Director of International Clinical Operations

Who are we and why should you join us?

BetterHelp 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, BetterHelp is committed to being part of the solution.

As the Director of International Clinical Operations at BetterHelp, 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. And as a mental health company, we take employee mental health just as seriously as we do our mission. We deeply invest in our team’s well-being and professional development, because we know that business and individual growth go hand-in-hand. At BetterHelp, 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?

BetterHelp is seeking an experienced Director/Senior Director, International Clinical Operations to lead the global expansion of our teletherapy services across multiple countries. This role will oversee international clinical operations strategy, ensuring every market is equipped to deliver exceptional, outcomes-based mental healthcare while aligning with local regulations and cultural norms.

You will build and manage international clinical teams, define global clinical quality standards, and collaborate with cross-functional partners in Product, Credentialing, Legal, Compliance, and Marketing to ensure seamless, compliant, and culturally sensitive service delivery.

The ideal candidate is a seasoned clinical leader with a strong understanding of global mental health systems, digital therapy delivery, and outcomes-driven clinical quality — capable of scaling operational excellence across borders while representing BetterHelp’s clinical leadership on a global stage.

What will you do?

International Clinical Leadership

• Develop and oversee international clinical operations strategy across new and existing markets, ensuring compliance with local regulations and BetterHelp’s global standards.
• Define clinical provider quality benchmarks and continuously drive improvement through training, QA, and performance metrics.
• Establish BetterHelp’s outcomes-based approach to counseling and psychological care, ensuring clinical programs demonstrably improve client well-being.
• Serve as a regional clinical spokesperson, elevating BetterHelp’s clinical presence in global media, conferences, and partnerships.
• Partner with Credentialing to align therapist qualifications with country-specific standards and evolving regulatory frameworks.
• Collaborate with Product teams to ensure features and workflows measurably improve clinical outcomes and care delivery.

Expansion & Market Entry

• Lead clinical operations workstreams for market entry initiatives, including team hiring, policy creation, and operational readiness.
• Evaluate healthcare regulations, provider networks, and competitive landscapes to inform market strategy.
• Build external relationships and market proof points demonstrating the effectiveness and adaptability of our care model.

Clinical Quality & Standards

• Develop country-specific clinical playbooks and policies that standardize care delivery while maintaining flexibility for local adaptation.
• Oversee Clinical Quality Assurance (CQA) in all international regions — including complaint handling, ethical reviews, and therapist performance.
• Monitor and analyze CQA data to identify trends and drive continuous improvement initiatives.
• Ensure appropriate and consistent application of therapist restrictions (e.g., Fade Out, AntiSpecialty, Avail No) in international markets.

Compliance & Risk Management

• Collaborate with Legal, Compliance, and Credentialing teams to ensure adherence to international laws, ethical standards, and telehealth regulations.
• Develop crisis management frameworks and escalation procedures tailored to local healthcare systems and risk profiles.
• Maintain operational readiness and ensure swift, compliant responses to any clinical or regulatory issues.

Team Leadership & Development

• Recruit, develop, and lead high-performing international Clinical Operations Managers and Consultants.
• Define clear performance goals and career pathways to support retention and professional growth.
• Foster a culture of excellence, accountability, and cultural humility within global teams.
• Partner with HR to ensure strong recruitment, onboarding, and ongoing learning experiences for all clinical operations staff.

Data, Outcomes & Continuous Improvement

• Establish and monitor KPIs focused on clinical quality, client outcomes, operational efficiency, and compliance.
• Use analytics to track provider performance, identify improvement opportunities, and optimize clinical workflows.
• Build feedback loops to ensure learnings from each market inform global standards and platform innovation.
• Partner with Product and Data Science to translate insights into new features or processes that improve therapeutic outcomes.

Cross-Functional Collaboration

• Work closely with US Clinical Operations, Product, Credentialing, Marketing, and Compliance to align operations with company-wide strategy.
• Ensure international clinical perspectives are embedded in product design, marketing campaigns, and business development initiatives.
• Serve as the clinical operations representative for cross-functional projects related to international growth.

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

• Advanced degree in Clinical Psychology, Counseling, Social Work, or related field
  
• Current, unrestricted clinical license strongly preferred (e.g., Psychologist, LCSW, LPC, LMFT, or international equivalent)
• 10+ years of clinical operations experience, with at least 5 years leading international or multi-jurisdictional teams
• Proven success defining and driving clinical quality and outcomes within digital health or teletherapy settings
• Strong understanding of international healthcare regulations, credentialing standards, and ethical frameworks
• Experience designing and scaling QA systems, provider performance programs, and crisis protocols
• Skilled in cross-functional collaboration with Product, Legal, and Marketing
• Analytical mindset: experienced in data-driven performance management and quality metrics
• Comfortable representing the organization externally through media, conferences, and partnerships
  
• Demonstrated ability to lead through influence, mentor diverse teams, and drive strategic initiatives across cultures
• Exceptional written and verbal communication skills
• Fluent in English; additional European language proficiency (German, French, or Dutch) a plus

Nice to have

• Experience launching services in the EU (e.g., NL, DE, FR) or comparable regulatory environments.
• Familiarity with international credentialing pathways and psychotherapy titles.
• Background in measurement-based care and outcomes research in mental health.
• Prior work in marketplace or network operations (supply quality, routing, incentives).

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

The base salary range for this position is $175,000 - $240,000. In addition to the base salary, this position is eligible for a performance bonus and the extensive benefits listed here (subject to eligibility requirements): Teladoc Health Benefits 2025. Total compensation is based on several factors – including, but not limited to, type of position, location, education level, work experience, and certifications. This information is applicable to all full-time positions.

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.