Senior Analyst, Payments Integrity & QA
About The Position
Maven is looking for a Senior Analyst, Payments Integrity & QA to be a foundational member of our Payments Integrity & QA team. Reporting to the Manager, Payments Integrity & QA, you will be responsible for the meticulous execution of our internal audit framework. You will identify payment discrepancies, perform root-cause analysis on complex claims, and prepare the critical documentation needed for external client audits. This is a high-impact role for a data-driven professional who thrives on detail and wants to build a "gold standard" for payment accuracy in healthcare.
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.
- This role requires active work authorization in the US.
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.
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
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
Number of Employees
1,001-5,000 employees
