Manager, Payments Integrity & QA

TL;DR

Manager, Payments Integrity & QA: Leading and scaling a payment operations quality framework with an accent on developing internal audit protocols, accountability standards, and partnering with Product/Engineering for automation. Focus on building a high-performing team of Payments Integrity & QA analysts and ensuring payment accuracy at scale.

Location: Requires active work authorization in the US. Hybrid role, with teams primarily operating 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. New York City office requires onsite work three days a week (Tuesday, Wednesday, Thursday); other listed cities require quarterly Work Together Days.

Salary: $128,000–$150,000 per year.

Company

Maven is the world's largest virtual clinic providing digital programs for women and families across fertility, maternity, parenting, and menopause.

What you will do

• Develop and implement comprehensive payment accuracy QA policies and procedures.
• Oversee the execution of quality assurance audits, evolving towards data-driven, risk-based auditing.
• Act as the primary point of contact and subject matter expert for all external client audits.
• Lead cross-functional discussions to categorize findings and conduct deep-dive root cause analyses.
• Partner with Product/Engineering to design application enhancements and automated fail-safes.
• Recruit, onboard, and manage a team of Payments Integrity & QA analysts.

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.
• Active work authorization in the US required.

Nice to have

• Proficiency in Asana, Jira, and Looker to manage workflows and report on program health.

Culture & Benefits

• Access to the full Maven platform and specialists, including care for mental health, reproductive health, family planning and pediatrics.
• Whole-self care through wellness partnerships.
• Flexible hybrid work model, 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.
• 401K matching for US-based employees, with immediate vesting.