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About the Role
Maven is seeking a Senior Associate, Payment Operations to support program expansion into insurance-based billing. This role is critical for managing claim denials and appeals, resolving eligibility errors, and addressing payment issues, reporting to the Manager, Revenue Cycle Management.
Responsibilities
- Develop, document, and refine SOPs for claims processing as new verticals and claim types launch.
- Review and process complex claims, maintaining a high first pass clean claims submission rate.
- Review claims to identify instances of denials and underpayments.
- Serve as the point of resolution for cross-functional needs between RCM, Member Support, and Finance on billing issues.
- Prepare recurring operational reporting on claims volume, SLA performance, and denial trends for program and leadership review.
- Identify and escalate systemic issues, with authority to resolve claims-specific process issues directly, escalating member-experience or product-level issues to the appropriate owner.
Requirements
- 4-6 years of experience in benefits management, RCM, or insurance claims, including experience building or improving operational processes.
- Comfort operating with ambiguity and building process from scratch.
- Experience partnering cross-functionally with support, finance, or product teams to resolve process gaps.
- Track record of synthesizing operational data into reporting for non-technical or leadership audiences.
- Proficient in using relevant software and tools for claims and collection management (Availity, Stedi, etc.).
- Proficient in Microsoft Office tools.
- Ability to work independently and as part of a team.
- Strong organizational skills; demonstrated ability to multi-task and manage time effectively.
- Active work authorization in the US.
Skills
- Benefits management
- RCM
- Insurance claims
- Operational process improvement
- Cross-functional partnership
- Data synthesis
- Reporting
- Claims management software
- Collection management software
- Microsoft Office Suite
- Independent work
- Teamwork
- Organization
- Multitasking
- Time management
Location
- New York Metropolitan area, NY
- Remote - San Francisco/Bay Area, CA
- Remote - Seattle, WA
- Remote - Boston, MA
- Remote - Chicago, IL
- Remote - Washington, D.C.
Work Type
- Hybrid
- Remote
Experience Level
- Senior
Education Level
- Bachelor's degree is a plus
Salary/Compensations
- $98,000-$115,000 per year
Benefits
- Stock options
- Employer-covered health, dental, and insurance plan options
- Access to the full Maven platform and specialists (mental health, reproductive health, family planning, pediatrics)
- Whole-self care through wellness partnerships
- Hybrid work
- In-office meals
- Work together days
- 16 weeks 100% paid parental leave
- New parent stipend (for employees with 1 year+ tenure)
- Annual professional development stipend
- Access to a personal career coach through Maven for Mavens
- 401K matching with immediate vesting (for US-based employees)
About the Company
- Maven Clinic is the world's largest virtual clinic for women and families, focused on making healthcare accessible.
- Maven Enterprise partners with employers and health plans to provide women's and family health programs.
- Programs cover fertility, family building, maternity, newborn care, pediatrics, menopause, and midlife.
- Maven's consumer platform offers direct access to virtual care across 30+ specialties and dedicated hormone and GLP-1 care programs.
- Founded in 2014 by CEO Kate Ryder, Maven Clinic has raised over $425 million from leading investors.
- Recognized for innovation and industry leadership with numerous awards including TIME100 Most Influential Companies, CNBC Disruptor 50, and Fast Company's Most Innovative Companies.
Equal Opportunity
- Maven is an affirmative action and equal opportunity employer.
- All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, disability, age, sexual orientation, gender identity, national origin, veteran status, or genetic information.
- Maven is committed to providing access, equal opportunity and reasonable accommodation for individuals with disabilities in employment, its services, programs, and activities.