
201 - 500 employees
Founded 1999
⚕️ Healthcare Insurance
🤝 B2B
Healthcare Insurance • B2B
Health Network One is a healthcare network management company that partners with health plans to manage specialty outpatient services (including outpatient therapy, routine and medical eye care, dermatology, and podiatry) under full-risk arrangements. The company operates nationally, covering over 7 million lives and contracting with tens of thousands of providers, and offers delegated services such as utilization management, credentialing, claims and network management. Health Network One emphasizes value‑based solutions, clinical quality, cost reduction for professional and facility spend, and holds NCQA accreditation and HITRUST CSF certification.
🕒 June 2
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201 - 500 employees
Founded 1999
⚕️ Healthcare Insurance
🤝 B2B
Healthcare Insurance • B2B
Health Network One is a healthcare network management company that partners with health plans to manage specialty outpatient services (including outpatient therapy, routine and medical eye care, dermatology, and podiatry) under full-risk arrangements. The company operates nationally, covering over 7 million lives and contracting with tens of thousands of providers, and offers delegated services such as utilization management, credentialing, claims and network management. Health Network One emphasizes value‑based solutions, clinical quality, cost reduction for professional and facility spend, and holds NCQA accreditation and HITRUST CSF certification.
• 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 • 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 • 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 • 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 • 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
• Bachelor’s degree or equivalent work experience preferred • 1–3 years of experience in licensing, credentialing, compliance, or administrative operations • 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 • 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
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