[Hiring] Associate Director, Payer and Clinical Operations @Babylist

Role Description

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.

Qualifications

• You've run payer operations at scale, across more than one contract type or service line.
• You know healthcare licensing and credentialing well enough to own it without doing it yourself.
• You've owned the operational relationship with payers directly.
• You've worked in multi-state regulatory compliance.
• You've managed both commercial and Medicaid payer work.
• You set direction and write requirements.
• You're a strong people manager who can coach and performance manage.
• You build process rather than follow it.
• You operate comfortably across a large, matrixed organization.
• You naturally reach for AI in your work.

Requirements

• Own the onboarding of every new payer.
• Keep existing payer operations running clean.
• Own licensing and credentialing for our clinical services.
• Lead the response when an audit, site inspection, or license renewal lands.
• Lead identification and implementation of compliance best practices.
• Manage payer transitions end-to-end.
• Build and maintain visibility into payer-level performance.
• Program-manage both day to day reporting and monitoring of the business.
• Manage and develop two direct reports.
• Partner cross-functionally with billing/RCM, legal, product and the payer contracting team.

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.
• Remote work stipend to set up your office.
• Perks for physical, mental, and emotional health, parenting, childcare, and financial planning.