PM Pediatrics

Role Description PM Pediatric Care is hiring Advanced Practice Providers (APPs) with significant pediatric or urgent care/ER experience to join our team. Under the guidance of the local clinical leaders, APPs are responsible for evaluating and providing evidence-based treatment to pediatric patients in an urgent care setting. - Provide expert assessment and treatment of acute injuries and illnesses for both in-person and telemedicine patients, including but not limited to: - Management of the febrile infant/child - Ear/nose/throat infections - Pediatric abdominal pain - Anaphylaxis - Procedural anxiolysis - Respiratory distress - Croup - Asthma - Perform common urgent care procedures, including but not limited to: - Abscess drainage - Foreign body removal - Laceration repair with sutures, staples, and dermal adhesive - Obtain and provide preliminary interpretation of radiographs with radiologist over-reads (only in applicable states). All necessary training will be provided. - Oversee daily operations and patient flow for both in-person and telemedicine visits, with oversight of other providers, staff, and trainees on shift. - Ensure efficient operations by adhering to established policies and procedures and proactively report any necessary changes to the management team. - Collaborate with both on-site and telemedicine teams to assure completion of daily tasks, including but not limited to: - Lab and radiology result review - Patient follow-up - Timely responses to patient calls and questions - Promote a safe, secure, equitable, and healthy work environment by enforcing safety protocols, upholding quality standards, and ensuring compliance with legal regulations. - Maintain patient confidence and protect operations by keeping patient care information confidential in compliance with HIPAA regulations. - Update knowledge and skills through our internal training program, continuing education opportunities, professional publications, and participation in professional organizations. - Actively contribute to service recovery efforts by assisting staff and patients with complaints. - Focus on efficiency metrics to improve in-person and telemedicine urgent care flow, antibiotic stewardship, and patient experience. Qualifications - Pediatric experience is required; Pediatric ER, General Pediatrics, or Urgent Care Experience preferred. - Active ANCC Board Certification or NCCPA Certification. - Active RN (if applicable) and NP/PA state license for each state where treating patients. - Master of Science in Nursing or Doctoral degree in Nursing or Master of Physician Assistant Studies required. - Minimum 2 years of independent pediatric clinical experience as an APP (outside of rotations) or at least 1 year in urgent care or emergency medicine. - Ability to think critically, multitask, and work as part of a multidisciplinary team. - Excellent computer skills and experience with EMR (eCW experience preferred). - Ability to effectively communicate both verbally and nonverbally. Requirements - Compensation: $65 - $100/hour. The salary/rate range listed here has been provided to comply with local regulations and represents a potential base salary/rate for this role. Please note that actual salaries/rates may vary within this range above or below, depending on experience and location. EEO Statement PM Pediatric Care is an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, gender identity or expression, national origin, disability status, protected veteran status or any other characteristic protected by law.

Role Description The AI & Analytics Engineer I supports the design, build, and delivery of user-facing AI-powered applications, data pipelines, and analytics solutions that drive operational efficiency and decision-making across the organization. This is a developing-professional role focused on hands-on execution under the guidance of senior engineers. Core Responsibilities - AI Applications Development - Assist in building and enhancing AI-powered applications and agents that support business workflows. - Build user-facing interfaces using a modern frontend framework (React, Vue, Angular, or similar). - Develop backend services and REST or GraphQL APIs (Python, Node.js, .NET, or similar). - Develop components of AI solutions that automate routine tasks and surface insights. - Gather requirements from stakeholders with guidance from senior team members. - Iterate on AI applications based on user feedback and testing results. - Provide ongoing Level 3 support for software products. - AI Integration & Delivery - Support integration of AI applications with enterprise systems under senior direction. - Assist with deployment, testing, and monitoring of AI solutions in lower and production environments. - Translate documented business requirements into functional workflows. - Follow established standards