Health Plan Licensing Specialist

Company Overview: Health Network One (HN1) partners with health plans and providers to modernize how specialty care is delivered and managed, reducing complexity, driving better performance, and improving lives.

With over 30 years of experience, Health Network One advances care in several unique specialties: Vision, Therapy, Dermatology, and Sleep. By curating specialty networks and credentialing providers who meet rigorous access and quality standards, we bring together value-based models and clinical expertise to ensure providers thrive, payers succeed, and members receive the high-quality care they deserve.

Position Summary

The Licensing Specialist supports the organization’s licensing and regulatory compliance activities by maintaining accurate records, preparing and submitting licensing applications, and monitoring renewal requirements. This role is responsible for executing day-to-day licensing processes across multiple jurisdictions, ensuring compliance with applicable regulatory requirements and internal standards.

This position partners closely with internal stakeholders to ensure providers, facilities, and/or business entities remain appropriately licensed and in good standing to support operational and client requirements.

Key Responsibilities

Licensing Administration & Compliance

• Prepare, submit, and track initial and renewal licensing applications across multiple states and regulatory bodies, including California and Texas
• Maintain up-to-date licensing records, documentation, and status tracking systems
• Monitor expiration dates and proactively manage renewals to prevent lapses in licensure
• Ensure all licensing files meet completeness, accuracy, and audit-readiness standards

Regulatory Coordination

• Serve as a point of contact with licensing boards and regulatory agencies, including CA and TX licensing authorities
• Respond to requests for information, deficiency notices, and follow-up inquiries
• Stay informed of changes in licensing requirements and regulations, particularly within California and Texas, escalating impacts as needed

Data Management & Reporting

• Maintain accurate data within internal systems and tracking tools
• Generate reports on license status, upcoming renewals, and compliance risks
• Identify discrepancies or gaps and take corrective action

Cross-Functional Support

• Partner with Credentialing, Provider Operations, Legal, and Compliance teams to ensure alignment
• Support onboarding processes requiring licensure verification or application submission
• Assist with audits, internal reviews, and client reporting requirements
• Provide general administrative support to the Legal/Compliance department, including triaging information requests with business stakeholders and supporting departmental initiatives, documentation, and coordination needs

Process Improvement

• Recommend process improvements to enhance efficiency, accuracy, and turnaround times
• Support standardization of documentation and tracking processes
• Leverage technology and systems to improve workflow management

Qualifications

Education & Experience

• Bachelor’s degree or equivalent work experience preferred
• 1–3 years of experience in licensing, credentialing, compliance, or administrative operations
• Required: Hands-on experience managing licensing processes in California and/or Texas, including familiarity with state-specific regulatory requirements and submission processes
• Experience in healthcare, insurance, or other regulated environments strongly preferred

Knowledge & Skills

• Strong attention to detail and accuracy
• Ability to manage multiple deadlines and prioritize effectively
• Working knowledge of regulatory or licensing processes (multi-state experience preferred)
• Proficiency in Microsoft Office and data tracking systems
• Strong written and verbal communication skills
• Ability to work both independently and collaboratively

Core Competencies

• Integrity and ethical decision-making
• Strong customer service orientation (internal and external stakeholders)
• Accountability and reliability
• Effective communication and teamwork
• Initiative and continuous improvement mindset