Payment Operations Senior Associate
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 receive stock options and benefits. Individual pay decisions are based on a number of factors, including qualifications for the role, experience level, and skillset.
This role requires active work authorization in the US.
Maven embraces a flexible hybrid work model. Our teams primarily operate from the New York Metropolitan area, NY, and remotely via San Francisco/Bay Area, CA, Seattle, WA, Boston, MA, Chicago, IL, and Washington, D.C. For those in our New York City office, we encourage in-person collaboration by requiring team members to work onsite three days a week (Tuesday, Wednesday, Thursday). For those based in San Francisco/Bay Area, CA, Seattle, WA, Boston, MA, Chicago, IL, and Washington, D.C., we encourage in-person collaboration by requiring team members to attend quarterly Work Together Days within these cities. This policy aims to balance remote work flexibility with the benefits of face-to-face interaction.