Senior Analyst, Payments Integrity & QA (Fintech)

TL;DR

Senior Analyst, Payments Integrity & QA (Fintech): Responsible for executing internal audit framework, identifying payment discrepancies, and performing root-cause analysis on complex claims with an accent on ensuring adherence to policies and regulatory requirements. Focus on translating data into actionable insights and proposing system or procedural improvements to enhance payment accuracy.

Location: Hybrid work model. 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 New York City office, in-person collaboration is required three days a week (Tuesday, Wednesday, Thursday). Team members based in San Francisco/Bay Area, CA, Seattle, WA, Boston, MA, Chicago, IL, and Washington, D.C. attend quarterly Work Together Days within these cities. This role requires active work authorization in the US.

Salary: $98,000-$115,000 per year

Company

Maven is the world's largest virtual clinic for women and families on a mission to make healthcare work for all of us.

What you will do

• Conduct complex, data-driven quality assurance audits on internal payment transactions.
• Support external client audits by gathering requested documentation and validating data accuracy.
• Perform deep-dive investigations into why payment discrepancies occur.
• Track audit findings and translate raw data into actionable insights and dashboards.
• Identify "friction points" in the internal payment workflow and propose improvements.

Requirements

• 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 to propose solutions and process fixes.
• Ability to clearly document findings and explain complex payment logic to both non-technical and technical stakeholders.

Culture & Benefits

• 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