Maven Clinic · 14 hours ago
Manager, Payments Integrity & QA
New York, New York, United States
Full-time
Hybrid
Senior Level, Lead/Staff
$128K/yr - $150K/yr
8+ years expMaven is the world's largest virtual clinic for women and families on a mission to make healthcare work for all of us. The Manager, Payments Integrity & QA will lead and scale payment operations quality framework, develop internal audit protocols, and build a high-performing team to ensure payment accuracy.
FamilyHealth CaremHealthWomen's
Responsibilities
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
Qualification
Required
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
Preferred
Proficiency in Asana, Jira, and Looker to manage workflows and report on program health
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
Company
Maven Clinic
Maven is a digital health platform that works with health plans and employers to offer virtual services for women’s and family health.
201-500 employees
H1B Sponsorship
Maven Clinic has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (5)
2024 (5)
2023 (8)
2022 (2)
Funding
Current Stage
Late StageTotal Funding
$417.1MKey Investors
StepStone GroupGeneral CatalystIcon Ventures
2024-10-08Series F· $125M
2022-11-14Series E· $90M
2021-08-17Series D· $110M
Leadership Team
Kate Ryder
Founder & CEO
Julia Marley-Rappoport
VP, Strategic Finance
Recent News
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