Hybrid Senior Analyst, Payments Integrity, QA

Posted 2 days ago

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About the role

  • Senior Analyst ensuring payment accuracy at Maven Clinic through data-driven audits and investigations. Collaborating with teams to enhance payment processes and compliance in healthcare operations.

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.

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, 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

  • Health insurance
  • 401K matching for US-based employees, with immediate vesting
  • 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
  • Whole-self care through wellness partnerships
  • Hybrid work, in office meals, and work together days
  • Maven for Mavens: access to the full platform and specialists, including care for mental health, reproductive health, family planning and pediatrics.

Job title

Senior Analyst, Payments Integrity, QA

Job type

Experience level

Senior

Salary

$98,000 - $115,000 per year

Degree requirement

Bachelor's Degree

Tech skills

Location requirements

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