The role of electron-phonon (e-ph) interactions and their relationship to charge-density-wave (CDW) order in the bismuthate family of high-temperature superconductors remains unresolved. We address this question using state-of-the-art nonperturbative hybrid quantum Monte Carlo calculations for the parent compound BaBiO3. Our model includes the Bi 6s and O 2pσ orbitals and coupling to the Bi-O bond-stretching branch of optical phonons via the modulation of the Bi-O hopping integral. Using recently proposed algorithms that are fast and scalable, we perform simulations on large three-dimensional clusters of up to 4000 orbitals, with input model parameters taken directly from ab initio electronic structure calculations and a physically motivated phonon energy Ω0 = 60 meV. Our results demonstrate that the coupling to the bond-stretching modes is sufficient to account for the CDW transition in this system, despite the relatively small dimensionless coupling to this branch predicted by density functional theory. We also find that the transition deviates from the weak-coupling Peierls picture, despite the noninteracting Fermi surface being well-nested at the CDW ordering vector. Our results highlight the richness of e-ph interactions that are off-diagonal in orbital space and suggest that such interactions play a crucial role in establishing the bismuthate phase diagram.