The Role:

As the Specialty Care Manager, you are the operational anchor and cross-functional owner for all contracted specialty care roles across Nadia Care, including Doulas, Registered Dietitians (RDs), and International Board Certified Lactation Consultants (IBCLCs). Sitting within Care Operations, this role directly oversees all specialists and contractors across all regions simultaneously, driving end-to-end coordination, roster availability, panel matching, compliance audit trails, contractor administrative accountability, and onboarding. Clinical scope-of-practice and quality-of-care concerns are escalated directly to Regional Managers and Clinical Leadership.

You serve as the operational liaison connecting members to birth support, ensuring real-time labor activation, enforcing documentation standards, partnering with Licensing, Credentialing & Enrollment, and leading candidate interviews for all incoming specialists.

Key Responsibilities

Contractor Performance, Charting & Accountability

• Documentation & SLA Enforcement: Track visit completion, labor attendance, and charting timelines across all contracted specialists (Doulas, RDs, IBCLCs).
• Charting Audits: Conduct routine charting and documentation audits across platform systems (e.g., Athena, Spruce, Acuity). Follow up on incomplete charts, overdue visit notes, or missing documentation.
• Performance Escalation: Identify, document, and escalate contractor administrative non-compliance, missed labor events, or boundary violations to the Senior Manager of Care Operations, while routing clinical scope-of-practice or quality-of-care issues directly to Regional Managers and Clinical Leadership.
• Invoice Review & Contract Compliance: Perform regular invoice review against active contracts to verify contractor billing accuracy, confirm rate adherence, and enforce compliance with contracted service terms.

LCE Credentialing Support & Roster Compliance (Doulas, RDs, IBCLCs)

• LCE Liaison: Function as the primary operational interface with the Licensing, Credentialing & Enrollment (LCE) department.
• Document Collection: Serve as the primary document collector for LCE credentialing accuracy, actively tracking, collecting, and maintaining up-to-date credentialing artifacts (licenses, certifications, liability insurance, background checks) from all contracted Doulas, RDs, and IBCLCs prior to expiration.
• Roster Integrity: Maintain an accurate, audit-ready credentialing and payer-approval status tracker across all contract specialists to ensure no contractor provides unbillable or uncredentialed care.

Recruitment, Interviewing & Event Representation

• Contractor Interviewer: Lead interviews for incoming Doula, Registered Dietitian, and Lactation Consultant candidates, evaluating prospective contract applicants for operational fit, communication skills, and adherence to clinical scope boundaries.
• Community Recruitment Events: Represent Nadia Care at community, collective, or regional recruitment events (in-person or virtual) as needed to support doula and specialist pipeline growth.
• Collective Partner Engagement: Maintain collaborative, accountability-driven relationships with regional doula collectives and specialty contractor networks.

Cross-Functional Care Team Alignment

• Interdisciplinary Sync: Partner closely with Regional Managers, Maternity Navigators, Care Coordinators, and RNs to ensure specialty care (birth support, nutrition, lactation) integrates smoothly into broader member care plans.
• Data & Capacity Reporting: Produce monthly panel summaries detailing active assignments, upcoming delivery windows, credentialing renewals, and contractor capacity constraints.
• Enablement & Ops Alignment: Partner closely with onboarding, enablement, and care delivery teams to ensure contractor workflows, operational updates, and training materials remain fully synchronized.
• Recruitment & Credentialing Partnership: Partner directly with Credentialing and Provider Enrollments Manager and the Talent Acquisition team to streamline specialist hiring, onboarding, and compliance.

Member Birth Support & Active Labor Coordination (Doulas)

• Matching & Enrollment: Coordinate doula assignments for all opted-in members, ensuring every member has a primary and confirmed backup doula matched prior to 30 weeks gestation.
• Member Onboarding: Lead member-facing communication regarding birth support expectations, visit cadences (prenatal, labor, postpartum), and labor activation protocols.
• Active Labor On-Call Coverage: Participate in a structured, team-backed rotation for live labor events to confirm doula dispatch, manage backup handoffs, and resolve real-time coverage bottlenecks.
• Delivery Window Tracking: Maintain a real-time, accurate delivery tracker across the active member panel; review upcoming due dates weekly and proactively redistribute assignments to prevent clustering gaps.

Qualifications

• Professional Experience: At least 3-5 years handling care coordination, maternal health operations, or contractor panel administration across multiple care verticals (Doulas, Registered Dietitians, IBCLCs), with strong autonomous startup experience, organizational skills, and operational strength. A specific clinical specialty background is not required, though prior experience working alongside clinical disciplines is a plus.
• Systems & EHR Proficiency: High fluency with digital care systems and platforms (e.g., Athena Health, Spruce, Acuity, Slack, Google Workspace).
• Structured On-Call Rotation: Willingness and ability to participate in a structured, team-backed on-call rotation outside standard business hours for active labor triage and coverage emergencies.
• Interviewing & Evaluation Skills: Demonstrated experience evaluating contractor candidates and conducting structured interviews.
• Detail-Oriented: Highly organized with strong communication skills to hold independent contractors accountable to administrative, charting, credentialing, and SLA standards, while appropriately routing clinical quality-of-care matters to Regional Managers and Clinical Leadership.
• Startup Flexibility: Comfortable with operational ambiguity, rapid scaling, and wearing multiple hats as roles and responsibilities may shift to meet the evolving needs of a hypergrowth startup.
• Bilingual English/Spanish a plus given the member populations served across our markets.

This is a full-time salaried position with a pay range between $70K-$80K annually. Exact compensation will depend on direct and relevant experience.