Senior Compliance & QA Specialist

Posted Yesterday
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Hiring Remotely in United States
Remote
85K-115K Annually
Senior level
Healthtech • Insurance • Sales • Software
We’re Spark, a mission-driven company helping independent Medicare brokers build the insurance business of their dreams.
The Role
Lead Spark's downline agency monitoring program, risk-tiering methodology, and corrective action processes. Own carrier-facing and executive reporting, perform program-level trend analysis and root cause investigations, develop and manage CAPs/PIPs, and serve as a departmental SME and mentor on CMS Medicare marketing and agent oversight requirements.
Summary Generated by Built In
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 But their ability to be effective healthcare advocates has long been hamstrung by broken tools and outdated systems.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

This role leads Spark's ongoing monitoring of its downline agencies, from risk-tiering methodology through corrective action, and owns the carrier-facing and executive-level reporting that documents Spark's oversight of its network. The Senior Specialist works closely with the Compliance & QA Supervisor and Head of Compliance and operates with a high degree of autonomy on day-to-day program decisions, escalating only complex or precedent-setting issues.

This role is ideal for an experienced compliance professional who wants to lead an agency monitoring program, serves as a go-to subject matter expert for the department, and is comfortable representing compliance externally with carriers and internally with leadership.

What You'll Do 
  • Downline Agency Monitoring & Risk Oversight (40%)
    • Lead the Monitoring Framework: They lead the design and evolution of Spark's risk-based monitoring framework for downline agencies, including risk-tiering methodology and monitoring thresholds, operating with minimal day-to-day oversight from the Supervisor and Head of Compliance.
    • Cross-Functional Input: They partner with call quality and case management functions to ensure QA and case findings are incorporated into agency risk tiers.
    • Program-Level Trend Analysis: They independently analyze monitoring data to identify systemic or emerging agency-level risks, and bring findings and recommended program changes directly to the Head of Compliance.
  • Carrier & Executive Reporting (25%)
    • Own Carrier Reporting: They own the development of carrier-facing compliance reports summarizing Spark's oversight actions and outcomes for its downline agencies.
    • Own Executive Reporting: They build and maintain executive-level dashboards and reporting on agency monitoring performance for department and company leadership.
    • Carrier Point of Contact: They serve as a key point of contact for carrier partners on monitoring-related reporting requests.
  • Corrective Action & Remediation (20%)
    • Own Corrective Actions: They independently develop, negotiate, and manage Corrective Action Plans (CAPs) and Performance Improvement Plans (PIPs) for agencies and agents, including carrier-facing CAP submissions for high-risk cases.
    • Root Cause Analysis: They lead root cause analysis on significant compliance issues and translate findings into remediation plans and program-level improvements.
    • Coaching & Education: They design coaching materials and lead office hours to address emerging compliance issues across the program.
  • Department SME & Cross-Functional Partnership (15%)
    • Subject Matter Expertise: They serve as a subject matter expert for the Compliance department on CMS Medicare marketing and agent oversight requirements, fielding questions from across the team.
    • Mentorship: They mentor and advise less experienced compliance specialists on complex cases and monitoring decisions, without formal management authority.
    • Cross-Functional Representation: They represent compliance in cross-functional and carrier-facing discussions on downline agency oversight, including coaching and education efforts for agencies.
What We're Looking For
  • Deep subject matter expertise in CMS regulations governing downline agency oversight, including CTM Rate and Non-CTM Founded Rate as risk-tiering inputs, and telephonic enrollment standards.
  • Proven ability to independently lead and evolve an agency monitoring or risk-tiering program, not just execute within one.
  • Strong analytical skills with the ability to translate raw data (call scores, case details) into insights and reports that inform program strategy and agency risk-tiering.
  • Excellent coaching and mentoring skills, including upskilling less experienced compliance specialists.
  • Highly organized, with an ability to manage and prioritize multiple complex workflows.
  • Outstanding communication and interpersonal skills, capable of working effectively with agents, internal teams, leadership, and carrier partners.
  • Proficiency with Google Workspace and experience with compliance workflow or case management software.
Compensation

Our 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
$85,000$115,000 USD

Why you should join our team

By joining Spark, you will get in on the ground floor of a fast-moving, well-funded, and mission-driven startup where you will have a profound impact on the brokers and beneficiaries we serve. And you'll learn, grow, be challenged, and have fun with your team while doing it.

We strive to help you and your family thrive. We're committed to supporting your happiness, healthiness, and overall well-being by providing a comprehensive benefits program. In addition to your base salary, we also offer:

  • 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

Compliance 

Spark is a proud participant in E-Verify. As part of our commitment to compliance, we use the E-Verify program to confirm the employment eligibility of all employees working in the United States. For more information about E-Verify, please visit www.e-verify.gov.

Furthermore, for security and compliance requirements, we’re unable to accommodate international remote work. While we fully support travel and time off, all work must be conducted from an approved location within the U.S.

At Spark, we are committed to hiring the best team to serve our clients regardless of their background. We need diverse perspectives to reflect the diversity of our problems and the population we serve. We look to hire people from a variety of backgrounds, including, but not limited to, race, age, sexual orientation, gender identity and expression, national origin, religion, disability, and veteran status.

AI Notice: We may use AI-enabled tools to assist with certain aspects of our hiring process. These tools do not replace human decision-making, and all employment decisions are made by qualified team members in compliance with applicable laws.

Skills Required

  • Deep subject matter expertise in CMS regulations governing downline agency oversight, including CTM Rate, Non-CTM Founded Rate, and telephonic enrollment standards.
  • Proven ability to independently lead, design, and evolve an agency monitoring or risk-tiering program.
  • Experience developing carrier-facing compliance reports and executive-level dashboards and reporting.
  • Strong analytical skills; translate call scores and case details into program insights and risk-tiering inputs.
  • Proficiency with Google Workspace.
  • Experience with compliance workflow or case management software.
  • Excellent coaching, mentoring, and interpersonal communication skills for internal teams, agents, and carrier partners.
  • Highly organized with ability to manage and prioritize multiple complex workflows.
  • Authorization to work in the United States (E-Verify participant; work must be performed from an approved U.S. location).

Spark Advisors Compensation & Benefits Highlights

  • Healthcare Strength Healthcare coverage includes medical, dental, and vision through Sequoia, with mental‑health and primary‑care access via Spring Health and One Medical, plus fertility options. Optional pet insurance and long‑term disability further round out the package.
  • Equity Value & Accessibility Ownership is emphasized through equity for all employees alongside an Employee Stock Purchase Plan, extending participation in long‑term company growth. A monthly remote‑work stipend and co‑working access complement the total‑rewards mix.
  • Leave & Time Off Breadth Time off includes generous PTO, paid sick days, and paid holidays, plus a two‑week paid sabbatical after five years. A company‑wide end‑of‑year break further broadens recharge time.

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The Company
135 Employees
Year Founded: 2020

What We Do

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.

Why Work With Us

Work on problems that actually matter — alongside exceptional people from Square, Ramp, Yext & more. We're redefining healthcare access, and we take care of our team along the way: remote work, sabbaticals, retreats & benefits that earned us Inc. Best Workplaces 2025.

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Spark Advisors Offices

Remote Workspace

Employees work remotely.

Life looks different for everyone, and we embrace that. We're fully remote-first, with office hubs in New York City and Denver for those days when you crave a desk, a teammate, or just a good coffee run with coworkers.

Typical time on-site:
United States
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Denver
New York City
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