Senior Associate, Regulatory and Business Operations

Position Overview

At Spring Health, our mission is to revolutionize mental healthcare by removing every barrier to access. We are seeking a Senior Associate, Regulatory and Business Operations to join our team. This full-time, remote position will report to the Senior Manager, Regulatory and Business Operations and will play a crucial role in supporting the regulatory oversight of grievance and appeal processes. The focus will be on reviewing and assessing case handling for fairness, timeliness, and alignment with state and federal regulations, with a particular emphasis on California.

About Spring Health

Spring Health is a leading provider of mental health services, partnering with over 450 companies, including Fortune 500 corporations like Microsoft, Target, and Delta Airlines. Our clinically validated technology, Precision Mental Healthcare, delivers tailored care including therapy, coaching, and medication. We have a valuation of $3.3 billion, backed by prominent investors, and are committed to making mental healthcare accessible to everyone, everywhere.

Responsibilities

• Support regulatory compliance by reviewing and monitoring grievance and appeal case handling across states, with a focus on California standards.
• Collaborate with the internal Legal team to clarify regulatory requirements for 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.

What Success Looks Like

• 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.

Application Instructions

• This is a full-time, remote position.