Senior Analyst, Payments Integrity & QA at Maven

New York, New York, United States -

Full Time

Start Date

Immediate

Expiry Date

24 Apr, 26

Salary

115000.0

Posted On

24 Jan, 26

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Healthcare Claims, Payment Integrity, Financial Auditing, Data Analysis, Quality Assurance, Root-Cause Analysis, Documentation, Client Audits, Problem Solving, Attention to Detail, Communication, Process Improvement, Data Validation, Audit Tracking, System Logic, Configuration Gaps

Industry

Hospitals and Health Care

Description

Maven is the world's largest virtual clinic for women and families on a mission to make healthcare work for all of us. Maven's award-winning digital programs provide clinical, emotional, and financial support all in one platform, spanning fertility & family building, maternity & newborn care, parenting & pediatrics, and menopause & midlife. More than 2,000 employers and health plans trust Maven's end-to-end platform to improve clinical outcomes, reduce healthcare costs, and provide equity in benefits programs. Recognized for innovation and industry leadership, Maven has been named to the Time 100 Most Influential Companies, CNBC Disruptor 50, Fast Company Most Innovative Companies, and FORTUNE Best Places to Work. Founded in 2014 by CEO Kate Ryder, Maven has raised more than $425 million in funding from top healthcare and technology investors including General Catalyst, Sequoia, Dragoneer Investment Group, Oak HC/FT, StepStone Group, Icon Ventures, and Lux Capital. To learn more about Maven, visit us at mavenclinic.com. An award-winning culture working towards an important mission – Maven Clinic is a recipient of over 30 workplace and innovation awards, including: Fortune Change the World (2024) CNBC Disruptor 50 List (2022, 2023, 2024) Fortune Best Workplaces for Millennials (2024) Fortune Best Workplaces in Health Care (2024) TIME 100 Most Influential Companies (2023) Fast Company Most Innovative Companies (2020, 2023) Built In Best Places to Work (2023) Fortune Best Workplaces NY (2020, 2021, 2022, 2023, 2024) Great Place to Work certified (2020, 2021, 2022, 2023, 2024) Fast Company Best Workplaces for Innovators (2022) Built In LGBTQIA+ Advocacy Award (2022) Maven is looking for a Senior Analyst, Payments Integrity & QA to be a foundational member of our Payments Integrity & QA team. Reporting to the Manager, Payments Integrity & QA, you will be responsible for the meticulous execution of our internal audit framework. You will identify payment discrepancies, perform root-cause analysis on complex claims, and prepare the critical documentation needed for external client audits. This is a high-impact role for a data-driven professional who thrives on detail and wants to build a "gold standard" for payment accuracy in healthcare. As a Senior Analyst, Payments Integrity & QA at Maven, you will: Conduct complex, data-driven quality assurance audits on internal payment transactions to ensure 100% adherence to Maven’s policies and regulatory requirements. Support external client audits; gathering requested documentation, validating data accuracy, and ensuring all evidence is prepared to present to clients or auditors. Go beyond identifying errors by performing deep-dive investigations into why payment discrepancies occur, whether due to system logic, configuration gaps, or manual processing errors. Track audit findings and translate raw data into actionable insights and dashboards that highlight trends for the broader Operations and Product/Engineering teams. Identify "friction points" in the internal payment workflow and propose specific system or procedural improvements to move from detection to prevention. We’re looking for you to bring: 4+ years of experience in healthcare claims, payment integrity, or financial auditing. Strong understanding of payment cycles, claims adjudication, or billing integrity; experience with external client-facing audits is a major plus. Experience using data and analytics tools (e.g., Looker) to identify patterns and drive business judgment. An uncompromising eye for detail and the ability to manage multiple high-priority audit workstreams simultaneously. A proactive mindset, you don’t just find problems; you come to the table with proposed solutions and process fixes. Ability to clearly document findings and explain complex payment logic to non-technical and technical stakeholders. The base salary range for this role is $98,000-$115,000 per year. You will also be entitled to receive stock options and benefits. Individual pay decisions are based on a number of factors, including qualifications for the role, experience level, and skillset. This role requires active work authorization in the US. Maven embraces a flexible hybrid work model. Our teams primarily operate from the New York Metropolitan area, NY, and remotely via San Francisco/Bay Area, CA, Seattle, WA, Boston, MA, Chicago, IL, and Washington, D.C. For those in our New York City office, we encourage in-person collaboration by requiring team members to work onsite three days a week (Tuesday, Wednesday, Thursday). For those based in San Francisco/Bay Area, CA, Seattle, WA, Boston, MA, Chicago, IL, and Washington, D.C., we encourage in-person collaboration by requiring team members to attend quarterly Work Together Days within these cities. This policy aims to balance remote work flexibility with the benefits of face-to-face interaction. At Maven we believe that a diverse set of backgrounds and experiences enrich our teams and allow us to achieve above and beyond our goals. If you do not have experience in all of the areas detailed above, we hope that you will share your unique background with us in your application and how it can be additive to our teams. Benefits That Work For You Our benefits are designed to support your health, well-being and career development, helping you thrive both personally and professionally. We remain focused on providing a competitive benefits package for our employees. On top of standards such as employer-covered health, dental, and insurance plan options, we offer an inclusive approach to 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 These benefits are applicable to Maven Clinic Co., US-based, full-time employees only. 1099/Contract Providers are ineligible for these benefits. Maven is an affirmative action and equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, disability, age, sexual orientation, gender identity, national origin, veteran status, or genetic information. Maven is committed to providing access, equal opportunity and reasonable accommodation for individuals with disabilities in employment, its services, programs, and activities. Maven Clinic interview requests and job offers only originate from an @mavenclinic.com email address (e.g jsmith@mavenclinic.com). Maven Clinic will never ask for sensitive information to be delivered over email or phone. If you receive a scam issue or a security issue involving Maven Clinic please notify us at: security@mavenclinic.com. For general and additional inquiries, please contact us at careers@mavenclinic.com.

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Responsibilities

The Senior Analyst will conduct quality assurance audits on payment transactions and support external client audits by preparing necessary documentation. They will also investigate payment discrepancies and propose improvements to internal workflows.