Senior Operations Compliance Associate, Spring Health
$97.3-114.5k
+ Stock Options
Personalized mental healthcare
Be an early applicant
Personalized mental healthcare
1001+ employees
Be an early applicant
$97.3-114.5k
+ Stock Options
1001+ employees
Company mission
To eliminate every barrier to mental health.
Role
Who you are
- 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
- Bonus: Experience with Grievances & Appeals and Clinical Auditing in a startup setting
- Bonus: Experience working in Jira, Zendesk, and other ticketing systems
- Bonus: Experience working with Looker and other BI tools
What the job involves
- Reporting to the Senior Manager of Senior Manager, Regulatory and Business Operations, the Senior Associate plays an important role in supporting regulatory oversight of grievance and appeal processes
- This position focuses on reviewing and assessing how cases are handled for fairness, timeliness, and alignment with state and federal regulations, particularly in the state of California, in addition to other states
- The Senior Associate works closely with various departments to gather information, analyze case handling, and contribute to required reporting, including submissions to the California Department of Managed Health Care
- They also support broader operations compliance initiatives, such as clinical and operational audits
- This role partners with cross-functional teams to monitor trends, support audit readiness, and help ensure transparent and compliant processes
- This is a full-time, remote position
- The role will 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
- 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 improvements
- Actively contributes to audits and supports training efforts based on compliance insights
Our take
Large companies often provide employees with mental health services, but small businesses find it challenging to offer similar support. Additionally, existing support systems are usually generalized, failing to deliver the personalized mental healthcare that individuals need. To address this gap, Spring Health has developed AI-driven tools for employers to create tailored mental wellness plans for their employees, including treatment options, daily routines, and medication plans based on individual data.
Spring Health has recently expanded its services to the family and pediatric space through the acquisition of Weldon, offering mental wellness guidance to parents. This expansion includes chats with therapists, social workers, and parenting coaches, as well as group support with other parents and access to educational content. By focusing on personalized care, Spring Health aims to enhance mental wellness support for families alongside its existing employee services.
The behavioral health market is projected to grow to $242B by 2027. While many solutions prioritise fast access to therapy or meditation, Spring Health differentiates itself by emphasizing the right type of care for each individual. With substantial funding raised, Spring Health is well-positioned to continue its innovative approach to mental health services.
Freddie
Company Specialist at Welcome to the Jungle
Insights
77% employee growth in 12 months
Company
Funding (last 2 of 8 rounds)
Jul 2024
$100m
SERIES E
Apr 2023
$71m
LATE VC
Total funding: $465.1m
Company benefits
- Health, Dental, Vision benefits start on your first day at Spring Health. You and your dependents also receive an individual One Medical account which is valued at $199/year per user. HSA and FSA plans available
- A yearly allotment of no cost visits to the Spring Health network of therapists, coaches, and medication management providers for you and your dependents
- 10 allocated sick days per year
- Flexible paid time off in addition to 12 paid holidays throughout the year
- Access to Gympass, an on-demand virtual benefit that provides wellbeing coaching, and budget management
- Spring Renewal: When you hit your four-year Springaversary, you’ll be awarded a four week, fully paid, sabbatical leave to renew and recharge
- 4-4.5 months of fully paid parental leave
- Spring Health provides team members and their families with sponsored access to Bright Horizons® child care, back-up care, and elder care
- Access to fertility care support through Carrot, in addition to $4,000 reimbursement for related fertility expenses
- Our People team benchmarks all salaries using the Radford Global Compensation Database for technology and life sciences industries. Radford benchmarks salaries with 3,589 global firms, 6.5 million employees, and 98 countries across the globe. We do this to ensure all of our team members are paid equally and competitively
- On top of competitive and benchmarked salary, Spring Health offers incentive pay (based on role), and equity that begins vesting as we celebrate your first year with the company!
- Employer sponsored 401(k) match of up to 2% after 90 days of employment
- Flexible work arrangements: 66% of Spring Health team members work fully remote while 33% work in a hybrid model from our New York City offices
- Focus Fridays: no meetings, no distractions, just time for you to get work done
- Focus Weeks: In Spring 2023, we held our first ever Focus Week, we canceled all non-essential meetings, minimized distractions, and you, our team members, to dive into the key work that gets chopped up or deprioritized during the regular day-to-day. We saw a 36% jump in the average energized score after those five days of flow state work and are finalizing a plan for quarterly Focus Weeks for team members
- Up to $1,000 Professional Development Reimbursement per calendar year
- $200 per year donation matching to support your favorite causes
Company HQ
Flatiron District, New York, NY
Leadership
Adam Chekroud
(Co-Founder)Previously President of The Oxford Guild Business Society for 2 years and Researcher at FMRIB Centre - University of Oxford for 1 year.
April Koh
(Co-Founder & CEO)Previously Chief Product Officer & Co-Founder at Spylight for 1 year. Also worked in the Product Management Department at Shazam for 5 months.
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