Babylist is the trusted platform for millions of growing families. For over a decade, Babylist has been the technology solution for expecting parents and the community that supports them, expanding from baby registry into a full-service platform that helps parents make decisions with confidence, stay connected, and build happy and healthy families. Every year Babylist helps over 9M people make purchases through its registry, app, ecommerce shop, and comprehensive product guides. The Babylist ecosystem now includes Babylist Health, which provides access to products and services including insurance-covered breast pumps, Expectful, a new voice in health and wellness for pre-pregnancy through postpartum care, and The Push, a branded content studio that works with the biggest companies in the baby space. With over 59M monthly pageviews and 1.2M TikTok followers, Babylist is a generational brand leading the $88 billion baby product industry.
Payer Lead, Medicaid
Location
United States
Posted
9 days ago
Salary
$105.0K - $126.0K / year
Job Description
Job Requirements
- 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