Analyst, Payments Integrity & QA

Maven ClinicNew York, NY
12d$81,000 - $95,000Hybrid

About The Position

Maven is looking for an Analyst, Payments Integrity & QA to join our growing Payments Integrity & QA team. Reporting to the Manager, Payments Integrity & QA, you will be responsible for the day-to-day execution of our internal audit framework. You will ensure that healthcare payment transactions are accurate, compliant, and properly documented. This is a vital role for a detail-oriented professional who enjoys working with data to solve problems and wants to contribute to a high-standard payment environment in healthcare.

Requirements

  • 2+ years of experience in healthcare claims, payment integrity, financial auditing, or a related data-heavy operational role.
  • Foundational understanding of payment cycles, claims adjudication, or billing processes.
  • Experience using data tools (e.g., Looker, Excel) to pull reports and identify patterns.
  • An uncompromising eye for accuracy and the ability to manage recurring audit tasks with precision.
  • Ability to clearly document audit findings and explain them to teammates and managers.
  • A proactive approach to identifying issues and a desire to help implement solutions.

Responsibilities

  • Perform routine quality assurance audits on internal payment transactions to verify adherence to company policies and regulatory standards.
  • Assist in the preparation of documentation for external client audits, ensuring all requested data is validated and organized for presentation.
  • Use analytics tools to identify payment discrepancies and surface potential errors for further investigation.
  • Assist with investigating why payment errors occur, such as system logic gaps or manual processing mistakes.
  • Maintain tracking logs of audit findings and help update dashboards that highlight accuracy trends for Operations and Product/Engineering teams.
  • Identify bottlenecks or "friction points" in the daily payment workflow and suggest simple procedural updates to improve efficiency.

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

Entry Level

Education Level

No Education Listed

Number of Employees

1,001-5,000 employees

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