Clinical Quality Assurance Specialist

BetterHelp

91d • $75,000 - $98,000

About The Position

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 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. As the Clinical Quality Assurance Specialist at BetterHelp, you’ll join a diverse team of licensed clinicians, engineers, product pros, creatives, marketers, and business leaders who share a passion for expanding access to therapy. We deeply invest in our team’s well-being and professional development, because we know that business and individual growth go hand-in-hand. At BetterHelp, you’ll carve your own path, make an immediate impact, and be challenged every day – with a supportive community behind you the whole way.

Requirements

• 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.

Nice To Haves

• 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.

Responsibilities

• 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.
• 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.

Benefits

• Remote work with regular in-person bonding experiences sponsored by the company.
• Competitive compensation.
• Holistic perks program (including free therapy, employee wellness, and more).
• Excellent health, dental, and vision coverage.
• 401k benefits with employer matching contribution.
• The chance to build something that changes lives – and that people love.
• Any piece of hardware or software that will make you happy and productive.
• An awesome community of co-workers.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Master's degree
• Number of Employees: 101-250 employees