for reliability, security, and code quality. - Data Engineering & Pipeline Development - Build and maintain ETL/ELT pipelines that feed analytics and AI use cases. - Ingest and transform data from multiple source systems into centralized platforms. - Validate accuracy, completeness, and structure of pipeline outputs. - Analytics & Data Modeling - Develop and maintain semantic models, datasets, and dashboards (Power BI and related tools). - Apply standardized business metrics and KPI definitions across reports. - Optimize queries and data structures for performance and usability. - Implement and maintain row-level security and access controls on reports. - Cross-Functional Collaboration - Partner with IT, clinical informatics, operations, and business stakeholders to understand reporting and AI needs. - Communicate progress, blockers, and trade-offs clearly to both technical and non-technical audiences. - Escalate architectural or scope questions to senior engineers. - Engineering Standards & Quality - Follow team practices for source control, code review, documentation, and testing. - Monitor AI outputs and data pipelines for accuracy and reliability. - Support compliance with data security, privacy, and governance standards (HIPAA-aware). - Continuous Learning & Improvement - Build technical depth in AI/ML tooling, cloud services, and modern data platforms. - Contribute small improvements to existing AI tools, dashboards, and pipelines. - Stay current with emerging AI and analytics technologies relevant to healthcare operations. Scope & Impact - Contributes directly to AI application and analytics delivery used across business operations. - Expands team throughput on AI applications, dashboards, and insight distribution. - Operates under the technical direction of the AI & Analytics Engineer II and Senior Director of AI, Data, & Enterprise Applications. Success Metrics - Volume and quality of analytics and AI deliverables completed. - Reliability and performance of owned pipelines and reports. - Reduction in backlog for analytics and AI requests. - Growth in technical proficiency over the first 12–18 months. - Stakeholder satisfaction with delivered solutions. Qualifications - 2–4 years of experience in data analytics, BI development, data engineering, or software development. - Hands-on experience building custom software products, including writing code and delivering end-to-end solutions aligned to business requirements. - Proven ability to conduct testing, troubleshoot and debug issues, and ensure high-quality, reliable application performance across environments. - Hands-on experience building dashboards, reports, or data pipelines in a professional setting. - Hands-on experience building and shipping user-facing applications end-to-end, including both frontend and backend components. - Demonstrated proficiency with a modern frontend framework (React, Vue, Angular, or similar). - Demonstrated proficiency with a backend framework (FastAPI, Django, Express, ASP.NET Core, Spring Boot, or similar). - Active GitHub profile or equivalent code portfolio with reviewable code samples (required at application). - Exposure to AI, machine learning, or workflow automation projects (academic or professional) preferred. Requirements - Demonstrated proficiency in modern software engineering tools and practices, including Agile development, CI/CD workflows, automated testing, and code review standards. - Daily experience with Git and GitHub, including branching, pull requests, and code review workflows. - Working proficiency with SQL and relational data modeling. - Experience with Power BI (or comparable BI platform) including DAX and semantic models. - Familiarity with ETL/ELT concepts and at least one data integration tool. - Exposure to cloud platforms (Azure preferred) and AI/ML services a plus. - Comfort working with both structured and unstructured data. Competencies - Strong analytical and problem-solving skills with attention to detail. - Willingness to learn from senior engineers and apply feedback quickly. - Effective written and verbal communication with technical and non-technical partners. - Ability to manage multiple concurrent tasks and meet committed delivery dates. - Healthcare or pediatrics domain interest is a plus. Compensation The salary/rate range listed here has been provided to comply with local regulations and represents a potential base salary/rate for this role. Please note that actual salaries/rates may vary within this range above or below, depending on experience and location. We look at compensation for each individual based on experience and qualifications. EEO Statement PM Pediatric Care is an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, gender identity or expression, national origin, disability status, protected veteran status or any other characteristic protected by law.

