Medicare Compliance & QA Associate

Spark Advisors · United States

About Spark Advisors We're building healthcare tech for a system that desperately needs it. Each year, millions of Americans deal with confusing changes to their Medicare plans that impact their prescriptions, access to care, and pocketbooks. These aren’t just inconveniences – they are potentially life-altering changes that leave seniors medically and financially vulnerable. Independent Medicare advisors play a crucial role in guiding seniors through this complexity and helping them find the right coverage for their needs. But their ability to be effective healthcare advocates has long been hamstrung by broken tools and outdated systems. Spark is fixing that. We’re 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. Join a talent-dense team from Square, Ramp, Yext, Oscar, and Cedar — backed by Primary Ventures and Viewpoint Ventures — that is serious about building technology to expand access to quality healthcare. We offer remote work, sabbaticals, company retreats, and other generous benefits that earned us recognition as one of Inc. Magazine’s Best Workplaces of 2025 Healthcare is overdue for innovation. Let’s redefine what its future looks like — together. Summary Spark is hiring an Associate, Medicare Compliance & Quality Assurance responsible for supporting the organization’s compliance operations by managing case intake, tracking case progress, facilitating communication between carriers and agents, and assisting with agent coaching. This role plays a critical part in ensuring timely resolution of compliance matters, maintaining accurate documentation, and promoting adherence to regulatory and internal standards. The position reports to the Medicare Compliance & Quality Assurance Supervisor and partners closely across Platform, Contracting, Finance, and Sales teams to maintain the highest standards of compliance across Spark’s agent network. What You'll Do - Compliance Case Management & Quality Assurance (80%)

• 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.

• 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.

$60,000—$70,000 USD

• 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