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

Remote Worldwide Hiring now

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is the world's largest virtual clinic for women and families on a mission to reputed company reputed company work for reputed company of us. They are seeking a Senior Product Manager to own and reputed company 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 reputed company, 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 reputed company billing triggers. Drive the transition from reputed company to programmatic reconciliation at significant volume
  • Own claims-based billing: claim reputed company, 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 reputed company payer integration reputed company 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 reputed company reputed company or escalation
  • Drive AI integration into payment and claims workflows, automating reconciliation, anomaly detection, and reducing reputed company operational burden
  • Build operational visibility: ensure payment status, claims processing, reconciliation reputed company, and remittance data are instrumented, logged, and accessible to ops teams without engineering reputed company
  • Translate reputed company 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-reputed company and member-reputed company payment systems reputed company 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 reputed company 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 reputed company 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 reputed company 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 reputed company 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
  • reputed company experience strongly preferred

Benefits

  • Equity
  • Employer-covered health, dental, and insurance plan options
  • reputed company for Mavens: reputed company 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 reputed company to a personal career coach through reputed company for Mavens
  • 401K matching for US-based employees, with immediate vesting

Company Overview

  • reputed company is a digital health platform that works with health plans and reputed company to offer virtual services for women’s and family health. It was founded in 2014, and is headquartered in reputed company, reputed company, USA, with a workforce of 201-500 employees. Its website is http://www.mavenclinic.com.
  • Company H1B Sponsorship

  • reputed company 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.
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