Role Description The Mental Health Patient Coordinator coordinates all appointments with providers for patients, referring physicians, and facilities across multiple states. In addition, the Patient Engagement Specialist communicates key information to patients and staff members including insurance coverage, financial responsibilities, and date/time of appointments. - Provide warm, friendly, and excellent customer service through all interactions with patients, referral sources, and staff members. - Communicate directly with patients to schedule, re-schedule and/or cancel their initial and subsequent appointment requests accurately by following practice scheduling protocols and tools. - Provide accurate and courteous information regarding our services to physicians and other callers. - Respond effectively and promptly to all patient, provider, and team member requests. - Maintain/Update patient information and working knowledge of insurance protocols. - Utilize eligibility systems, online websites, or phone calls to determine insurance benefits. - Provide information to the patient and/or guarantors regarding their benefits and financial obligations. - Handle billing inquiries, collect any out of pocket (deductibles, copays, etc.), and process payments accurately. - Explain insurance coverage and financial responsibility to patients in clear language. - Communicate when insurance issues arise (inactive coverage, referral needed, etc.). - Work with billing teams to correct coverage issues. - Maintain insurance panels. - Obtain approval for schedule changes or cancellations as appropriate. - Meet specified goals and objectives assigned by management. - Escalate any problems that may arise to management. - Complete other duties as assigned or identified based on patient needs. - Ability to adhere to quality and productivity standards. Qualifications - Experience with insurance eligibility. - Bilingual Spanish Preferred. - Bachelor’s degree preferred. - Attention to detail a requirement. - Strong organizational skills. - Ability to multi-task and prioritize. - Ability to work well with others in a team-driven environment. Requirements - Compensation range: $48,000 - $53,000 (dependent upon relevant experience). - Schedule: Tuesdays - Fridays: 8:00am - 5:00pm EST; Saturdays 9:00am - 1:00pm EST (Saturday hours can be slightly flexible). Benefits - Role Dependent. - The salary/rate range listed here has been provided to comply with local regulations and represents a potential base salary/rate for this role. Please note that actual salaries/rates may vary within this range above or below, depending on experience and location. Company Description PM Pediatric Care is an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, gender identity or expression, national origin, disability status, protected veteran status or any other characteristic protected by law.

Role Description This is a remote role. PM Pediatric Care is seeking a psychiatric nurse practitioner for the psychopharmacology role with experience in adolescent and adult behavioral health needs to join our virtual Behavioral Health Program. This unique opportunity will provide comprehensive behavioral health support for adults and adolescents, addressing common conditions such as depression, anxiety, ADHD, and mood disorders through an extended virtual care model. - Work as part of the virtual behavioral health team, providing patient services using evidence-based medicine. - Diagnose and assess mental/behavioral health disorders for pediatric, adolescent, and young adult patients; formulate differential diagnoses. - Demonstrate appropriate clinical judgement in assessment and treatment, following established clinical care guidelines. - Collaborate and communicate with therapist team and medical leadership to discuss patient treatment plans. - Order and interpret diagnostic tests when appropriate. - Conduct patient history and initial evaluations of incoming patients. - Prescribe medications as part of the patient’s treatment regime as allowed by license. - Provide both medication management and counseling for patients. - Educate patient and parent on medication side effects, risk/benefits, and proper usage of new medication and reasonable outcome expectations of medications. - Establish and modify patient treatment plan based on clinical assessment and re-assessment with screening tools. - Appropriately document each patient visit in the electronic medical record, including subjective and objective data, assessments, treatment plan, and other documentation as necessary. - Communicate patient’s plan of care with behavioral health team and patient’s primary care physician. - Work with members of the healthcare team in educating the patients of their medical care. - Continually update clinical knowledge and skills through consultation, formal and informal education, and review of literature for the benefit of themselves as well as for the healthcare team. - Provide appropriate referrals when necessary. - Bilingual Spanish skills are a plus. Qualifications - Successful completion of advanced practitioner training and certification from an approved nurse practitioner program. - Minimum three years of psychiatric experience in a clinical setting plus two years of nurse practitioner experience. - Licensed as an advanced registered nurse practitioner with prescriptive authority in the state practicing. - Strong organizational and time management skills. - Strong verbal and written communication skills. - Ability to screen for danger to self or others. - Demonstrated adherence to acceptable ethical and behavioral standards of conduct. - Ability to collaborate with strong skills working with a team. - Experience working specifically with children and adolescents. - Prior experience with use of electronic health records. Requirements - Masters of Arts in Psychiatric/Mental Health/Nursing. - Advanced Practice Nurse (APN). - Psychiatric-Mental Health Nurse Practitioner (PMHNP-BC). - Must hold an active New York license; New Jersey licensure is strongly preferred. - A current New York DEA license is required. Benefits - Part Time (20 hours per week) and Full Time positions available! - Part Time and Full Time positions are benefits eligible!

