Senior Compliance & QA Specialist

Spark Advisors

Completely RemoteFull TimeHealthcare & Telemedicine
Posted Yesterday

Job description

About the Company

Spark is building healthcare tech for a system that desperately needs it. We are the fastest-growing Medicare platform in the country, combining AI, an industry-leading CRM, and client services to transform how 10,000+ brokers acquire, enroll, and support clients in their local communities.

Responsibilities

  • Lead the design and evolution of Spark's risk-based monitoring framework for downline agencies
  • Partner with call quality and case management functions to incorporate QA findings into agency risk tiers
  • Analyze monitoring data to identify systemic or emerging agency-level risks
  • Own the development of carrier-facing compliance reports and executive-level dashboards
  • Serve as a key point of contact for carrier partners on monitoring-related reporting requests
  • Develop, negotiate, and manage Corrective Action Plans (CAPs) and Performance Improvement Plans (PIPs)
  • Lead root cause analysis on significant compliance issues and translate findings into remediation plans
  • Serve as a subject matter expert on CMS Medicare marketing and agent oversight requirements
  • Mentor and advise less experienced compliance specialists

Requirements

  • Deep subject matter expertise in CMS regulations governing downline agency oversight
  • Experience with CTM Rate and Non-CTM Founded Rate as risk-tiering inputs
  • Proven ability to lead and evolve an agency monitoring or risk-tiering program
  • Strong analytical skills to translate raw data into program strategy insights
  • Excellent coaching and mentoring skills
  • Proficiency with Google Workspace and compliance workflow or case management software

Benefits

  • Equity compensation
  • Health care, including dental and vision
  • 401k
  • Paid Time Off
  • Monthly Remote Work Stipend
  • Paid Parental Leave
  • 11 paid holidays
  • 2 week sabbatical at 5 years of employment

Skills & tools

ComplianceQuality AssuranceCMS

What the team is looking for

Use this list as a quick fit check before you apply.

  1. 01CMS regulation expertise
  2. 02Agency monitoring experience
  3. 03Analytical skills
  4. 04Coaching skills
  5. 05Google Workspace proficiency
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