Associate Director, Payer and Clinical Operations

Associate Director, Payer and Clinical Operations United States What the Role Is Babylist Health is scaling past DME into insurance-covered classes and lactation consulting, and we need a seasoned operations leader who can build the rigorous operational and compliance foundation that enables the business to scale safely and effectively. The Payer and Clinical Operations Associate Director owns that foundation — making sure new payers go live smoothly, existing payer operations run without disruption, and every license and credential tied to our clinical services is valid, current, and audit-ready. You’ll manage a high performance team that delivers both quality and operational excellence. You're the first call when an audit, site inspection, or major payer transition lands, and the person tracking payer-level performance closely enough to catch operational problems before they become incidents. This role reports to the GM of Babylist Health and leads a team of two. This role works closely with our billing/claims (RCM), product, and customer support functions— you own the operational compliance side of payer and clinical work, and partner closely with these teams day to day. Who You Are You've run payer operations at scale, across more than one contract type or service line — bringing new payers live on schedule, managing transitions, and keeping existing contracts in good standing. You know healthcare licensing and credentialing well enough to own it without doing it yourself — state licensure, site inspections, payer-level credentialing. You've built or bought the capacity to execute, and stayed accountable for it being right. You've owned the operational relationship with payers directly — you've been in the room when something urgent lands, not briefed on it afterward. You've worked in multi-state regulatory compliance and can translate rule changes into process, documentation, and record-keeping that people actually follow. You've managed both commercial and Medicaid payer work , including Medicaid expansion into new states. You set direction and write requirements, rather than waiting for someone else to define the roadmap. You're a strong people manager who can coach and performance manage, and you stay close enough to the work to catch problems early. You build process rather than follow it — you bring order to ambiguous, fast-changing operational work, and leaders can tell at a glance where things stand. You operate comfortably across a large, matrixed organization — partnering daily with billing and RCM, legal, product, and customer support without owning any of those functions. You naturally reach for AI in your work — at Babylist, every team uses AI daily. You're already using it to move faster and improve your output, and you stay curious about what's coming next. How You Will Make An Impact Own the onboarding of every new payer — a smooth go-live is your responsibility, you own the process, the timeline and the cross functional collaboration to ensure the business is ready to service new payers on time and in full Keep existing payer operations running clean, catching and fixing friction before it becomes a pattern. Examples include ensuring payers have efficient AR processes (EFT set up, payment schedules), ensuring we are servicing all eligible sub-plans, staying on top of changing allowable amounts and perpetuating these through our systems etc. Own licensing and credentialing for our clinical services, including IBCLC credentialing, as we expand into classes and lactation consulting — every license current, every credential valid, every renewal ahead of deadline. Lead the response when an audit, site inspection, or license renewal lands — you're the point of contact, and leading the response Lead identification and implementation of compliance best practices across the Babylist Health org Manage payer transitions end-to-end, including major payer changes, with a clear plan and clear communication to stakeholders. Build and maintain visibility into payer-level performance — where things are working, where they're not, and what needs attention next. Program-manage both day to day reporting and monitoring of the business as well as the operational side of new launches, such as launching new DME types, new lines of business etc. Manage and develop two direct reports, building a team that scales with the business. Partner cross-functionally with billing/RCM, legal, product and the payer contracting team — you own operations and compliance to facilitate their work Why This Role Babylist Health is scaling into classes and lactation consulting right now — you're building the operational and compliance playbook while it still doesn't exist, not maintaining one someone else wrote. You’ll lead a team from day one, with a direct line to the GM of Babylist Health. The scope is broad and real: licensing, credentialing, audits, payer transitions, and program management for new lines of business all sit with you — not split across five different roles. This is one of the moments that determines whether growth actually happens — the business can't scale into Medicaid and new clinical services without operations that hold up. About Compensation We use a market-based approach to compensation. The starting salary range for this role is: $133,567 to $178,118 Your starting salary will be based on your location, experience, and qualifications, with increases over time tied to performance, role growth, and internal pay equity. Who We Are Babylist is the leading platform for expecting and new families. More than 10 million people shop with Babylist every year, making it the go-to destination for seamless purchasing, guidance, and expert recommendations. As a modern, AI-forward tech company, Babylist has expanded from a universal registry into a full ecosystem — the Babylist Shop, Babylist Health, Babylist Money, NYC and LA showrooms, branded content, and more — generating $750M in revenue in 2025. Building the generational brand in baby, Babylist is reshaping the $235B kids and baby market and helping parents feel confident, connected, and cared for at every step. Our Ways of Working Babylist is remote-first with team members across the U.S. and Canada who move fast, think smart, and use AI as part of how they work every day — not as an experiment, as an expectation. We come together twice a year to build the relationships behind the work, and we hire people who are genuinely excited about what's possible and prove it through how they show up. Why You Will Love Working At Babylist Our Culture We work with focus and intention, then step away to recharge We believe in exceptional management, and we invest in the tools and the time to connect with colleagues We build products that positively impact millions of people's lives AI is part of how we work, not a side experiment. You'll have leading tools like Claude and ChatGPT from day one, with no waiting on access, so the busywork gets handled and your judgment goes where it counts Growth & Development Competitive pay and meaningful opportunities for career advancement We believe technology and data can solve hard problems We're committed to career progression and performance-based advancement Company-paid medical, dental, and vision insurance Retirement savings plan with company matching and flexible spending accounts Generous paid parental leave and PTO Winter Wonder Week: the whole company takes a paid week off at the end of the year, whether or not you celebrate anything, so everyone's out at once and comes back refreshed Remote work stipend to set up your office Perks for physical, mental, and emotional health, parenting, childcare, and financial planning Recorded Interviews. 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