Role Description The AI & Analytics Engineer I supports the design, build, and delivery of AI-powered applications, data pipelines, and analytics solutions that drive operational efficiency and decision-making across the organization. This is a developing-professional role focused on hands-on execution under the guidance of senior engineers, with the goal of expanding the team’s capacity to deliver AI applications and distribute insights at greater velocity. Core Responsibilities - AI Applications Development - Assist in building and enhancing AI-powered applications and agents that support business workflows. - Develop components of AI solutions that automate routine tasks and surface insights. - Gather requirements from stakeholders with guidance from senior team members. - Iterate on AI applications based on user feedback and testing results. - Provide ongoing Level 3 support for software products. - AI Integration & Delivery - Support integration of AI applications with enterprise systems (e.g., EMR, HRIS, data platforms) under senior direction. - Assist with deployment, testing, and monitoring of AI solutions in lower and production environments. - Translate documented business requirements into functional workflows. - Follow established standards for reliability, security, and code quality. - Data Engineering & Pipeline Development - Build and maintain ETL/ELT pipelines that feed analytics and AI use cases. - Ingest and transform data from multiple source systems into centralized platforms. - Validate accuracy, completeness, and structure of pipeline outputs. - Analytics & Data Modeling - Develop and maintain semantic models, datasets, and dashboards (Power BI and related tools). - Apply standardized business metrics and KPI definitions across reports. - Optimize queries and data structures for performance and usability. - Implement and maintain row-level security and access controls on reports. - Cross-Functional Collaboration - Partner with IT, clinical informatics, operations, and business stakeholders to understand reporting and AI needs. - Communicate progress, blockers, and trade-offs clearly to both technical and non-technical audiences. - Escalate architectural or scope questions to senior engineers. - Engineering Standards & Quality - Follow team practices for source control, code review, documentation, and testing. - Monitor AI outputs and data pipelines for accuracy and reliability. - Support compliance with data security, privacy, and governance standards (HIPAA-aware). - Continuous Learning & Improvement - Build technical depth in AI/ML tooling, cloud services, and modern data platforms. - Contribute small improvements to existing AI tools, dashboards, and pipelines. - Stay current with emerging AI and analytics technologies relevant to healthcare operations. Success Metrics - Volume and quality of analytics and AI deliverables completed. - Reliability and performance of owned pipelines and reports. - Reduction in backlog for analytics and AI requests. - Growth in technical proficiency over the first 12–18 months. - Stakeholder satisfaction with delivered solutions. Qualifications - 2–4 years of experience in data analytics, BI development, data engineering, or software development. - Hands-on experience building custom software products, including writing code and delivering end-to-end solutions aligned to business requirements. - Proven ability to conduct testing, troubleshoot and debug issues, and ensure high-quality, reliable application performance across environments. - Hands-on experience building dashboards, reports, or data pipelines in a professional setting. - Exposure to AI, machine learning, or workflow automation projects (academic or professional) preferred. - Demonstrated proficiency in modern software engineering tools (IDES), practices; including Agile development, CI/CD workflows, automated testing, and code review standards. - Working proficiency with SQL and relational data modeling. - Experience with Power BI (or comparable BI platform) including DAX and semantic models. - Familiarity with ETL/ELT concepts and at least one data integration tool. - Exposure to cloud platforms (Azure preferred) and AI/ML services a plus. - Comfort working with both structured and unstructured data. Competencies - Strong analytical and problem-solving skills with attention to detail. - Willingness to learn from senior engineers and apply feedback quickly. - Effective written and verbal communication with technical and non-technical partners. - Ability to manage multiple concurrent tasks and meet committed delivery dates. - Healthcare or pediatrics domain interest is a plus. Compensation The salary/rate range listed here has been provided to comply with local regulations and represents a potential base salary/rate for this role. Please note that actual salaries/rates may vary within this range above or below, depending on experience and location. We look at compensation for each individual and based on experience and qualifications. EEO Statement PM Pediatric Care is an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, gender identity or expression, national origin, disability status, protected veteran status or any other characteristic protected by law.

