Credentialing Team Lead

BetterHelp; Mountain View (CA); Hybrid; USD 55,000 - 75,000; Full time

Benefits offered by this job

Holistic perks program

Competitive compensation

401k with employer matching

Free therapy

Excellent health, dental, and vision coverage

Job summary

BetterHelp is looking for a Credentialing Supervisor to enhance our credentialing workflows and lead a team in Mountain View, California. With 3+ years of credentialing experience, you will implement efficient workflows and collaborate with cross-functional teams.

This remote position offers a base salary of $55,000 to $75,000 along with excellent health coverage, a holistic perks program, and a chance to contribute to the mental health field. Regular in-person bonding experiences in San Jose are also part of the role.

Qualifications

• 3+ years of experience in healthcare credentialing, operations, or administrative support.
• 1+ years of supervisory experience in credentialing.
• Strong understanding of NCQA credentialing requirements.

Responsibilities

• Supervise and improve credentialing workflows and team operations.
• Develop and maintain dashboards related to credentialing performance.
• Collaborate with clinical and compliance teams for seamless credentialing.

Skills

Healthcare credentialing experience

Operational leadership

Communication skills

Microsoft Excel/Google Sheets proficiency

Behavioral health credentialing experience

Tools

CRM software (e.g., CAQH, Verifable)

Job description

What are we looking for?

This role will be responsible for supervising and improving all Credentialing and Recredentialing Workflows and Team Members. They will maintain the full cycle provider credentialing and recredentialing processes, with a key emphasis on building and improving operational processes, improving team turnaround times, developing credentialing workflows, and supervising a team of credentialing associates.

What will you do?

Process Development & Optimization

• Provide day-to-day guidance, training, and support to credentialing associates.
• Design, document, and implement scalable credentialing workflows and standard operating procedures (SOPs).
• Identify and troubleshoot inefficiencies in credentialing and recredentialing processes.
• Collaborate cross-functionally to ensure credentialing processes integrate smoothly with clinical, compliance, and billing teams.
• Manage relationship with CVO (Credentialing Verification Organization) and Verifiable.

Credentialing Operations & Maintenance

• Maintain accurate and up-to-date provider information in internal databases and Verifiable.
• Track application statuses, credentialing deadlines, and recredentialing timelines to ensure timely completion.
  • Analyze and update processes to improve timelines.
• Liaise with CVO to resolve any issues or delays in the credentialing process.

Reporting & Data Management

• Develop and maintain dashboards, reports, and trackers related to provider credentialing and compliance.
• Analyze data to identify trends, delays, or potential risks in credentialing timelines.
• Provide regular updates to leadership on key metrics and process improvements.

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

• 3+ years of experience in healthcare credentialing, operations, or administrative support in a payer or provider setting.
• 1+ years experience supervising credentialing associates.
• Operational leadership and accountability.
• Strong understanding of NCQA credentialing requirements and best practices.
• Proficiency with Microsoft Excel/Google Sheets and experience with CRM or credentialing software (e.g., CAQH, Verifable).
• Excellent organizational and communication skills, with the ability to manage multiple tasks and deadlines.
• Experience in behavioral health or mental health provider credentialing.
• Ability to work in the US, to travel to our San Jose, California offices up to three times per year and to an additional company offsite.

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.

Base salary range for this position is $55,000 - $75,000. In addition to the base salary, this position is eligible for a performance bonus and the extensive benefits listed above.

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.