Hybrid Manager, Payments Integrity – QA

at Maven Clinic

• Job title: Manager, Payments Integrity – QA
• Job type: Full Time
• Experience level: Senior, Lead
• Salary: $128,000 - $150,000 per year
• Degree requirement: No Education Requirement
• Tech skills: Maven
• Location requirements: Hybrid, New York City, United States

About the role

• Manage Payments Integrity & QA for Maven Clinic, focusing on payment accuracy policies and team management. Lead quality assurance audits and cross-functional collaborations to enhance operations.

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.

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

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