Role Description This is a remote role. PM Pediatric Care is building the region's most accessible and responsive urgent care and mental health platform. As we scale across referral channels — hospital systems, urgent care, telehealth, provider networks, and direct-to-consumer access — we need a senior leader who can design what tomorrow looks like and execute it with precision today. The Sr. Director of Product Management and Patient Experience is the architect of our end-to-end customer journey. This person partners across Technology, Marketing, Clinical Operations, and Business Development to create seamless, scalable solutions that connect every touchpoint. - Design a system to automatically track every inbound referral from every channel/source in partnership to maximize conversion and drive revenue. - Apply a protocol of outreach to validate each lead, match them with a provider, and schedule an intake appointment. - Design and continuously optimize the complete customer journey across every channel from a business perspective. - Map and redesign the end-to-end journey for every channel type based on patient journey. - Own HubSpot business design across various business units and partner with various stakeholders for implementation. - Partner with Technology and Marketing to architect the platform layer. - Build and maintain integration frameworks connecting PM Pediatrics' urgent care, telehealth, and outpatient channels. - Define and enforce experience design standards and principles. - Partner with Marketing to ensure D2C digital touchpoints reflect the same journey standards. Qualifications - 10–15 years of progressive experience in product design, product management, or digital health innovation — with at least 4–5 years at the Director or Sr Director level in a healthcare or behavioral health setting. - Demonstrated experience designing end-to-end customer or patient journeys across multiple channels in a healthcare organization. - Hands-on expertise with HubSpot CRM: pipeline architecture, marketing automation workflows, reporting dashboards, and integration configuration. - Working knowledge of eClinicalWorks (eCW) or equivalent EHR platform. - Proven track record building and scaling multi-channel referral management systems. - Experience integrating adjacent care settings into a cohesive patient care continuum. - Strong analytical fluency: able to define KPIs and build measurement frameworks. - Experience operating in a matrixed, cross-functional organization. - Masters degree in Business, Healthcare Administration, Marketing, Health Informatics, Computer Science, or a related field. Requirements - Experience at a behavioral health, mental health, or pediatric health organization. - Background at a high-growth digital health company with Sr. Director-level product/design/growth responsibility. - Familiarity with healthcare marketing compliance including HIPAA and telehealth advertising regulations. - Experience with CRM-to-EHR integration architecture. - Background in patient experience design, UX research, or service design in a clinical or consumer health context. - Understanding of SEO/SEM, paid digital acquisition, content marketing, and reputation management. Benefits - Target Compensation: $200,000 - $250,000. - The salary/rate range listed here has been provided to comply with local regulations. EEO Statement PM Pediatric Care is an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, gender identity or expression, national origin, disability status, protected veteran status or any other characteristic protected by law.

Role Description This is a remote position, but must reside in the Northeast. PM Pediatric Care is scaling a behavioral health platform to address the mental health crisis facing children and adolescents. We operate state-based clinical pods across New York, New Jersey, and Florida, with national expansion underway. Over the next 24 months, we are growing from 75K to 150K+ annual visits and $15M to $50M+ in revenue. The VP & Head of Payer Strategy is the enterprise payer strategist and chief negotiator for PM Pediatric Care's Urgent Care and Behavioral Health service lines. This role owns national payer relationships, contract strategy, rate negotiations, multi-state expansion, and value-based partnership development. You will serve as the executive voice to Tier 1 payers, BCBS plans, Medicaid programs, and value-based care organizations. You will operate at the intersection of clinical strategy, financial performance, and market access, translating clinical quality and patient outcomes into payer value propositions, negotiating contracts that balance network inclusion with financial sustainability, and building partnerships that position PM Pediatrics for long-term advantage. Reports to: Chief Commercial Officer. Partners closely with: SVP Operations (Urgent Care and Behavioral Health), VP Clinical Programs, Finance/FP&A, and Revenue Cycle Management. This is a high-visibility executive role with direct exposure to the CEO, Board of Directors, and national payer C-suites. Responsibilities - National Payer Strategy & Tier 1 Relationship Leadership (Urgent Care) — 40% - Own strategic relationships with Tier 1 payers: UnitedHealthcare, Aetna, Cigna, Anthem/BCBS, and Humana; serve as executive liaison to payer leadership at the C-suite and senior VP levels. - Negotiate multi-year rate renewals, expand geographic coverage, and improve contract