Conduct complex, data-driven quality assurance audits on internal payment transactions to ensure 100% adherence to Maven’s policies and regulatory requirements.
Support external client audits; gathering requested documentation, validating data accuracy, and ensuring all evidence is prepared to present to clients or auditors.
Go beyond identifying errors by performing deep-dive investigations into why payment discrepancies occur, whether due to system logic, configuration gaps, or manual processing errors.
Track audit findings and translate raw data into actionable insights and dashboards that highlight trends for the broader Operations and Product/Engineering teams.
Identify "friction points" in the internal payment workflow and propose specific system or procedural improvements to move from detection to prevention.

Requirements

4+ years of experience in healthcare claims, payment integrity, or financial auditing.
Strong understanding of payment cycles, claims adjudication, or billing integrity; experience with external client-facing audits is a major plus.
Experience using data and analytics tools (e.g., Looker) to identify patterns and drive business judgment.
An uncompromising eye for detail and the ability to manage multiple high-priority audit workstreams simultaneously.
A proactive mindset, you don’t just find problems; you come to the table with proposed solutions and process fixes.
Ability to clearly document findings and explain complex payment logic to non-technical and technical stakeholders.

Benefits

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Applicant Tracking System Keywords

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Hard Skills & Tools

data-driven quality assurancepayment transactions auditingdata validationdata analysispayment cyclesclaims adjudicationbilling integrityaudit findings trackingsystem logic analysisprocess improvement

Soft Skills

attention to detailmulti-taskingproactive mindsetproblem-solvingcommunicationdocumentation skillsanalytical thinkingstakeholder engagementorganizational skillsinsight generation