Sunshine State Health Plan jobs in City of Sunrise, FL

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Director, Case Management (Medicare)
Ensure compliance with Corporate, State and NCQA standards. Responsible for defining and directing a complete Case Management Program in conjunction with...
We're Hiring AWESOME Medical Coders
edgeMED Healthcare - Boca Raton, FL 33431
We offer a generous salary, great benefits with vacation/sick/personal time, health benefits, 401K plans and a great working atmosphere....
Easily apply
Director of Nursing / DON - Hillcrest Nursing and Rehabilita...
Consulate Health Care - 744 reviews - Hollywood, FL 33084
Directs Nursing and Care Plan Team. Knowledge of local, state, and federal regulations pertaining to facility functions....

Claims Liaison I

Sunshine State Health Plan - 494 reviews - City of Sunrise, FL
Document, track and resolve all plan providers’ claims projects. Identify any system changes and work notify the Plan CIA Manager to ensure its implementation....

Training Coordinator

Sunshine State Health Plan - 494 reviews - City of Sunrise, FL
Assist with developing individual training plans for employees. Coordinate training events, schedule personnel and instructors for classes, and organize the...

Business Analyst II

Sunshine State Health Plan - 494 reviews - City of Sunrise, FL
Perform various analysis and interpretation to link business needs and objectives for assigned function Support business initiatives through data analysis,

Manager, Claims & Contract Support Services

Sunshine State Health Plan - 494 reviews - City of Sunrise, FL
Act as health plan interface on software product upgrades/implementations that affect contract implementation....

Trainer- UM(Clinical)

Sunshine State Health Plan - 494 reviews - City of Sunrise, FL
Responsible for developing and conducting a variety of training programs and auditing tools. Conduct training needs analyses to determine specific training

Senior Director, Finance

Sunshine State Health Plan - 494 reviews - City of Sunrise, FL
Review, communicate, and present strategic plans, operating budgets and forecasts Provide financial plan for performance variances, operating alternatives,...

Director, STARS (Medicare)

Sunshine State Health Plan - 494 reviews - City of Sunrise, FL
Knowledge of Center for Medicare/Medicaid Services, requirements for Special Needs Plans (SNP), Medicare Medicaid Plans (MMP) and NCQA oversight requirements...

Intern (Pharmacy)

Sunshine State Health Plan - 494 reviews - City of Sunrise, FL
Convey knowledge of health plan and commercial pharmacy benefit operations. Participate all aspects of clinical pharmacy programs to gain educational,...

Director, Case Management

Sunshine State Health Plan - 494 reviews - City of Sunrise, FL
Ensure compliance with Corporate, State and NCQA standards. Responsible for defining and directing a complete Case Management Program in conjunction with...

Senior Trainer-Auditor (Clinical)

Sunshine State Health Plan - 494 reviews - City of Sunrise, FL
Current state nursing license. Develop, conduct, administer and analyze clinical training programs, conduct audits of clinical systems entry and/or processes,...
Supervisor, Utilization Management
Ensure compliance within applicable state program guidelines. Supervise the daily operations of the utilization management (UM) department....
Director, Case Management
Ensure compliance with Corporate, State and NCQA standards. Responsible for defining and directing a complete Case Management Program in conjunction with...

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