terms including facility fees, after-hours differentials, and coding/billing policies. - Lead escalation management: resolve contract disputes, address network adequacy issues, and navigate audit and compliance challenges. - Translate clinical quality, patient satisfaction, and cost-effectiveness into compelling payer value propositions. - Analyze rate structures, benchmark against market, and identify opportunities for rate improvement. - Align contract strategy with operational footprint, utilization patterns, and market expansion plans in partnership with SVP Urgent Care Operations. - Behavioral Health Contract Expansion & Multi-State Market Entry — 35% - Accelerate behavioral health payer contracting in NY, NJ, and FL, and lead payer entry into 6+ new states over 24 months. - Negotiate rates, terms, and coverage policies that support financial sustainability, with a target of $200K–$280K revenue per clinical FTE. - Lead payer credentialing and network inclusion strategy for therapists, psychiatrists, and psychiatric NPs across multiple states; drive credentialing cycle time to under 45 days. - Navigate state-specific contracting landscapes including Medicaid managed care, state employee health plans, regional commercial payers, and telehealth reimbursement policies. - Leverage urgent care relationships to unlock behavioral health contracting opportunities using an integrated care value proposition. - Design and execute a behavioral health payer entry playbook covering market landscaping, contract negotiation sequencing, credentialing project management, and post-contract optimization. - Value-Based Care & Strategic Partnership Development — 20% - Evaluate and build value-based care partnerships: shared savings, bundled payments, quality incentive programs, and outcomes-based contracts. - Lead strategic payer pilots including integrated care models, SDOH collaborations, pediatric behavioral health integration, and alternative reimbursement models. - Design clinical-financial frameworks for value-based arrangements, including quality metrics, financial risk models, and performance monitoring. - Model upside/downside scenarios for value-based contracts in partnership with Finance and Clinical Leadership. - Position PM Pediatrics for emerging payment models: CMS Innovation Center initiatives, Medicaid value-based purchasing, and payer-provider SDOH collaborations. - Identify strategic payer partnership opportunities beyond traditional contracting, including data sharing, care coordination platforms, and referral network integrations. - Payer Analytics, Performance & Cross-Functional Leadership — 5% - Build payer performance dashboards tracking contract utilization, revenue per contract, payer mix, claims denial rates, and financial performance by payer. - Benchmark PM Pediatrics rates and contract terms against urgent care and behavioral health competitors. - Lead cross-functional payer governance in partnership with RCM, Finance, and Operations. - Develop negotiation playbooks, contract templates, and rate benchmarking tools to scale the payer strategy function. - Build and lead the payer strategy team as the organization scales, including future hires in payer contracting, credentialing, and analytics. - Drive $15M–$25M in cumulative revenue impact through contract optimization, new payer partnerships, and value-based upside. Qualifications - Required - 10+ years in healthcare payer strategy, network contracting, or health plan partnerships with progressive responsibility. - 5+ years in senior leadership roles (VP, SVP, or Director-level) with direct accountability for payer negotiations, contract performance, or network strategy. - Proven track record of building and leveraging executive-level relationships with UnitedHealthcare, Aetna, Cigna, Anthem/BCBS, Humana, or equivalent Tier 1 payers. - Direct experience negotiating multi-million dollar payer contracts with measurable results: rate improvements, contract wins, revenue growth. - Experience in multi-site healthcare settings: urgent care, behavioral health, outpatient specialty, or retail healthcare. - Multi-state contracting experience including Medicaid managed care, telehealth reimbursement policies, and regional BCBS plans. - Provider credentialing expertise: CAQH, payer enrollment processes, and multi-state licensure requirements. - Strong financial modeling: contract rate analysis, market benchmarking, revenue impact modeling, and value-based care financial risk assessment. - Comfort with payer analytics, claims data, utilization reports, and contract performance dashboards. - P&L orientation: demonstrated ability to translate payer strategy into revenue growth, margin improvement, and payer mix optimization. - Experience designing or negotiating value-based arrangements: shared savings, bundled payments, quality incentives, outcomes-based contracts, or population health models. - Familiarity with clinical quality metrics: HEDIS, NCQA, patient satisfaction, clinical outcomes, and cost-effectiveness. - Executive presence: ability to build credibility with payer C-suites, internal executives, and board members. - Proven negotiation skills in complex, multi-party situations. - Strong written, verbal, and presentation skills for executive reporting and board-level updates. - Ability to lead cross-functionally across Operations, Clinical, Finance, and RCM without direct authority. - Preferred - Urgent care contracting