Full-Time

Payments Manager

Posted on 8/21/2026

Carrot Fertility

Carrot Fertility

201-500 employees

Global fertility care platform delivering SET

Compensation Overview

$100k - $120k/yr

+ Equity + Short- and long-term incentives

Des Moines, IA, USA

Remote

Available to work in the Des Moines office Monday through Friday, 11:00 AM–8:00 PM Central Time.

Bachelor's

Category
Accounting (1)
Required Skills
Quality Assurance (QA)
Zendesk
Tableau
JIRA
Confluence
Data Analysis

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Requirements
  • A bachelor's degree is required.
  • A minimum of 3–5 years of relevant experience in people management for claims processing, payments operations, or a related operations or support function is required.
  • Availability to work Monday through Friday between 11:00 AM and 8:00 PM Central Time, with flexibility to support coverage needs across shifts, is required.
  • Experience executing on and managing to service-level agreements and key performance indicators in a fast-paced, high-volume environment, with the ability to use data to drive decisions, is required.
  • Demonstrated experience mentoring or leading others, such as as a senior, lead, or acting lead, with strong coaching skills and a track record of elevating team performance, is required.
  • The ability to adapt to a fast-changing environment and quickly learn, retain, and apply information essential to supporting members and teammates is required.
  • Clear and empathetic written and verbal communication skills and a strong customer-centric mindset are required.
  • Proficiency with common business tools used by Payments, such as Jira, Confluence, Zendesk, Airtable, G-Suite, Stripe, and Tableau or similar analytics tools, is required.
Responsibilities
  • Manage a team of Claims Processors and/or Senior Claims Processors, including hiring, onboarding, training, performance management, and career development.
  • Foster a member-centric, empathetic, collaborative team culture aligned with Carrot's mission.
  • Own day-to-day management of Payments queues, including reimbursements and on-call work, by triaging work, assigning claims, and monitoring volume to meet service-level agreements and productivity targets.
  • Serve as a line of defense for complex member and customer escalations, partnering with the Payments Lead and cross-functional teams as needed.
  • Review and interpret team-level key performance indicators, including customer satisfaction, quality assurance, productivity, and aging inventory, and communicate performance trends, risks, and mitigation plans to senior Payments leadership.
  • Collaborate with Customer Success, Sales, Finance, and Legal stakeholders to support new customer launches and address client-specific claims-processing requirements.
  • Support onboarding and continuous training programs for new and existing team members, often in collaboration with Payments Leads and Quality Assurance.
  • Identify trends in quality assurance results, escalations, and operational data to surface process and product improvement opportunities, and partner with leadership and key stakeholders to drive solutions.
  • Provide continuous feedback to leadership on improving the member and team experience and contribute to product development based on member interactions and team feedback.
Desired Qualifications
  • Extensive knowledge of insurance regulations and industry best practices, including fertility and family-forming benefits or complex claims adjudication, is preferred.
  • Additional proficiency and comfort using business tools such as Jira, Confluence, Zendesk, Airtable, and G-Suite is preferred.
  • Multilingual skills or experience supporting diverse, global member populations is preferred.

Carrot Fertility runs a global fertility care platform that offers education, fertility preservation, IVF, pregnancy and postpartum support, gestational surrogacy, adoption, menopause care, and low testosterone management. It serves diverse people across 130+ countries through a network of 10,000+ providers, with multilingual access and flexible payments via the Carrot Card. Its flagship SET program, validated by Milliman, pairs expert guidance with personalized care to achieve high single-embryo transfer rates and strong IVF outcomes. The company aims to make high-quality fertility care accessible, affordable, and personalized for all, including corporate partners who gain cost savings.

Company Size

201-500

Company Stage

Series C

Total Funding

$114.2M

Headquarters

San Francisco, California

Founded

2016

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Simplify Jobs

Simplify's Take

What believers are saying

  • April 2026 AI launches strengthen Carrot's pricing control and earlier intervention capabilities.
  • Origin partnership and rural OB/GYN expansion broaden access while lowering employer claims costs.
  • Benifex and Cigna partnerships expand international reach across Europe and global health plans.

What critics are saying

  • Employer fertility spending faces fraud, billing abuse, and opaque cross-border surrogacy by 2026.
  • Layoff chatter and employee reports in 2026 signal operational strain during rapid product expansion.
  • Cigna and Benifex partnerships compress distribution power, reducing Carrot's bargaining leverage over time.

