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Credentialing Policy and Committee Specialist

Job in Mountain View, Santa Clara County, California, 94039, USA
Listing for: BetterHelp
Full Time position
Listed on 2026-02-01
Job specializations:
  • Healthcare
    Healthcare Administration, Healthcare Compliance
Salary/Wage Range or Industry Benchmark: 60000 - 80000 USD Yearly USD 60000.00 80000.00 YEAR
Job Description & How to Apply Below

Overview

Who are we and why should you join us? Better Help 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, Better Help is committed to being part of the solution.

As the Credentialing Policy and Committee Specialist at Better Help
, 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. We take employee mental health seriously as we do our mission. 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 Better Help. 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
  • Ex…
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