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Payment Operations Senior Associate

Maven Clinic· Payments Delivery
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Hybrid (New York, NY; Remote, US)$98k - $115kfull-timePosted 4d ago

About the role

Senior Associate, Payment Operations supporting program expansion into insurance-based billing, managing claim denials and appeals, resolving real-time eligibility errors, and unblocking payment issues.

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

Qualifications

  • 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, ideally with support, finance, or product teams
  • 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

Skills

Required:Claims processingDenials and underpayment analysisCross-functional collaborationOperational reporting

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
Last updated Oct 21, 2026. Interested? Apply on the company site.

About Maven Clinic

The next generation of care for women and families

Maven helps companies retain talent, improve health outcomes, and reduce maternity and fertility costs. We support every path to parenthood: Pregnancy, Fertility, Egg Freezing, Adoption, Surrogacy, Infant Care, Breastmilk Shipping, and Manager Training.

Women's healthFamily healthVirtual careFertilityPregnancyInfertilityParentingMenopause
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