Payment Operations Senior Associate

Maven Clinic • New York, NY

7h • $98,000 - $115,000 • Hybrid

About The Position

Maven Clinic 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.

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, 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
• Active work authorization in the US

Nice To Haves

• Bachelor’s degree is a plus

Responsibilities

• 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

Benefits

• Stock options
• Employer-covered health, dental, and insurance plan options
• 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

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: Associate degree