Senior Associate, Operations Compliance

Remote

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Not SpecifiedCompensation

Senior (5 to 8 years)Experience Level

Full TimeJob Type

UnknownVisa

Mental Health, Healthcare Technology, Health ServicesIndustries

Requirements

The Senior Associate, Operations Compliance should have experience supporting regulatory oversight of grievance and appeal processes, with a focus on state and federal regulations, particularly in California. Experience collaborating with legal teams, tracking case resolutions, auditing files for accuracy and timeliness, identifying process gaps, and monitoring reports is necessary. The role requires partnership with internal departments and stakeholders, participation in committee meetings, and the ability to provide training support. Familiarity with clinical and operational audits is also required.

Responsibilities

The Senior Associate will review and monitor grievance and appeal cases for compliance with state and federal regulations, focusing on California standards. They will collaborate with the Legal team to clarify regulatory requirements, track and document grievance resolutions, and audit case files for completeness and timeliness. The role involves identifying process gaps and recommending improvements, monitoring reports to ensure deadlines are met, and partnering with internal teams to ensure compliance. Additionally, the Senior Associate will participate in Grievance and Appeal Committee meetings, contribute to policy development, provide training support, and assist with other operations compliance initiatives like audits.

Skills

Operations Compliance

Regulatory Oversight

Grievance and Appeal Processes

Case Review

California State Regulations

Federal Regulations

Data Analysis

Reporting

Submission Management

Spring Health

Personalized mental health solutions for employers

About Spring Health

Spring Health offers personalized mental health solutions to employers and health plans, focusing on enhancing employee well-being. Their Precision Mental Healthcare system tailors support to individuals, providing options like digital resources, therapy, and medication. Users receive a customized care plan after a brief assessment, allowing them to schedule appointments and access wellness exercises easily. The goal is to improve workplace mental health by providing effective and accessible resources.

New York City, NoneHeadquarters

2016Year Founded

$452.3MTotal Funding

SERIES_ECompany Stage

HealthcareIndustries

1,001-5,000Employees

Benefits

Retirement benefits

Paid time off

Healthcare benefits

Insurance benefits

Work-life benefits

Mental health benefits

Risks

Increased competition from digital mental health platforms offering similar services at lower costs.

Rapid technological advancements may outpace Spring Health's current AI capabilities.

Potential data privacy concerns could impact user trust and compliance costs.

Differentiation

Spring Health uses Precision Mental Healthcare for personalized mental health solutions.

The company offers a comprehensive platform with digital support, therapy, and medication.

Spring Health is the first to earn nationwide third-party accreditation for clinical care.

Upsides

Spring Health raised $100M in Series E funding, valuing it at $3.3 billion.

The company collaborates with major brands like Microsoft and Target.

Spring Health's Community Care solution addresses mental health equity and social determinants.

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