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Compliance Specialist
Compliance SpecialistSpark Advisors • Toledo, OH, US
Compliance Specialist

Compliance Specialist

Spark Advisors • Toledo, OH, US
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  • [job_card.full_time]
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Compliance Specialist

Spark Advisors is seeking a detail-oriented and mission-driven Compliance Specialist to join our Compliance team. In this role, you will report directly to the Director of Compliance and play a key part in maintaining and enhancing our internal compliance program. You will help ensure Spark Advisors' policies, practices, and operations align with CMS' Seven Elements of an Effective Compliance Program, supporting our commitment to ethical conduct, regulatory adherence, and continuous improvement.

This is an excellent opportunity for someone looking to grow within the Medicare and health plan compliance space, contribute to a culture of integrity, and help strengthen systems that protect our agents, partners, and members.

What You'll Do

  • 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.

What We're Looking For

  • 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.
  • Preferred Qualifications :

  • 13 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.
  • Compensation

    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
  • 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.

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