Compliance Specialist
Spark
full-time
Posted on:
Location Type: Remote
Location: Remote • 🇺🇸 United States
Visit company websiteSalary
💰 $75,000 - $85,000 per year
Job Level
Junior
About the role
- Support the development, updating, and distribution of compliance policies and standards to ensure alignment with CMS requirements.
- Assist the Director of Compliance in managing oversight activities, preparing materials for meetings, and maintaining documentation.
- Coordinate compliance training, track completion, and maintain required records for internal teams and external agents.
- Serve as a point of contact for compliance questions, triage issues, and escalate matters appropriately.
- Conduct routine internal audits (e.g., agent documentation, enrollment practices, call reviews). Support external audits, including HIPAA, SOC 2, carrier audits, and other regulatory reviews.
- Assist with documenting potential violations and supporting disciplinary or corrective actions as directed.
- Help log, investigate, and track issues or complaints, and assist in drafting and monitoring corrective action plans.
- Maintain organized compliance documentation and support regulatory submissions or audit responses. Monitor CMS regulatory changes and help ensure internal processes remain aligned.
Requirements
- Strong understanding or willingness to learn Medicare, CMS regulations, and health insurance compliance.
- High attention to detail with excellent organizational skills.
- Ability to manage multiple tasks and deadlines in a fast-paced environment.
- Strong verbal and written communication skills.
- Sound judgment when handling sensitive or confidential information.
- Proficiency with Google Workspace or similar document management tools.
- Analytical mindset with the ability to identify issues and propose solutions.
- 1–3 years of compliance, auditing, regulatory, or healthcare operations experience.
- Experience in Medicare Advantage, FMOs, carriers, or healthcare organizations.
- Familiarity with CMS Compliance Program Guidelines and other applicable Medicare regulatory requirements.
- Experience supporting or preparing for external audits (e.g., HIPAA, SOC 2, carrier audits).
- Experience with compliance software, issue tracking, or workflow management tools.
- Bachelor’s degree in healthcare administration, business, public policy, or a related field.
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
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
compliance policiesinternal auditsexternal auditsHIPAASOC 2regulatory reviewscorrective action plansMedicare Advantagehealth insurance complianceissue tracking
Soft skills
attention to detailorganizational skillstime managementverbal communicationwritten communicationsound judgmentanalytical mindsetproblem-solvingmulti-taskingconfidentiality