Credentialing Policy and Committee 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 Credentialing Policy and Committee 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?

The Credentialing Policy & Committee Specialist is responsible for the governance, policy, and oversight components of the credentialing function for BetterHelp. This role ensures credentialing policies, procedures, and committee operations are compliant with NCQA standards, regulatory requirements, and payer expectations. The Specialist serves as the subject-matter expert for the credentialing committee - supporting safe, compliant, and scalable provider network operations.

What will you do?

Credentialing Policy & Governance

• Own and maintain all credentialing and recredentialing policies, procedures, and supporting documentation
• Ensure ongoing compliance with NCQA, CMS, state, and payer credentialing requirements
• Lead regular policy reviews and updates to reflect regulatory changes, operational improvements, and audit findings
• Partner with Compliance and Legal teams to ensure alignment with organizational and regulatory standards

Credentialing Committee Management

• Lead the planning, facilitation, and documentation of Credentialing and Appeals Committee meetings
• Ensure committees are structured and operated in compliance with NCQA and organizational bylaws
• Prepare case summaries, provider files, and decision materials for committee review
• Document committee decisions, rationales, and follow-up actions in accordance with audit standards

Appeals & Adverse Decisions

• Oversee credentialing-related adverse actions and appeals processes
• Ensure timely, compliant notification of providers and proper documentation of outcomes
• Coordinate appeals committee meetings and final determinations

Reporting & Continuous Improvement

• Track and report on credentialing governance metrics, policy compliance, and committee activity
• Identify gaps or risks in credentialing processes and recommend mitigation strategies
• Support credentialing leadership with readiness assessments and compliance reporting

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

Required

• 2+ years of experience in provider credentialing, with a strong focus on policy, governance, or audit functions
• In-depth knowledge of NCQA credentialing standards and credentialing committee requirements
• Experience managing credentialing committees and appeals processes
• Strong written communication skills with experience drafting policies and formal documentation
• High attention to detail and ability to interpret regulatory requirements

Preferred

• Experience in a national or multi-state healthcare or behavioral health organization
• Experience supporting NCQA accreditation or re-accreditation
• Familiarity with CMS and state-specific credentialing requirements
• Bachelor’s degree or equivalent relevant experience

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 $50,000 - $70,000. In addition to the base salary, this position is eligible for a performance bonus and the extensive 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.