Senior Product Manager, Claims & Payments, Payer Integrations & Clinic Experience
$160k - $185kMaven Clinic
Maven is the world's largest virtual clinic for women and families on a mission to make healthcare work for all of us. Maven's award-winning digital programs provide clinical, emotional, and financial support all in one platform, spanning fertility & family building, maternity & newborn care, parenting & pediatrics, and menopause & midlife. More than 2,000 employers and health plans trust Maven's end-to-end platform to improve clinical outcomes, reduce healthcare costs, and provide equity in benefits programs. Recognized for innovation and industry leadership, Maven has been named to the Time 100 Most Influential Companies, CNBC Disruptor 50, Fast Company Most Innovative Companies, and FORTUNE Best Places to Work. Founded in 2014 by CEO Kate Ryder, Maven has raised more than $425 million in funding from top healthcare and technology investors including General Catalyst, Sequoia, Dragoneer Investment Group, Oak HC/FT, StepStone Group, Icon Ventures, and Lux Capital. To learn more about Maven, visit us at mavenclinic.com.
An award-winning culture working towards an important mission - Maven Clinic is a recipient of over 30 workplace and innovation awards, including:
- Fortune Change the World (2024)
- CNBC Disruptor 50 List (2022, 2023, 2024)
- Fortune Best Workplaces for Millennials (2024)
- Fortune Best Workplaces in Health Care (2024)
- TIME 100 Most Influential Companies (2023)
- Fast Company Most Innovative Companies (2020, 2023)
- Built In Best Places to Work (2023)
- Fortune Best Workplaces NY (2020, 2021, 2022, 2023, 2024)
- Great Place to Work certified (2020, 2021, 2022, 2023, 2024)
- Fast Company Best Workplaces for Innovators (2022)
- Built In LGBTQIA+ Advocacy Award (2022)
You'll work in close coordination with a peer PM who owns the member-side benefits platform, AI-driven adjudication, and the core ledger migration. Clear scope boundaries matter: you own provider-side, clinic-facing, reconciliation, claims billing, and payer integration surfaces. Together you'll ensure Maven's financial infrastructure evolves coherently. You'll partner with engineering, operations, finance, treasury, clinic partnerships, payer partnerships, and analytics to build systems that reduce manual effort, improve accuracy, and make Maven easy for providers, clinics, and payers to work with. AI is central to how you build and what you build, from automating reconciliation and anomaly detection to powering intelligent provider-facing tools.
This is an Individual Contributor (IC) role focused on strong execution, cross-functional partnership, and driving outcomes through influence.
As Senior Product Manager, Claims & Payments, Payer Integrations & Clinic Experience at Maven, you will:
- Own the payments and clinic experience product area: provider payment workflows, payment reconciliation, clinic portal enhancements, claims acceptance from clinic partners, 835 remittance generation, and provider-facing financial operations
- Own payment reconciliation end-to-end: bank file ingestion, automated matching of payer payments to adjudicated claims, exception handling, and downstream billing triggers. Drive the transition from manual to programmatic reconciliation at significant volume
- Own claims-based billing: claim generation, submission, remittance processing, payer claim lifecycle management, and CMAC (care management fees as claims) operational readiness, with specific payer pilot and rollout timelines
- Own and evolve payer integration touchpoints adjacent to claims and payments, including coordination of benefits (COB), insurance discovery, and payer channels, partnering with Benefits & Payments and Eligibility teams
- Build and improve the clinic portal experience, ensuring clinic partners have visibility into claims status, payments, and reconciliation without manual intervention or escalation
- Drive AI integration into payment and claims workflows, automating reconciliation, anomaly detection, and reducing manual operational burden
- Build operational visibility: ensure payment status, claims processing, reconciliation outcomes, and remittance data are instrumented, logged, and accessible to ops teams without engineering intervention
- Translate complex payment, claims, and remittance requirements (EDI 835, provider payment terms, reconciliation rules) into clear product requirements and scalable system designs
- Partner with finance and treasury teams on payment accuracy, audit readiness, and financial reconciliation
- Coordinate with the Benefits & Payments PM on shared infrastructure, ensuring provider-side and member-side payment systems evolve coherently during a major platform migration
- 5+ years of Product Management experience, with hands-on ownership of products involving payments, claims processing, payment reconciliation, or financial operations in a healthcare or fintech context. Healthcare experience strongly preferred
- Direct experience with provider payment systems, claims processing, remittance (835s), or payment reconciliation, matching payments to claims, bank file processing, or financial operations where accuracy and auditability are non-negotiable
- Experience managing financial systems at scale where errors have real dollar consequences, including building for audit readiness and financial transparency
- Comfort working with technical integration challenges, APIs, EDI formats, payment processing systems, cross-system reconciliation, and communicating clearly with engineering and operations partners
- Experience with payer-facing integrations, health plan data exchanges, coordination of benefits, or payer contracting workflows is a plus
- Experience building or improving B2B-facing portals, partner tools, or operational dashboards that serve external users (providers, clinics, partners)
- Strong operational instincts. You understand that payment accuracy, timeliness, and transparency are table stakes for partner trust, and you build systems that surface problems before they become escalations
- Experience partnering with finance, treasury, or payment integrity teams on reconciliation, audit, or compliance
- Excited about AI as both a product capability and a development accelerator. You use AI tools in your own work and think about how AI changes the products you build
- Self-driven, detail-oriented, and effective in fast-moving environments where you need to balance partner needs, operational reliability, and platform investment
Remote Mavens in a commutable distance (~90 minutes driving or on public transit) to our hub cities with more than 20 employees (currently Boston, DC, Chicago, Seattle, and San Francisco) are expected to attend local Maven hosted Work Together Days . This role requires active work authorization in the US. At Maven we believe that a diverse set of backgrounds and experiences enrich our teams and allow us to achieve above and beyond our goals. If you do not have experience in all of the areas detailed above, we hope that you will share your unique background with us in your application and how it can be additive to our teams. Benefits That Work For You Our benefits are designed to support your health, well-being and career development, helping you thrive both personally and professionally. We remain focused on providing a competitive benefits package for our employees. On top of standards such as employer-covered health, dental, and insurance plan options, we offer an inclusive approach to 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
These benefits are applicable to Maven Clinic Co., US-based, full-time employees only. 1099/Contract Providers are ineligible for these benefits. Maven is an affirmative action and equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, disability, age, sexual orientation, gender identity, national origin, veteran status, or genetic information. Maven is committed to providing access, equal opportunity and reasonable accommodation for individuals with disabilities in employment, its services, programs, and activities. Maven Clinic interview requests and job offers only originate from an @mavenclinic.com email address (e.g View email address on click.appcast.io). Maven Clinic will never ask for sensitive information to be delivered over email or phone. If you receive a scam issue or a security issue involving Maven Clinic please notify us at: View email address on click.appcast.io. For general and additional inquiries, please contact us at View email address on click.appcast.io.
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