Payer Operations Specialist

About the job

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