Medicare Compliance & QA Associate

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.

Agent Coaching & Support (10%)

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.

Operational Support (10%)

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.

What We're Looking For

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.

CompensationOur salary ranges are based on paying competitively for our company’s size and industry, and are one part of the total compensation package that also includes equity, benefits, and other opportunities at Spark. In accordance with New York City, Colorado, California, and other applicable laws, Spark is required to provide a reasonable estimate of the compensation range for this role. Individual pay decisions are ultimately based on a number of factors, including qualifications for the role, experience level, skillset, geography, and balancing internal equity. A reasonable estimate of the current salary range is listed below. We expect most candidates to fall in the middle of the range. We also believe that your personal needs and preferences should be taken into consideration, so we allow some choice between equity and cash.

Base Salary

$60,000—$70,000 USD