Senior Compliance & QA Specialist

đź•’ December 3, 2025

🇺🇸 United States – Remote

đź’µ $85k - $115k / year

⏰ Full Time

đźź  Senior

đź”§ QA Engineer (Quality Assurance)

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đź‘» Ghost score 56%

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Logo of Spark

Spark

51 - 200 employees

🏥 Healthcare

📣 Marketing

🛡️ Insurance

Healthcare • Marketing • Insurance

Spark is a modern platform that revolutionizes the insurance brokerage industry by providing cutting-edge technology and expert services. It aims to enhance broker productivity, streamline operations, and accelerate agency growth. Spark offers a comprehensive suite of tools, including business reporting, contracting, licensing, marketing, and customer service support, particularly focusing on Medicare. Through strategic partnerships, Spark helps brokerages scale efficiently, ensuring unparalleled visibility and insights into business operations.

đź“‹ Description

• Lead the design and evolution of Spark's risk-based monitoring framework for downline agencies, including risk-tiering methodology and monitoring thresholds. • Partner with call quality and case management functions to incorporate QA and case findings into agency risk tiers. • Analyze monitoring data to identify systemic or emerging agency-level risks and recommend program changes to the Head of Compliance. • Develop carrier-facing compliance reports summarizing oversight actions and outcomes for downline agencies. • Build and maintain executive-level dashboards and reporting on agency monitoring performance. • Serve as a key point of contact for carrier partners on monitoring-related reporting requests. • Independently develop, negotiate, and manage Corrective Action Plans (CAPs) and Performance Improvement Plans (PIPs) for agencies and agents. • Lead root cause analysis on significant compliance issues and translate findings into remediation plans and program-level improvements. • Design coaching materials and lead office hours addressing emerging compliance issues. • Serve as a subject matter expert on CMS Medicare marketing and agent oversight requirements. • Mentor and advise less experienced compliance specialists on complex cases and monitoring decisions. • Represent compliance in cross-functional and carrier-facing discussions on downline agency oversight.

🎯 Requirements

• 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. • All work must be conducted from an approved location within the U.S. • Employment eligibility verified through E-Verify.

🏖️ 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 • Company retreats • Generous benefits

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