Clinical Quality Assurance Specialist

Clinical Quality Assurance Specialist US - Remote 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 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. 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 meticulous Clinical Quality Assurance Specialist to join our clinical operations team and ensure the highest standards of clinical documentation and care delivery across our insurance-covered services. This role is critical to maintaining BetterHelp's clinical excellence and regulatory compliance as we expand our insurance partnerships and serve clients through value-based care arrangements. As a key member of our quality assurance team, you will conduct comprehensive clinical chart audits, evaluate adherence to evidence-based treatment standards, and support the operational excellence of our quality review processes. This position requires exceptional attention to detail, strong clinical judgment, and the ability to identify opportunities for clinical improvement while ensuring compliance with insurance requirements and regulatory standards. Reporting to the practice management team lead, this role offers the opportunity to directly impact the quality of care delivered to thousands of clients while supporting BetterHelp's mission to make mental health care accessible and effective for everyone. What Will You Do? Clinical Chart Review & Auditing 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 Quality Assurance Operations 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 Compliance & Standards Management 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 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 Qualifications 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 Preferred Qualifications 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 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 $75,000 - $98,000. 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. Better Help