Babylist · 10 hours ago
Payer Lead, Medicaid
United States
Full-time
Remote
Senior Level
$105K/yr - $126K/yr
6+ years expBabylist is the leading registry, e-commerce, and content platform for growing families, and they are seeking a Payer Lead for Medicaid. This role will own Babylist Health's Medicaid contracting strategy and execution, focusing on securing state Medicaid licenses and Managed Care Organization contracts to expand the company's footprint across high-birth-volume states.
BabyE-CommerceHealth CareInternetMarketplaceParentingToys
Hiring Manager
Sara Levy
Responsibilities
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
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
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
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
Qualification
Required
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
Embrace using technology to enhance your work while keeping people at the center
Preferred
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
Benefits
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
Company
Babylist
Babylist is an online platform that offers baby registry for expecting parents and products such as toys, baby care, and clothing.
201-500 employees
Funding
Current Stage
Growth StageTotal Funding
$40.65MKey Investors
Norwest
2021-11-04Series C· $40M
2018-02-15Series Unknown
2013-06-25Seed· $0.65M
Leadership Team
Natalie Gordon
CEO & Founder
Recent News
EIN Presswire
2025-09-30
Company data provided by crunchbase