Payer Operations Specialist

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 Operations Specialist will be responsible for the operational backbone of payer contracting across Medicaid and commercial payers at Babylist Health. This role ensures that payer contracts, licenses, and credentials are submitted accurately, loaded on time, maintained in good standing, and fully operational prior to go-live. This role is critical to enabling scale—reducing operational friction, minimizing controllable denials and AR, and ensuring Babylist Health captures the full value of newly won payer contracts. You'll be joining a scrappy, collaborative team that's building the Medicaid and commercial payer strategy from the ground up, with the opportunity to define processes and bring order where it doesn't yet exist.

Who You Are

• You have 3–6+ years of experience in payer operations, credentialing, or healthcare contracting
• You have experience across both Medicaid and commercial payers (strongly preferred)
• You're highly detail-oriented with strong project management skills and can manage multiple payer uploads and deadlines simultaneously
• You have strong cross-functional communication skills and can translate complex payer requirements for non-expert audiences
• You're scrappy and resourceful—when a payer contact goes radio silent, you find creative ways to get the information you need
• You thrive in startup environments where you can build processes from scratch and aren't afraid of ambiguity
• 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

Licensing & Credentialing

• Maintain detailed documentation and renewal schedules for licenses, credentials, and payer requirements
• Own requirements for and execution of site inspections across multiple office locations
• Coordinate responses to payer and regulatory requests for information in the event of an audit or otherwise

Payer Onboarding & Operational Readiness

• Own the end-to-end payer onboarding process, ensuring payers are fully loaded prior to effective dates
• Partner with Billing and Ops teams to ensure claims and billing workflows are configured correctly, EFT and remittance are set up, authorization and denial management processes are in place, and reimbursement rates are clearly articulated
• Act as the operational point of contact during payer go-lives

Contract Maintenance & Performance Support

• Maintain ongoing compliance and good standing across 85+ payer contracts
• Support contract amendments, renewals, and updates
• Track payer performance indicators such as rejections/denials, AR aging, patient responsibility, and cancellation rates, escalating issues as needed

Cross-Functional Coordination

• Work closely with Payer Leads, Legal, Finance, Billing, Ops, and CS teams
• Ensure payer requirements are clearly documented and communicated internally
• Support rate change implementations and contract conversions from third-party to direct relationships

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:

$85,075 to $102,090

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.

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.

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