Operations Manager - Licensing & Credentialing jobs in United States
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HealthPlanOne · 10 hours ago

Operations Manager - Licensing & Credentialing

positionShelton, CT
timeFull-time
remoteHybrid
seniorityMid, Senior Level
date6+ years exp

Health Plan One is seeking an Operations Manager - Licensing & Credentialing to oversee state licensing for agents and agency entities. This role includes managing licensing data, driving policy governance, and supporting team growth and operational excellence.

FinanceHealth CareHealth InsuranceInsuranceMarketing
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H1B Sponsor Likelynote

Responsibilities

Manage agent state license ordering (initial and renewals)
Oversee all Agency and principal licenses (entity licenses) are properly credentialed
Manage CE compliance tracking and remediation
Manage Affiliation and affidavits processing
License data accuracy and maintenance within AgentSync (SME)
Day to day AgentSync relationship and system changes/trainings
Licensing policy governance & continuous improvement
Act as a SME to all internal partners for license concerns regarding DOI issues, insurance regulations issues (FINRA’s)
Assists in managing budget and helps to control expenses while meeting licensing operational requirements
Partners with HR regarding NHC's no hire/term conversations regarding licensing roadblocks
Oversee employee productivity, training, and personal/career growth
Performs other related duties as assigned

Qualification

State DOI licensing experienceAgentSync proficiencyCE complianceDOIFINRA regulationsManagerial experienceMicrosoft Excel proficiencyCommunication skillsLeadership skillsDetail-orientedOrganizational skills

Required

Bachelor's degree or equivalent experience
4+ years in a managerial position driving results and taking initiative (prioritizing workload/projects, creating and implementing process), tracking team metrics
6+ years state DOI licensing experience regarding licensing requirements for agents and agency/principal entities
4+ years with AgentSync or similar licensing management systems
Understanding of CE compliance and remediation processes
Strong grasp of DOI regulations and FINRA compliance standards
Excellent communication and collaboration skills to work with HR, leadership, and cross-functional teams
Leadership skills to mentor staff, monitor productivity, and support professional growth
Detail-oriented, organized, and capable of managing multiple priorities under tight deadlines
Intermediate to advanced proficiency with Microsoft Excel (V-Lookup and pivot tables, Macros)
Strong organizational skills with the ability to manage multiple priorities and projects simultaneously

Benefits

Dental insurance
Health insurance
Paid time off
Vision insurance

Company

HealthPlanOne

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HPOne is a singular vision create custom sales,marketing and contact center solutions exclusively for the health insurance industry.
dateFounded in 2006
location
Trumbull, Connecticut, USA
people-size501-1000 employees
web-link
https://hpone.com/

H1B Sponsorship

HealthPlanOne has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2024 (3)
2021 (2)

Funding

Current Stage
Late Stage
Total Funding
$6.5M
Key Investors
Pequot Capital
2020-06-22Acquired
2008-04-21Series A· $6.5M

Leadership Team

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Tom Wicker
Chief Operating Officer
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Mike Stapleton
CIO
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Company data provided by crunchbase