experience: reimbursement models, facility fees, coding/billing policies. - Behavioral health contracting: therapist/psychiatrist reimbursement, telehealth policies, outcomes-based contracting. - Pediatric healthcare: pediatric care models, family-centered care, pediatric quality metrics. - MBA, MHA, JD, or equivalent advanced degree in business, healthcare administration, or law. - Prior consulting experience at top-tier healthcare strategy firms (McKinsey, Bain, BCG, Accenture, Navigant/Guidehouse). - Former health plan experience at UnitedHealthcare, Aetna, Cigna, Anthem, Humana, or a regional health plan in network strategy, provider relations, or medical management. - CMS or state Medicaid experience: Medicare Advantage, Medicaid managed care, or public payer programs. - Telehealth reimbursement expertise: interstate contracting, evolving telehealth policies, and virtual care reimbursement. Compensation The salary/rate range listed here has been provided to comply with local regulations and represents a potential base salary/rate for this role. Please note that actual salaries/rates may vary within this range above or below, depending on experience and location. We look at compensation for each individual and based on experience and qualifications. EEO Statement PM Pediatric Care is an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, gender identity or expression, national origin, disability status, protected veteran status or any other characteristic protected by law.

Role Description This is a remote position. The SDOH Care Coordinator is a new, centralized virtual role supporting PM Pediatric Care’s Social Determinants of Health screening and referral programs across six states. Working through the Findhelp platform, you will serve as the hub connecting Medicaid families with community resources. - Enter SDOH assessment results into the Findhelp platform for Medicaid members across TX, MD, DC, NY, VA, and FL. - Verify patient Medicaid eligibility through the Findhelp portal prior to assessment submission. - Place e-referrals to community-based organizations (CBOs) across need categories including food, housing, transportation, childcare, utilities, and other social supports. - Follow up with families to confirm referral outcomes and support closed-loop communication with CBOs. - Coordinate with front desk staff across multiple offices to support screening workflows, troubleshoot platform issues, and share best practices. - Support front desk training initiatives related to SDOH screening processes and Findhelp platform navigation. - Identify and escalate technical issues with the Findhelp platform to ensure minimal disruption to program operations. - Contribute to continuous improvement efforts aimed at increasing screening rates, referral conversion, and patients getting help across all participating states. This is a grant funded role. The compensation target for this role is $22.00 - $25.00 per hour. Qualifications - Bachelor’s degree in social work, public health, community health, human services, or a related field; OR certification as a Community Health Worker (CHW) with relevant professional experience. - Minimum of 2 years of experience in care coordination, community health, social services, or a related role with direct family engagement around social needs. - Demonstrated understanding of social determinants of health frameworks and their impact on pediatric populations. - Proficiency with web-based platforms and data entry; comfort learning new technology tools quickly. - Strong verbal and written communication skills, with the ability to engage diverse and underserved populations with empathy and cultural sensitivity. - Ability to work independently in a fully remote setting, managing priorities across multiple states and time zones. - Reliable internet connection and a dedicated home workspace conducive to a professional virtual work environment. - Bilingual fluency in Spanish and English. - Experience working with pediatric or maternal-child health populations. - Experience working with Medicaid-insured populations or within Medicaid managed care programs. - Familiarity with the PRAPARE screening tool or similar SDOH assessment instruments. - Experience using the Findhelp (formerly Aunt Bertha) platform or similar community resource referral systems. - Knowledge of community-based organizations and social service networks in TX, MD, DC, NY, VA, or FL. Benefits - Comprehensive benefits package including health insurance, paid time off, and 401(k). - A fully remote position with schedule flexibility. - The opportunity to be part of a nationally recognized, award-winning SDOH program making a tangible difference in children’s lives. - Career growth potential within a fast-growing organization committed to promoting from within. - A culture of inclusiveness, collaboration, and passion for pediatric healthcare. Compensation Compensation Dependent Upon Location and Experience. The salary/rate range listed here has been provided to comply with local regulations and represents a potential base salary/rate for this role. Please note that actual salaries/rates may vary within this range above or below, depending on experience and location. EEO Statement PM Pediatric Care is an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, gender identity or expression, national origin, disability status, protected veteran status or any other characteristic protected by law.

