Remote Credentialing Team Lead – NCQA & Committee Ops

BetterHelp; United States; Remote; USD 65,000 - 75,000; Full time

Benefits offered by this job

Competitive compensation

Holistic perks program (including free

Excellent health, dental, and vision

401k benefits with employer matching

Job summary

BetterHelp, a leading online therapy provider, is seeking an Associate Team Lead, Credentialing Committee to coordinate meetings, prepare cases, ensure complete review, and maintain compliant documentation across our national behavioral health network.

You will mentor credentialing specialists, enforce NCQA standards, and drive process improvements while collaborating with Compliance, Legal, and Provider Operations. This remote role requires strong organization and communication.

Qualifications

• 3+ years of experience in provider credentialing within a healthcare or behavioral health organization.
• 1+ years of experience leading credentialing committee meetings.
• Experience supporting credentialing committee processes and provider file review.
• Working knowledge of NCQA credentialing standards, accreditation requirements, and primary source verification.
• Experience mentoring or providing guidance to team members in an operational environment.
• Strong organizational, analytical, problem-solving, and communication skills.
• Experience working with credentialing software and provider data management systems.

Responsibilities

• Coordinate and facilitate scheduled Credentialing Committee meetings (typically one to two per month), as well as ad hoc and appeal committee meetings, including agenda development, case preparation, meeting logistics, and documentation.
• Review flagged provider credentialing and recredentialing files to ensure completeness, accuracy, and readiness for committee review.
• Ensure committee decisions are accurately documented and communicated to appropriate stakeholders.
• Monitor timelines for flagged credentialing cases to ensure review within regulatory, accreditation, payer, and organizational requirements.
• Serve as the primary escalation point for complex provider credentialing cases requiring committee review, additional investigation, or appeal.
• Provide day-to-day guidance, coaching, and support to credentialing specialists and contractors.
• Review credentialing files for accuracy, completeness, and compliance with internal policies, NCQA standards, and payer requirements.
• Document committee processes through maintaining committee minutes and file documentation in accordance with credenitaling policy
• Develop and maintain standardized committee workflows, checklists, and documentation processes.
• Support onboarding, training, and ongoing development of credentialing team members.
• Promote consistency and quality across credentialing committee operations.
• Partner with Provider Operations, Compliance, Leadership, Legal, and the Credentialing Department to support credentialing committee activities.
• Coordinate with credentialing verification vendors and internal departments to resolve outstanding file deficiencies.
• Communicate committee outcomes and credentialing decisions to appropriate operational teams.
• Support delegated credentialing activities and respond to internal and external audit requests.
• Serve as the Credentialing Team spokesperson in Credentialing Committee meetings and the expert on credentialing processes in that setting; you’ll be the primary point of detail for the committee
• Track committee metrics, including credentialing volumes, turnaround times, pending cases, and committee outcomes.
• Identify workflow inefficiencies and recommend process improvements to enhance operational effectiveness and scalability.
• Maintain credentialing committee records and documentation in accordance with regulatory, accreditation, and organizational requirements.
• Support readiness for NCQA, payer, and regulatory audits by ensuring complete and accurate committee documentation.

Skills

Organizational skills

Analytical thinking

Problem-solving

Communication skills

Education

Bachelor's degree or equivalent

Tools

Credentialing software

Provider data management systems

Job description

BetterHelp, a leading online therapy provider, is seeking an Associate Team Lead, Credentialing Committee to coordinate meetings, prepare cases, ensure complete review, and maintain compliant documentation across our national behavioral health network.

You will mentor credentialing specialists, enforce NCQA standards, and drive process improvements while collaborating with Compliance, Legal, and Provider Operations. This remote role requires strong organization and communication.