Associate Director, Payer and Clinical Operations

The role

The Associate Director owns the operational and compliance foundation for Babylist Health. This person manages payer onboarding, existing payer operations, and clinical licensing and credentialing to enable business scaling.

What you will do

• Own the onboarding of every new payer
• Keep existing payer operations running clean
• Own licensing and credentialing for 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 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

Required qualifications

• Run payer operations at scale across more than one contract type or service line
• Knowledge of healthcare licensing and credentialing
• Experience owning the operational relationship with payers directly
• Experience in multi-state regulatory compliance
• Managed both commercial and Medicaid payer work
• Strong people manager

Nice to have

• Naturally reach for AI in your work

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

Before you apply

• Babylist uses an interview recording tool to record and transcribe interviews
• By participating in an interview, you consent to this recording and transcription
• Misrepresentation at any stage may result in removal from consideration
• Babylist uses AI throughout the hiring process to help review, screen, and assess applications

About the company

Babylist is the leading platform for expecting and new families. It is a modern, AI-forward tech company that has expanded from a universal registry into a full ecosystem.