Associate Director – Payer and Clinical Operations

Babylist

. Own onboarding of every new payer, including process, timelines, and cross-functional collaboration .

Posted 11/3/2026full-timeRemote • United StatesSenior💰 $133,567 - $178,118 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in payer operations management, including onboarding, licensing, and credentialing processes. Proven ability to implement compliance best practices and manage cross-functional teams in a dynamic healthcare environment.

Highest-signal resume keywords

Payer Operations ManagementHealthcare Licensing And CredentialingMulti-State Regulatory CompliancePeople Management And CoachingCross-Functional Collaboration

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Operational Relationship ManagementPayer-Level CredentialingEFT SetupPayment SchedulesCompliance Best PracticesPerformance MonitoringProcess DevelopmentAudit Response ManagementDME Types ManagementMedicaid Expansion Management

Soft Skills

Coaching SkillsPerformance ManagementDirection SettingAdaptability

Tools & Technologies

AI ToolsBusiness Reporting Tools

Certifications & Qualifications

IBCLC Credentialing

Industry Keywords

HealthcarePayer OperationsRegulatory ComplianceBilling And RCMSite Inspections

About the role

Key responsibilities & impact

Own onboarding of every new payer, including process, timelines, and cross-functional collaboration
Keep existing payer operations running cleanly and resolve operational friction
Ensure efficient payer AR processes, EFT setup, payment schedules, eligible sub-plan servicing, and updates to allowable amounts in systems
Own licensing and credentialing for clinical services, including IBCLC credentialing
Lead responses to audits, site inspections, and license renewals
Identify and implement compliance best practices across Babylist Health
Manage payer transitions end-to-end
Build and maintain visibility into payer-level performance
Program-manage daily business reporting and monitoring
Program-manage the operational side of new launches, including new DME types and lines of business
Manage and develop two direct reports
Partner cross-functionally with billing/RCM, legal, product, and payer contracting teams

Requirements

What you’ll need

Experience running payer operations at scale across more than one contract type or service line
Strong knowledge of healthcare licensing and credentialing, including state licensure, site inspections, payer-level credentialing, and IBCLC credentialing
Experience owning operational relationships with payers directly
Experience in multi-state regulatory compliance
Experience managing both commercial and Medicaid payer work, including Medicaid expansion into new states
Ability to set direction and write requirements
Strong people management, coaching, and performance management skills
Ability to build processes for ambiguous, fast-changing operational work
Experience operating across a large, matrixed organization
Experience partnering with billing/RCM, legal, product, customer support, and payer contracting teams
Comfortable using AI tools in daily work

Benefits

Comp & perks

Competitive pay and meaningful opportunities for career advancement
Career progression and performance-based advancement
Company-paid medical, dental, and vision insurance
Retirement savings plan with company matching
Flexible spending accounts
Generous paid parental leave and PTO
Winter Wonder Week: the whole company takes a paid week off at the end of the year
Remote work stipend to set up your office
Perks for physical, mental, and emotional health, parenting, childcare, and financial planning
Leading tools like Claude and ChatGPT from day one