Associate Director, Payer and Clinical Operations

The posting, as Babylist wrote it

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 th

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r career advancement

• We believe technology and data can solve hard problems
• We're committed to career progression and performance-based advancement

Benefits

• 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

Important Notices

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Interview Integrity. AI is part of how we work at Babylist. We expect you to use it too. Your application and interviews should still reflect you and your own thinking. We'll tell you when AI is encouraged. Misrepresentation at any stage may result in removal from consideration for this and future roles.

How We Review Applications We use AI throughout our hiring process to help review, screen, and assess applications. These tools support our team's review; they do not replace it, and every hiring decision is made by a person.

Connections at Babylist. If you have a family member or close personal relationship with a current Babylist employee, please let your recruiter know. This helps us keep our process fair and transparent for everyone.

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