What makes Carrot Fertility unique

  • Carrot Intelligence uses $1 billion claims data across 195 countries, launched April 2026.
  • Carrot covers fertility, menopause, parenting, pelvic floor, and pediatric telemedicine in one platform.
  • Cycle-based and dollar-maximum plan designs give employers flexible global benefit control.

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Benefits

Healthcare coverage

Telehealth resources

Productivity stipend

Co-working spaces

Paid parental leave

401k

Home office stipend

Flexible time off policy

Company News

PR Newswire
May 14th, 2026
Carrot expands AI-native metabolic health program to menopause care

Carrot, a global fertility and family care platform, has expanded its AI-native metabolic health programme Sprints to support menopause care. The programme addresses the metabolic changes during perimenopause through post-menopause, targeting nutrition, movement, sleep and stress. Powered by Carrot Intelligence, the platform uses clinical data and wearable device integration to deliver personalised daily guidance. The service aims to address a significant care gap, as over 80% of women report feeling uninformed about menopause, whilst only 20% of obstetrician-gynaecologists receive formal menopause training. The programme targets both symptom management and underlying metabolic health changes. Nearly 80% of individuals report menopause makes work challenging, with one in five considering leaving the workforce due to symptoms. Sprints is now available to Carrot's plan sponsors and members globally.

PR Newswire
May 10th, 2026
Carrot expands fertility care access to 35M Americans in rural areas through OB/GYN network

Carrot, a global fertility and family care platform, has expanded its provider network to include board-certified OB/GYNs for early-stage fertility care, becoming the first plan-sponsored fertility benefit in the US to formally cover care in OB/GYN offices. The programme addresses a critical access gap: over 35 million Americans live in counties without a fertility specialist. The expansion is powered by Carrot Intelligence, an AI platform that securely connects clinical data between OB/GYNs, fertility specialists and care teams, ensuring continuity throughout a member's journey. OB/GYNs can now provide initial evaluations, diagnostic workups and monitoring, with seamless transitions to specialists when needed. The initiative particularly benefits members in rural areas, those beginning their fertility journey, and the 89% of Carrot members who prefer less invasive options before IVF.

PR Newswire
Apr 30th, 2026
Carrot partners with Origin to bring pelvic floor therapy to employer benefits, saving $3,000 per patient annually

Carrot, a global fertility and family care platform, has partnered with Origin to deliver integrated pelvic floor therapy to its members. The collaboration provides access to virtual and in-person pelvic floor therapy alongside digital programs, addressing an underdiagnosed area of reproductive and women's health. Pelvic floor dysfunction affects millions but remains undertreated due to high costs, limited provider availability and fragmented care pathways. Origin reports the partnership reduces costs by over $3,000 per patient annually whilst improving outcomes across fertility, maternity and long-term health. Carrot data shows 85% of its members report pelvic floor health symptoms. The programme includes clinically guided support, provider navigation and financial coverage for eligible expenses, integrating pelvic floor care into employer benefits alongside Carrot's existing reproductive health services.

PR Newswire
Apr 16th, 2026
Carrot launches AI platform built on $1B in fertility claims data across 195 countries

Carrot, a fertility and family care platform, has launched Carrot Intelligence, a proprietary AI platform built on the world's largest dataset in the category, spanning 195 countries. The system uses data from millions of members and over $1 billion in processed claims to deliver contextual care decisions and earlier clinical interventions. The platform powers recent product developments including Sprints, a metabolic health programme to reduce high-risk pregnancies, and a Global Price Monitoring System that detects billing anomalies and fraud. Carrot Intelligence enables earlier intervention, context-driven care delivery, and automated fraud detection at scale. The system is guided by clinicians and does not train foundation models on protected health information. Future capabilities will include care navigation, treatment pathway optimisation and predictive analytics for plan sponsors.

PR Newswire
Mar 24th, 2026
Carrot launches AI system to detect fertility care fraud using $1B pricing dataset

Carrot, a global fertility and family-building platform, has launched an AI-powered Global Price Monitoring System designed to detect billing fraud and abuse in fertility care worldwide. The system analyses nearly $1 billion in claims data across more than 50 currencies to establish dynamic pricing benchmarks. The system addresses growing concerns in the fertility market, where the global surrogacy sector alone is projected to reach $201.8 billion by 2034. Claims are automatically evaluated against real-time pricing norms, with unusual patterns flagged for specialist investigation before employers absorb costs. The technology aims to catch billing errors, price inflation and unjustified service fees across fertility treatments, surrogacy, adoption and related services. This marks Carrot's second AI capability, following its recent metabolic-fertility programme launch.