Associate Credentialing Team Lead

The Associate Credentialing Team Lead at BetterHelp is responsible for coordinating and supporting the organization's credentialing committee operations. This role involves facilitating scheduled Credentialing Committee meetings, reviewing provider credentialing and recredentialing files, and ensuring timely, accurate, and compliant reviews.

About the role

• Coordinate and facilitate scheduled Credentialing Committee meetings (typically one to two per month), as well as ad hoc and appeal committee meetings.
• Develop and maintain standardized committee workflows, checklists, and documentation processes.
• Support onboarding, training, and ongoing development of credentialing team members.
• Partner with Provider Operations, Compliance, Leadership, Legal, and the Credentialing Department to support credentialing committee activities.
• 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.

Responsibilities

• Credentialing Committee Operations:
  • 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.
• Team Leadership & Quality Oversight:
  • Provide day-to-day guidance, coaching, and support to credentialing specialists and contractors.
  • Document committee processes through maintaining committee minutes and file documentation in accordance with credentialing policy.
  • Support onboarding, training, and ongoing development of credentialing team members.
  • Promote consistency and quality across credentialing committee operations.
• Stakeholder Collaboration:
  • 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.
  • Serve as the Credentialing Team spokesperson in Credentialing Committee meetings and the expert on credentialing processes in that setting.

Requirements

• 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.

Skills & Competencies

• Operational leadership and team collaboration.
• Credentialing committee coordination and governance.
• Knowledge of NCQA standards and regulatory compliance.
• Quality assurance and documentation management.
• Process improvement and workflow optimization.
• Strong attention to detail and organizational skills.
• Effective communication and stakeholder management.
• Able to prioritize multiple deadlines in a fast-paced, growth-oriented environment.
• Critical thinking and sound judgment when reviewing provider credentialing cases.

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.