Job Highlights
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The Product Manager - Eligibility & Enrollments at Maven is responsible for overseeing the eligibility and enrollment product area, focusing on data integrations and member engagement. This role requires collaboration with various teams to build scalable systems that enhance member outcomes through effective data management and engagement strategies.
Salary Range
$160k - $185k/year
Benefits & Perks
Senior Product Manager, Payments, Claims, Payer Integrations & Clinic Experience
Posted 3 weeks ago
Full-Time
Employment Type
Remote
Work Location
$160,000 - $185,000
per year
About This Role
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)
We are looking for a senior, hands-on product manager to own and evolve Maven's provider payments, claims-based billing, payer integrations, and clinic experience, the systems and workflows that power how clinic partners, providers, health plan partners, and Maven transact, exchange claims data, reconcile payments, and operate together at scale.
You will sit at the intersection of provider operations, payments infrastructure, payer integrations, and partner relationships, from provider payment workflows and payment reconciliation to claims submission, 835 remittance processing, payer integrations that connect Maven's financial infrastructure to health plan partners, and clinic portal enhancements that make Maven turnkey for fertility networks and clinic partnerships.
This role spans technical depth and financial accountability. Maven processes significant payment volume through systems that require audit-ready accuracy and transparency. You will own the transition from manual to programmatic payment reconciliation, drive claims-based billing readiness (including care management fees as claims, gating significant revenue), ensure payer integrations scale reliably, and build the clinic experience that gives partners real-time visibility into claims status, payments, and reconciliation.
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, Payments, Claims, 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
We’re Looking For You To Bring
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
The base salary range for this role is $190,000 - $220,000 per year. You will also be entitled to receive equity and benefits. Individual pay decisions are based on qualifications, experience, and skillset.
New York, NY; Remote, US (Hub cities)
Maven embraces a flexible hybrid work model. Our teams primarily operate from the New York Metropolitan area, NY, San Francisco/Bay Area, CA, and Seattle, WA.
This Role Is Exclusively Open To Candidates In These Locations.
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 or Seattle, WA 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.
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, f
Compensation
$160,000 - $185,000
Annual salary
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