Senior Associate, Operations Compliance

Summary

Join Spring Health, a leading mental healthcare provider, as a Senior Associate supporting regulatory oversight of grievance and appeal processes. This full-time, remote position involves reviewing case handling for fairness and regulatory compliance, particularly in California. You will collaborate with various departments, analyze case data, contribute to reporting, and support broader operations compliance initiatives. Success involves accurate and timely grievance reviews, well-documented audit findings, and effective collaboration with internal teams. The role requires a Bachelor’s degree or equivalent experience, 4+ years of cross-functional experience in a high-growth startup and/or healthcare systems, and strong knowledge of grievance and appeals regulations. Spring Health offers a competitive total rewards package including stock options and benefits.

Requirements

• Bachelor’s degree or equivalent experience required
• You have 4+ years of cross-functional experience in a high-growth startup and/or healthcare systems
• You have a strong understanding and knowledge of grievance and appeals regulations
• You are a top performer and team player who thrives in a culture of collaboration, accountability, and ambiguity
• You are a master communicator: written, verbal and listening abilities to effectively manage a variety of relationships
• You are a self-starter who thrives when given autonomy, with proven ability and desire to build effective relationships
• You have the ability to thrive under pressure and manage/prioritize multiple projects
• Exceptional analytical, attention-to-detail, and organization skills
• You’ve demonstrated the ability to generate new and innovative solutions to complex problems incorporating multiple internal and external stakeholder perspectives
• You embody a member > team > individual perspective
• You value levity, humility, collaboration and deriving fulfillment from success achieved through the work you accomplish with others

Responsibilities

• Support regulatory compliance by reviewing and monitoring how grievance and appeal cases are handled across states, with a focus on California standards
• Collaborate with the internal Legal team to clarify regulatory requirements related to complex appeals
• Track, document, and follow the resolution progress of grievances in accordance with state and federal regulations
• Audit grievance and appeal files for completeness, accuracy, and timeliness; identify and investigate any deficiencies
• Identify process gaps and recommend improvements related to quality, regulatory adherence, cost savings, and operational efficiency
• Monitor daily, weekly, monthly, and quarterly reports to ensure all regulatory and internal deadlines are met
• Partner with internal departments and stakeholders to follow up on open items and ensure compliance
• Participate in Grievance and Appeal Committee meetings to share findings and insights
• Contribute to the development and refinement of policies and procedures to reduce future grievances
• Provide training support and guidance to Care Support or other staff as needed, based on audit trends and findings
• Support additional operations compliance initiatives, including but not limited to clinical and operational audits
• Grievance and appeal reviews are completed accurately and on time
• Audit findings are well-documented and lead to meaningful improvements
• Compliance reports and trackers are consistently maintained and submitted on schedule
• Collaborates effectively with internal teams to resolve issues and clarify requirements
• Provides clear, actionable feedback that supports quality and compliance improvements
• Actively contributes to audits and supports training efforts based on compliance insights

Preferred Qualifications

• Experience with Grievances & Appeals and Clinical Auditing in a startup setting
• Experience working in Jira, Zendesk, and other ticketing systems
• Experience working with Looker and other BI tools

Benefits

• Health, Dental, Vision benefits start on your first day at Spring
• You and your dependents also receive access to One Medical accounts
• HSA and FSA plans are also available, with Spring contributing up to $1K for HSAs, depending on your plan type
• Employer sponsored 401(k) match of up to 2% for retirement planning
• A yearly allotment of no cost visits to the Spring Health network of therapists, coaches, and medication management providers for you and your dependents
• We offer competitive paid time off policies including vacation, sick leave and company holidays
• At 6 months tenure with Spring, we offer parental leave of 18 weeks for birthing parents and 16 weeks for non-birthing parents
• Access to Noom , a weight management program—based in psychology, that’s tailored to your unique needs and goals
• Access to fertility care support through Carrot , in addition to $4,000 reimbursement for related fertility expenses
• Access to Wellhub ,  which connects employees to the best options for fitness, mindfulness, nutrition, and sleep in one subscription
• Access to BrightHorizons , which provides sponsored child care, back-up care, and elder care
• Up to $1,000 Professional Development Reimbursement a year
• $200 per year donation matching to support your favorite causes