Medicare Compliance & QA Associate
New
S
Spark AdvisorsHealthcare Technology
All work must be conducted from an approved location within the U.S.Full-TimeMiddle
Salary$60,000 — $70,000 USD
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Job Details
- Required Skills
- Microsoft ExcelQuality AssuranceCRM
Requirements
- Comfort using tools such as Intercom, Excel, Airtable, CRM systems, or case management platforms.
- Strong attention to detail with the ability to maintain accurate notes and records.
- Basic analytical abilities for data reviews, quality assurance activities, and case audits.
- Ability to learn new technology, systems, and compliance tools quickly.
- Solution-oriented mindset with strong problem-solving capabilities.
- Clear communication skills to explain information simply and effectively.
- Collaborative and team-focused approach to partnering across internal teams.
- Adaptability in a fast-paced and evolving regulatory environment.
- Strong ethics, integrity, and respect for confidentiality.
Responsibilities
- 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.
- Maintain accurate case records in the case management system.
- Act as the primary liaison with agents, agencies, internal teams, and carriers.
- Monitor case progress, send reminders, and escalate issues to mitigate compliance risks.
- Ensure all necessary information is provided to carriers to support audit readiness.
- Conduct case audits to verify documentation accuracy and adherence to standards.
- Provide targeted coaching and guidance to agents on compliance requirements and best practices.
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