Insurance Credentialing Operations Specialist

Who are we and why should you join us?

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.

As the Insurance Credentialing Operations 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. And as a mental health company, we take employee mental health just as seriously as we do our mission. 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.

What are we looking for?

We are seeking a detail-oriented and proactive Credentialing Operations Specialist to join our insurance credentialing team. This role will support the full cycle of the provider credentialing process, with a key emphasis on building operational processes, developing credentialing reports, and managing health plan audits. The ideal candidate has experience in healthcare operations, a process-oriented mindset, and a passion for continuous improvement.

What will you do?

Process Development & Optimization: 

• Design, document, and implement scalable credentialing workflows and standard operating procedures (SOPs). 
• Identify and troubleshoot inefficiencies in credentialing and recredentialing processes. ● Collaborate cross-functionally to ensure credentialing processes integrate smoothly with clinical, compliance, and billing teams. 

Credentialing Operations & Maintenance: 

• Maintain accurate and up-to-date provider information in internal databases, rosters and payer portals. 
• Track application statuses, credentialing deadlines, and recredentialing timelines to ensure timely completion. 
• Liaise with health plans to resolve any issues or delays in the credentialing process. 

Reporting & Data Management: 

• Develop and maintain dashboards, reports, and trackers related to provider credentialing and compliance. 
• Analyze data to identify trends, delays, or potential risks in credentialing timelines. ● Provide regular updates to leadership on key metrics and process improvements. 

Health Plan Audits & Compliance: 

• Prepare and coordinate documentation and materials for scheduled and ad hoc health plan audits. 
• Ensure credentialing files are audit-ready and compliant with payer, NCQA, and/or state regulatory standards. 
• Support internal and external audit processes and assist with remediation actions when necessary. 

What will you NOT do?

• 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.

Can I work remotely?

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.

Requirements

• 2+ years of experience in healthcare credentialing, operations, or administrative support in a payer or provider setting. 
• 1+ years experience managing health plan relationships preferred.
• Strong understanding of health plan credentialing requirements and best practices.
• Proficiency with Microsoft Excel/Google Sheets and experience with CRM or credentialing software (e.g., CAQH, Verifable). 
• Excellent organizational and communication skills, with the ability to manage multiple tasks and deadlines. 
• Experience in behavioral health or mental health provider credentialing.
• Familiarity with NCQA standards and managed care credentialing

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

The base salary range for this position is $60,000 - $75,000. In addition to the base salary, this position is eligible for benefits listed here (subject to eligibility requirements): Teladoc Health Benefits 2025. Total compensation is based on several factors – including, but not limited to, type of position, location, education level, work experience, and certifications. This information is applicable to all full-time positions.

At BetterHelp we thrive on difference and individuality, and as part of the Teladoc Health family, we are proud to be an Equal Opportunity Employer. We never have and never will discriminate against any job candidate or employee due to age, race, ethnicity, religion, sex, color, national origin, gender, gender identity, sexual orientation, medical condition, marital status, parental status, disability, or Veteran status.