerformance ManagementWorkflow OptimizationHealthcare Referral SystemsMetrics ManagementMaternal Health EquityProcess DocumentationStakeholder Coordination

Required

1–2+ years of experience in a lead or supervisory role within healthcare, patient navigation, or high-volume enrollment operations
Demonstrated success in a similar role as an individual contributor, with willingness to roll up your sleeves
Experience taking ambiguous challenges and turning them into clear, repeatable workflows for a team
Demonstrated ability to translate workflows into clear, simple documentation and guidelines for a frontline team
Experience managing a team to hit ambitious goals by managing team members to daily metrics, providing tactical coaching, and supporting the team to meet goals as necessary
Familiarity with healthcare referral systems and insurance verification (ACH/Portals)
Deeply passionate about maternal health equity and the role doulas play in improving birth outcomes

Preferred

Experience in a fast-paced, high-growth startup environment
Background in revenue-driving roles or sales/enrollment operations
Experience with maternal health, midwifery, or doula services

Benefits

Competitive healthcare benefits
Generous equity compensation
Unlimited vacation
Membership in the First Round Network (a curated and confidential community with events, guides, thousands of Q&A questions, and opportunities for 1-1 mentorship)

Company

Pomelo Care

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Pomelo Care is a health technology company that develops evidence-based healthcare solutions for women and children.

Funding

Current Stage
Growth Stage
Total Funding
$178.96M
Key Investors
Stripes
2026-01-08Series C· $92M
2024-06-20Series B· $46M
2023-06-08Series A· $33M

Leadership Team

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Marta Bralic Kerns
Founder & CEO
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Kathryn Louis, MPH, MSN, RN
Nurse Care Partner
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Company data provided by crunchbase