Clinical Quality Assurance Specialist
About the role
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 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