Role Description The Practice Supervisor is responsible for overseeing the day-to-day operational functions of the mental health practice, ensuring efficiency, compliance, and high-quality service delivery. The ideal candidate is adaptable, detail-oriented, and able to provide flexible scheduling support, including occasional weekend oversight when needed. This role requires strong data analysis capabilities, experience in mental health billing, and proficiency in Excel to support reporting, performance tracking, and operational decision-making. Key Responsibilities - Oversee integration of Mental Health services within PM Urgent Cares - Oversee daily operations across clinical and administrative functions to ensure seamless service delivery - Monitor and analyze operational and financial data to identify trends, gaps, and opportunities for improvement - Generate and maintain reports related to scheduling, billing, productivity, and performance metrics - Oversee payroll processes, including validating provider hours, reconciling discrepancies, and ensuring timely and accurate payroll submission - Ensure accuracy and compliance with mental health billing practices, including claims submission, reconciliation, and issue resolution - Collaborate with clinical, billing, and administrative teams to optimize workflows and improve efficiency - Support provider scheduling oversight, ensuring appropriate utilization and coverage - Identify and implement process improvements to enhance operational effectiveness - Assist in onboarding and training staff on operational processes and systems - Maintain compliance with regulatory and organizational standards - Provide flexible support, including occasional weekend oversight to ensure continuity of operations Qualifications - Bilingual; Spanish preferred - Bachelor’s degree in Healthcare Administration; Master's strongly preferred - Proficient with Excel - Attention to detail a requirement - Strong organizational skills - Ability to multi-task and prioritize - Ability to work well with others in a team-driven environment - Ability to work some evenings or weekends may be required - Predominantly Remote; Will require occasional travel to Mental Health Practices Compensation Compensation Dependent Upon Location and Experience. The salary/rate range listed here has been provided to comply with local regulations and represents a potential base salary/rate for this role. Please note that actual salaries/rates may vary within this range above or below, depending on experience and location. We look at compensation for each individual based on experience and qualifications. EEO Statement PM Pediatric Care is an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, gender identity or expression, national origin, disability status, protected veteran status or any other characteristic protected by law.

Role Description The Mental Health Patient Liaison coordinates all appointments with providers for patients, referring physicians, and facilities across multiple states. In addition, the Liaison communicates key information to patients and staff members including insurance coverage, financial responsibilities, and date/time of appointments. Responsibilities: - Provide warm, friendly, and excellent customer service through all interactions with patients, referral sources, and staff members. - Communicate directly with patients to schedule, re-schedule, and/or cancel their initial and subsequent appointment requests accurately by following practice scheduling protocols and tools. - Provide accurate and courteous information regarding our services to physicians and other callers. - Respond effectively and promptly to all patient, provider, and team member requests. - Maintain/Update patient information and working knowledge of insurance protocols. - Utilize eligibility systems, online websites, or phone calls to determine insurance benefits. - Provide information to the patient and/or guarantors regarding their benefits and financial obligations. - Handle billing inquiries, collect any out of pocket (deductibles, copays, etc.), and process payments accurately. - Explain insurance coverage and financial responsibility to patients in clear language. - Communicate when insurance issues arise (inactive coverage, referral needed, etc.). - Work with billing teams to correct coverage issues. - Maintain insurance panels. - Obtain approval for schedule changes or cancellations as appropriate. - Meet specified goals and objectives assigned by management. - Escalate any problems that may arise to management. - Complete other duties as assigned or identified based on patient needs. - Ability to adhere to quality and productivity standards. Qualifications - Experience with insurance eligibility. - Bilingual (Spanish preferred). - Bachelor’s degree preferred. - Attention to detail a requirement. - Strong organizational skills. - Ability to multi-task and prioritize. - Ability to work well with others in a team-driven environment. Requirements - Compensation Dependent Upon Location and Experience. - The salary/rate range listed here has been provided to comply with local regulations and represents a potential base salary/rate for this role. Please note that actual salaries/rates may vary within this range above or below, depending on experience and location. - We look at compensation for each individual based on experience and qualifications. EEO Statement PM Pediatric Care is an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, gender identity or expression, national origin, disability status, protected veteran status or any other characteristic protected by law.