[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.ResponsibilitiesOwn 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 operationsOwn 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 volumeOwn 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 timelinesOwn 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 teamsBuild and improve the clinic portal experience, ensuring clinic partners have visibility into claims status, payments, and reconciliation without manual intervention or escalationDrive AI integration into payment and claims workflows, automating reconciliation, anomaly detection, and reducing manual operational burdenBuild operational visibility: ensure payment status, claims processing, reconciliation outcomes, and remittance data are instrumented, logged, and accessible to ops teams without engineering interventionTranslate complex payment, claims, and remittance requirements (EDI 835, provider payment terms, reconciliation rules) into clear product requirements and scalable system designsPartner with finance and treasury teams on payment accuracy, audit readiness, and financial reconciliationCoordinate with the Benefits & Payments PM on shared infrastructure, ensuring provider-side and member-side payment systems evolve coherently during a major platform migrationSkills5+ 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 contextDirect 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-negotiableExperience managing financial systems at scale where errors have real dollar consequences, including building for audit readiness and financial transparencyComfort working with technical integration challenges, APIs, EDI formats, payment processing systems, cross-system reconciliation, and communicating clearly with engineering and operations partnersExperience with payer-facing integrations, health plan data exchanges, coordination of benefits, or payer contracting workflowsExperience 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 escalationsExperience partnering with finance, treasury, or payment integrity teams on reconciliation, audit, or complianceExcited 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 buildSelf-driven, detail-oriented, and effective in fast-moving environments where you need to balance partner needs, operational reliability, and platform investmentHealthcare experience strongly preferredBenefitsEquityEmployer-covered health, dental, and insurance plan optionsMaven 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 partnershipsHybrid work, in office meals, and work together days16 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 Mavens401K matching for US-based employees, with immediate vestingCompany OverviewMaven is a digital health platform that works with health plans and employers to offer virtual services for women’s and family health. It was founded in 2014, and is headquartered in New York, New York, USA, with a workforce of 201-500 employees. Its website is http://www.mavenclinic.com.Company H1B SponsorshipMaven Clinic has a track record of offering H1B sponsorships, with 5 in 2025, 5 in 2024, 8 in 2023, 2 in 2022. Please note that this does not guarantee sponsorship for this specific role.