Clinical Quality Assurance Specialist

BetterHelp is on a mission to remove the traditional barriers to therapy and make mental health care more accessible to everyone. Founded in 2013, we are now the world’s largest online therapy service, providing affordable and convenient therapy in across the globe. Our network of over 30,000 licensed therapists has helped millions of people take ownership of their mental health and change their lives forever. And we’re not stopping there – as the unmet need for mental health services continues to grow, BetterHelp is committed to being part of the solution.

• Conduct thorough clinical chart audits to ensure compliance with BetterHelp's clinical standards of practice and evidence-based treatment protocols
• Review patient documentation for accuracy, completeness, and adherence to regulatory requirements and insurance coverage criteria
• Evaluate treatment planning, progress notes, and clinical decision-making against established clinical guidelines and best practices
• Identify patterns of clinical excellence and areas for improvement in documentation and care delivery
• Maintain detailed audit findings and recommendations in compliance with quality assurance protocols

• Support the day-to-day operations of the quality assurance team, including audit scheduling, tracking, and reporting
• Participate in preparing necessary documentation for insurance audits.  Download the requested patient records and policies & procedures.
• Collaborate with clinical teams to address audit findings and implement corrective action plans
• Assist in developing and refining clinical audit tools, checklists, and evaluation criteria
• Contribute to quality assurance training materials and educational resources for clinical staff
• Participate in quality improvement initiatives based on audit findings and clinical trends

• Ensure all clinical chart reviews meet insurance payer requirements and regulatory standards
• Monitor compliance with state licensing requirements, professional practice standards, and accreditation criteria
• Support preparation for external audits and regulatory reviews by maintaining comprehensive documentation
• Stay current with evolving insurance requirements and clinical practice standards that impact quality assurance processes
• Collaborate with compliance teams to address any regulatory or contractual requirements identified through audit processes

• You will NOT worry about "runway", "cash left", or "how much time we have until the next round". We have the startup DNA but we're fully backed and funded, all the way to success.
• You will NOT be confined to your "job". You will get involved in product, marketing, business strategy, and almost everything we do.
• You will NOT be bogged down by office politics, ego, or bad attitude. Only positive, pleasure-to-work-with people are allowed here!
• You will NOT get yourself burned out. We work hard but we believe in maintaining a sustainable work/life balance. Really.

Yes. We operate on PST and candidates in any time zone are welcome to apply. We ask employees to travel to our San Jose, CA office up to three times per year plus one company-wide offsite to collaborate in person and strengthen working relationships. Travel expenses are covered and reasonable accommodations are made for those under unique circumstances who cannot travel.

• Master's or Doctoral degree in psychology, clinical social work, counseling, psychiatry, or closely related mental health field
• Current, active clinical license in good standing (LCSW, LPC, LMFT, PsyD, PhD, MD, or equivalent)
• Minimum 2+ years of clinical practice experience with direct patient care and clinical documentation
• Strong understanding of evidence-based mental health treatment practices and clinical documentation standards
• Exceptional attention to detail with ability to identify discrepancies and areas for improvement in clinical records
• Experience with electronic health records (EHR) systems and clinical documentation platforms
• Excellent written and verbal communication skills with ability to provide constructive feedback to clinical colleagues

• Experience with clinical auditing, quality assurance, or utilization review in healthcare settings
• Knowledge of insurance requirements, medical necessity criteria, and value-based care standards
• Background in virtual care delivery or digital health platforms
• Familiarity with regulatory requirements for mental health services and clinical documentation
• Experience working with diverse clinical teams and providing clinical supervision or consultation