Senior Associate, Operations Compliance

Our mission: to eliminate every barrier to mental health.

At Spring Health, we’re on a mission to revolutionize mental healthcare by removing every barrier that prevents people from getting the help they need, when they need it. Our clinically validated technology, Precision Mental Healthcare, empowers us to deliver the right care at the right time—whether it’s therapy, coaching, medication, or beyond—tailored to each individual’s needs.

We proudly partner with over 450 companies, from startups to multinational Fortune 500 corporations, as a leading provider of mental health service, providing care for 10 million people. Our clients include brands you use and know like Microsoft, Target, and Delta Airlines, all of whom trust us to deliver best-in-class outcomes for their employees globally. With our innovative platform, we’ve been able to generate a net positive ROI for employers and we are the only company in our category to earn external validation of net savings for customers.

We have raised capital from prominent investors including Generation Investment, Kinnevik, Tiger Global, Northzone, RRE Ventures, and many more. Thanks to their partnership and our latest Series E Funding, our current valuation has reached $3.3 billion. We’re just getting started—join us on our journey to make mental healthcare accessible to everyone, everywhere.

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.

What you’ll be doing: 

• 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

What you’ll bring:

• Bachelor’s degree or equivalent experience required
• You have 4+ years of cross-functional experience in a high-growth startup and/or healthcare