[Remote] Senior Product Manager, Claims & Payments, Payer Integrations & Clinic Experience

Note: The job is a remote job and is open to candidates in USA. Maven Clinic is the world's largest virtual clinic for women and families on a mission to make healthcare work for all of us. They are seeking a Senior Product Manager to own and evolve provider payments, claims-based billing, payer integrations, and clinic experiences, ensuring efficient workflows and financial accountability across their systems.

Responsibilities

• 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

Skills

• 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
• 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
• 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
• Healthcare experience strongly preferred

Benefits

• Equity
• Employer-covered health, dental, and insurance plan options
• 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

Company Overview

Company H1B Sponsorship