Payer Lead, Medicaid

• Own Babylist Health's end-to-end Medicaid contracting strategy and execution
• Unlock one of the company's largest growth opportunities by securing state Medicaid licenses and Managed Care Organization (MCO) contracts
• Expand Babylist Health's footprint across high-birth-volume states
• Build durable payer relationships that enable long-term scale
• Set the Medicaid market strategy in partnership with the GM
• Prioritize state license applications
• Drive direct contracting efforts
• Build the external relationships (trade associations, payer stakeholders, regulators) required to win in competitive Medicaid markets
• Own the Medicaid expansion roadmap, including state prioritization, sequencing of license acquisition, and MCO penetration targets
• Partner 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

• 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

Experience at a health-tech, high growth, or similar start up environment a plus

• 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