Senior Analyst, Payments Integrity & QA jobs in United States
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Maven Clinic · 14 hours ago

Senior Analyst, Payments Integrity & QA

Maven Clinic is the world's largest virtual clinic for women and families, dedicated to improving healthcare access and outcomes. They are seeking a Senior Analyst, Payments Integrity & QA to execute internal audits, identify payment discrepancies, and support external client audits, ensuring adherence to policies and regulatory requirements.

FamilyHealth CaremHealthWomen's
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Comp. & Benefits
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Responsibilities

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

Qualification

Healthcare claims experiencePayment integrity knowledgeFinancial auditing experienceData analytics toolsAttention to detailProblem-solving mindsetDocumentation skills

Required

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

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

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Maven is a digital health platform that works with health plans and employers to offer virtual services for women’s and family health.

Funding

Current Stage
Late Stage
Total Funding
$417.1M
Key Investors
StepStone GroupGeneral CatalystIcon Ventures
2024-10-08Series F· $125M
2022-11-14Series E· $90M
2021-08-17Series D· $110M

Leadership Team

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Kate Ryder
Founder & CEO
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Julia Marley-Rappoport
VP, Strategic Finance
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Company data provided by crunchbase