Role Description
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:
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Conduct comprehensive clinical chart audits.
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Evaluate adherence to evidence-based treatment standards.
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Support the operational excellence of our quality review processes.
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Maintain exceptional attention to detail and strong clinical judgment.
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Identify opportunities for clinical improvement while ensuring compliance with insurance requirements and regulatory standards.
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.
Qualifications
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Master's or Doctoral degree in psychology, clinical social work, counseling, psychiatry, or closely related mental health field.
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Current, active clinical license in good standing (LCSW, LPC, LMFT, PsyD, PhD, MD, or equivalent).
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Minimum 2+ years of clinical practice experience with direct patient care and clinical documentation.
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Strong understanding of evidence-based mental health treatment practices and clinical documentation standards.
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Exceptional attention to detail with ability to identify discrepancies and areas for improvement in clinical records.
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Experience with electronic health records (EHR) systems and clinical documentation platforms.
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Excellent written and verbal communication skills with ability to provide constructive feedback to clinical colleagues.
Requirements
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Experience with clinical auditing, quality assurance, or utilization review in healthcare settings (preferred).
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Knowledge of insurance requirements, medical necessity criteria, and value-based care standards (preferred).
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Background in virtual care delivery or digital health platforms (preferred).
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Familiarity with regulatory requirements for mental health services and clinical documentation (preferred).
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Experience working with diverse clinical teams and providing clinical supervision or consultation (preferred).
Benefits
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Remote work with regular in-person bonding experiences sponsored by the company.
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Competitive compensation.
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Holistic perks program (including free therapy, employee wellness, and more).
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Excellent health, dental, and vision coverage.
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401k benefits with employer matching contribution.
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The chance to build something that changes lives β and that people love.
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Any piece of hardware or software that will make you happy and productive.
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An awesome community of co-workers.