Maven Clinic

The largest virtual clinic for women's & family health offering continuous, holistic care on the path to parenthood.

Manager, Payments Integrity & QA

ManagerManagerFull TimeRemoteTeam 201-500Since 2014H1B SponsorCompany SiteLinkedIn

Location

United States

Posted

51 days ago

Salary

$128K - $150K / year

PaymentsQAAuditingData AnalysisLookerAsanaJiraHealthcare ClaimsPayment IntegrityProcess ImprovementTeam Management

Job Description

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more.

Role Description

Maven is seeking a Manager, Payments Integrity & QA to lead and scale our payment operations quality framework. Reporting to the Senior Manager, Configuration & QA, you will move beyond audit execution to architect a robust and scalable, end-to-end payment integrity program. You will be responsible for building a high-performing team of Payments Integrity & QA analysts, developing internal audit protocols and accountability standards to maintain high-integrity payment operations, and partnering with Product/Engineering to automate fail-safes that ensure payment accuracy at scale.

As a Manager, Payments Integrity & QA at Maven, you will:

  • Develop and implement comprehensive payment accuracy QA policies, procedures, and tracking mechanisms to ensure a "gold standard" for payment integrity.
  • Oversee the execution of quality assurance audits on payment transactions, evolving the process from manual sampling to scalable and data-driven, risk-based auditing.
  • Act as the primary point of contact and subject matter expert for all external client audits; manage the end-to-end audit lifecycle, from initial data requests to the presentation of findings, ensuring Maven’s internal administrative excellence is clearly demonstrated.
  • Lead cross-functional discussions to categorize findings and conduct deep-dive root cause analyses, ensuring that errors are not just identified but structurally prevented.
  • Collaborate cross-functionally to implement corrective action plans and hold partners accountable to performance SLAs.
  • Serve as the business owner for payment integrity tools; partner with Product/Engineering to design application enhancements and automated fail-safes.
  • Recruit, onboard, and manage a team of Payments Integrity & QA analysts, fostering a culture of high attention to detail and continuous operational improvement.

Qualifications

  • 8+ years in payment/claims analysis or auditing, with a strong preference for healthcare payer or insurance backgrounds.
  • Proven track record of managing and coaching teams, with the ability to build influential relationships with executive leadership.
  • Extensive experience using data and analytics tools (e.g., Looker) to identify patterns and drive business judgment.
  • Significant experience "creating order from chaos" and building processes in a fast-paced, entrepreneurial environment.
  • Proficiency in Asana, Jira, and Looker to manage workflows and report on program health preferred.

Requirements

  • This role requires active work authorization in the US.

Benefits

  • Maven for Mavens: access to the full platform and specialists, including care for mental health, reproductive health, family planning and pediatrics.
  • Whole-self care through wellness partnerships.
  • Hybrid work, in office meals, and work together days.
  • 16 weeks 100% paid parental leave and new parent stipend (for Mavens who've been with us for 1 year+).
  • Annual professional development stipend and access to a personal career coach through Maven for Mavens.
  • 401K matching for US-based employees, with immediate vesting.

Job Requirements

  • 8+ years in payment/claims analysis or auditing, with a strong preference for healthcare payer or insurance backgrounds.
  • Proven track record of managing and coaching teams, with the ability to build influential relationships with executive leadership.
  • Extensive experience using data and analytics tools (e.g., Looker) to identify patterns and drive business judgment.
  • Significant experience "creating order from chaos" and building processes in a fast-paced, entrepreneurial environment.
  • Proficiency in Asana, Jira, and Looker to manage workflows and report on program health preferred.
  • This role requires active work authorization in the US.

Benefits

  • Maven for Mavens: access to the full platform and specialists, including care for mental health, reproductive health, family planning and pediatrics.
  • Whole-self care through wellness partnerships.
  • Hybrid work, in office meals, and work together days.
  • 16 weeks 100% paid parental leave and new parent stipend (for Mavens who've been with us for 1 year+).
  • Annual professional development stipend and access to a personal career coach through Maven for Mavens.
  • 401K matching for US-based employees, with immediate vesting.

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