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About the role
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.
What they're looking for
- 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'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
More about this role
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.
- You've run payer operations at scale, across more than one contract type or service...
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