Payer Lead, Medicaid at Babylist

, , United States -

Full Time

Start Date

Immediate

Expiry Date

29 Apr, 26

Salary

125952.0

Posted On

29 Jan, 26

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Payer Contracting, Medicaid Expertise, MCO Relationships, Regulatory Navigation, Negotiation Skills, Healthcare Services, DME Experience, AI Tools, Cross-Functional Collaboration, Revenue Modeling, Contract Management, Relationship Development, Problem Solving, Consulting Partnership, Operational Feasibility, Market Strategy

Industry

Consumer Services

Description

Who We Are Babylist is the leading registry, e-commerce, and content platform for growing families. More than 9 million people shop with Babylist every year, making it the go-to destination for seamless purchasing, trusted guidance, and expert product recommendations for new parents and the people who love them. What began as a universal registry has grown into a full ecosystem for new parents, including the Babylist Shop, Babylist Health, and a flagship showroom in Los Angeles. Hundreds of brands in baby and beyond partner with Babylist to engage meaningfully with families during one of life’s most important transitions. With over $1 billion in annual GMV, and more than $500 million in 2024 revenue, Babylist is reshaping the $320 billion baby product industry. We’re helping parents feel confident, connected, and cared for at every step. As we build the generational brand in baby, our mission remains simple: to connect growing families with everything they need to thrive.To learn more, visit www.babylist.com. Our Ways of Working Babylist thrives as a remote-first company, with HQ team members located across the U.S. and Canada. We meet in person twice a year—once as a company and once by department to strengthen the relationships that power our work. We show up consistently, stay purpose-driven, leverage AI to amplify our impact, and achieve results—together, from anywhere. What the Role Is The Payer Lead – Medicaid will own Babylist Health's end-to-end Medicaid contracting strategy and execution. This role is responsible for unlocking one of the company's largest growth opportunities by securing state Medicaid licenses and Managed Care Organization (MCO) contracts, expanding Babylist Health's footprint across high-birth-volume states, and building durable payer relationships that enable long-term scale. This person will set the Medicaid market strategy in partnership with the GM, and be responsible for execution of this strategy end to end. Their scope will include prioritizing state license applications, driving direct contracting efforts, and building the external relationships (trade associations, payer stakeholders, regulators) required to win in competitive Medicaid markets. Who You Are 6–8+ years of experience in payer contracting, with deep Medicaid and MCO expertise Prior experience at a DME, healthcare services company, or payer-adjacent organization Proven track record of securing state licenses and MCO contracts Strong existing relationships across Medicaid agencies, MCOs, and industry trade groups Comfort operating in complex regulatory environments Able to get hands-on and in the weeds to deliver iron clad contracts that can be turned on expeditiously Experience at a health-tech, high growth, or similar start up environment a plus You're comfortable and enthusiastic about working in an AI-forward environment where AI tools are part of daily operations You embrace using technology to enhance your work while keeping people at the center How You Will Make An Impact Medicaid Coverage Growth Own the Medicaid expansion roadmap, including state prioritization, sequencing of license acquisition, and MCO penetration targets. Partnering with an outside consulting firm to submit Medicaid license applications in prioritized states Execute a strategy to access up to 40% of U.S. births covered by Medicaid, with a focus on populous states (e.g., CA, TX, NY) Partner with the GM, Finance and leadership to model revenue impact, timing, and ROI of Medicaid expansion initiatives State Licensing & Regulatory Navigation Partner with our consultants to submit state Medicaid DME license applications, ensuring timely, compliant, and scalable submissions Anticipate and navigate state-specific regulatory complexity, red tape, and documentation requirements Serve as the senior point of contact for Medicaid agencies, regulators, and licensing bodies MCO Contracting & Relationship Development Lead direct MCO contracting efforts, including outreach, negotiations, and ongoing relationship management Build a pipeline of warm leads through trade associations, industry events, and payer networks to accelerate contract wins Negotiate favorable contract terms that balance access, operational feasibility, and long-term margin potential Cross-Functional Collaboration Establish scalable Medicaid contracting processes, playbooks, and best practices Partner closely with Operations, Billing, Legal, and Product to ensure Medicaid contracts are operationally live, compliant, and customer-ready Ensure Medicaid expansion does not negatively impact denial rates, AR, or patient experience Success Metrics Number of new state Medicaid licenses secured Number and breadth of MCO contracts executed Percentage of Medicaid population accessible Time from license approval to MCO contract activation Revenue contribution from Medicaid contracts 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 invest in tools and opportunities to connect with colleagues We build products that positively impact millions of people's lives AI is intentionally embedded in how we work, create, and scale—supporting innovation and impact 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 Compensation & Benefits Competitive salary with equity and bonus opportunities Company-paid medical, dental, and vision insurance Retirement savings plan with company matching and flexible spending accounts Generous paid parental leave and PTO Remote work stipend to set up your office Perks for physical, mental, and emotional health, parenting, childcare, and financial planning About Compensation We use a market-based approach to compensation. The starting salary range for this role is: $104,995 to $125,952 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. Important Notices Interview Process & Consent Babylist uses AI to record and transcribe all interviews for evaluation purposes in accordance with CCPA and GDPR. By participating in an interview, you consent to this recording and transcription. Interview Integrity During the interview process, we're evaluating your individual problem-solving skills, creativity, and approach to challenges. While AI tools like ChatGPT, Claude, and Cursor are part of your daily toolkit once you join Babylist, all interviews, assessments, and take-home assignments must be completed independently. You may not use AI tools, third-party services, coaching platforms, or content-farming services during any part of the interview process unless we explicitly permit it. We will clearly communicate when AI tools are allowed for specific assessments. Any indication of third-party assistance or AI-generated responses will result in immediate disqualification. We may also verify educational credentials through third-party sources—providing false or misleading information will result in removal from consideration. Official Communication All communication will come only from the Babylist Talent Team via an @babylist.com email address. We will never request payment, bank information, or personal financial details. Be cautious of fraudulent outreach via non-company email addresses, messaging platforms (e.g., WhatsApp, Telegram), or unsolicited phone calls. Verify legitimate opportunities on our careers page. SMS Consent You may opt in to receive text message updates about your application or interviews. Opting out will not affect your application status—communication will continue via email or phone. Message and data rates may apply. Reply STOP to unsubscribe or HELP for assistance. See our Privacy Policy for more information.

Responsibilities

The Payer Lead – Medicaid will own Babylist Health's end-to-end Medicaid contracting strategy and execution, focusing on securing state Medicaid licenses and MCO contracts. This role is crucial for expanding Babylist Health's footprint across high-birth-volume states and building durable payer relationships.