Note: The job is a remote job and is open to candidates in USA. Spark is a healthcare technology company building a Medicare platform that combines AI, CRM, and client services to help independent Medicare advisors serve their clients. The Medicare Compliance & QA Associate will manage compliance cases, maintain accurate documentation, coordinate with agents and carriers, conduct quality audits, and provide coaching and operational support to promote regulatory adherence across Spark’s agent network.
Responsibilities
- Manage the complete lifecycle of CTM and Non-CTM compliance cases, including intake, investigation, communication, resolution, and formal closure
- Triage and respond to compliance-related emails and inquiries in Intercom, ensuring timely routing to the correct case type and queue
- Maintain accurate case records in the case management system and ensure timely documentation of notes, evidence, and required follow-up actions
- Act as the primary liaison with agents, agencies, internal teams, and carriers to ensure clear and timely communication throughout the case process
- Monitor case progress, send reminders, and escalate issues as needed to prevent delays and mitigate compliance risks
- Ensure all necessary information is provided to carriers and verify that all steps are completed before closing cases to support audit readiness
- Conduct case audits as needed to verify documentation accuracy, completeness, and adherence to case handling standards
- Provide targeted coaching and guidance to agents on compliance requirements, documentation standards, and best practices based on identified risks or performance gaps
- Educate agents on policies, procedures, and necessary corrective actions aligned with case findings
- Identify recurring compliance issues and escalate trends to leadership for broader coaching or training initiatives
- Assist agents and agencies with carrier compliance audits and provide preparation support
- Support agents in navigating carrier portals through self-service guides and direct assistance
- Maintain records of coaching participation, track completion metrics, and flag gaps requiring follow-up
- Maintain organized, accurate, and audit-ready records for all compliance interactions and case activities
- Prepare basic compliance reporting as needed, including case volume, status, and turnaround summaries and key compliance indicators
- Collaborate with the compliance team on special projects, process improvements, and the development or refinement of new workflows
- Support additional compliance-related requests assigned by leadership, ensuring flexibility and responsiveness to priorities
- Remain agile and adaptable in the continually evolving Medicare regulatory landscape, adjusting processes and support practices as standards change
Skills
- Comfort using tools such as Intercom, Excel, Airtable, CRM systems, or case management platforms (training provided)
- Ability to maintain accurate notes, records, and case information with strong attention to detail
- Basic analytical abilities to assist with data reviews, quality assurance activities, and case audits
- Ability to learn new technology, systems, and compliance tools quickly
- Solution-oriented mindset with a strong interest in problem-solving and supporting agents through compliance challenges
- Eager to learn and stay current as Medicare regulations and compliance requirements evolve
- Clear communicator who can break down information simply and effectively
- Collaborative and team-focused, with the ability to partner across Compliance, Sales, Platform, and other internal teams
- Adaptable and flexible in a fast-paced, continually changing environment
- Demonstrates strong ethics, integrity, and respect for confidentiality
Benefits
- Equity compensation
- Health care, including dental and vision through our PEO Sequoia
- Flexible work location; co-working available
- 401k
- Paid Time Off
- Monthly Remote Work Stipend (help cover costs of home-office needs)
- Paid Parental Leave
- Up to 14 weeks for birthing parents
- Up to 8 weeks for non-birth parents
- 11 paid holidays
- 2 week sabbatical at 5 years of employment
- Wellbeing Perks through SpringHealth, OneMedical, PerkSpot, and SoFi
- Remote work
- Sabbaticals
- Company retreats
Company Overview