Payment Operations Senior Associate

Maven Clinic is the world's largest virtual clinic for women and families on a mission to make healthcare work for all of us. Through Maven Enterprise, the company partners with more than 2,300 employers and health plans to provide end-to-end women's and family health programs spanning fertility and family building, maternity and newborn care, parenting and pediatrics, and menopause and midlife — improving clinical outcomes, reducing healthcare costs, and expanding equitable access to high-quality care at scale. Through its consumer platform, Maven provides direct access to virtual care across 30+ specialties, as well as dedicated hormone and GLP-1 care programs purpose-built for women. Founded in 2014 by CEO Kate Ryder, Maven Clinic has raised more than $425 million from leading healthcare and technology investors including General Catalyst, Sequoia, Dragoneer Investment Group, Oak HC/FT, StepStone Group, Icon Ventures, and Lux Capital. Recognized for innovation and industry leadership, Maven has been named to the TIME100 Most Influential Companies, CNBC Disruptor 50, Fast Company's Most Innovative Companies, and FORTUNE Best Places to Work. Learn more at mavenclinic.com An award-winning culture working towards an important mission – Maven Clinic is a recipient of over 30 workplace and innovation awards, including: • TIME 100 Most Influential Companies (2023, 2026) • Fortune Change the World (2024) • CNBC Disruptor 50 List (2022, 2023, 2024) • Fortune Best Workplaces for Millennials (2024) • Fortune Best Workplaces in Health Care (2024) • Fast Company Most Innovative Companies (2020, 2023) • Fortune Best Workplaces NY (2020, 2021, 2022, 2023, 2024) About the Role: Maven is looking for a Senior Associate, Payment Operations to support our program expansion into insurance-based billing. This person will play a critical role in managing claim denial and appeals with payers, resolving real time eligibility system errors, and unblocking payment issues. This role will be reporting to the Manager, Revenue Cycle Management. What You’ll Do: • Develop, document, and iteratively 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 under payments • 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 What You’ll Bring: • 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, this role is standing up SOPs for a business line that doesn't have them yet, not following an established playbook • Experience partnering cross-functionally, ideally 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 • Bachelor’s degree is a plus The base salary range for this role is $98,000-$115,000 per year. You will also be entitled to