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 clin