Payer Lead, Medicaid

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.

Babylist is remote-first with team members across the U.S. and Canada who move fast, think smart, and use AI as part of how they work every day — not as an experiment, as an expectation. We come together twice a year to build the relationships behind the work, and we hire people who are genuinely excited about what's possible and prove it through how they show up.

The Payer Lead – Medicaid will own Babylist Health's end-to-end Medicaid contracting strategy and execution. This role is responsible for unlocking one of the company's largest growth opportunities by securing state Medicaid licenses and Managed Care Organization (MCO) contracts, expanding Babylist Health's footprint across high-birth-volume states, and building durable payer relationships that enable long-term scale.

This person will set the Medicaid market strategy in partnership with the GM, and be responsible for execution of this strategy end to end. Their scope will include prioritizing state license applications, driving direct contracting efforts, and building the external relationships (trade associations, payer stakeholders, regulators) required to win in competitive Medicaid markets.

• 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 genuinely excited about what AI can do - not just as a concept, but as something you want to get your hands on. At Babylist, every team uses AI daily, and we're looking for people who lean in.

• 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

• 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

• 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

• 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

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