Sunshine State Health Plan jobs in Sunrise, FL

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Supervisor, Clinical
Experience in a psychiatric health care setting, including familiarity with mental health community resources....
Concurrent Review Nurse I
Position Purpose: Perform onsite review of emergent/urgent and continued stay requests for appropriate care and setting, following guidelines and policies,...
RN / Telemetry
Cross Country TravCorps - 86 reviews - Delray Beach, FL 33484
401(k) Retirement Plan. The Sunshine State will provide you with an amazing tropical experience that you will always remember....

Program Coordinator I

Sunshine State Health Plan - 928 reviews - Sunrise, FL
Attend marketing and outreach meetings as directed to represent the plan. Perform transition of care duties to include but not limited to, contact the member’s...

Behavioral Health Service Manager

Sunshine State Health Plan - 928 reviews - Sunrise, FL
Health community resources. Master's degree in Behavioral Health. Encourage behavioral health providers to use evidence-based practices and confirm that...

Contract Implementation Analyst

Sunshine State Health Plan - 928 reviews - Sunrise, FL
Review new and current provider contracts and established state guidelines. Participate in determining the appropriate configuration of the claims payment...

Data Analyst II

Sunshine State Health Plan - 928 reviews - Sunrise, FL
Analyze health management programs including:. O Trend analysis in various functional areas of health care management....

Data Scientist I

Sunshine State Health Plan - 928 reviews - Sunrise, FL
Responsible for advanced and predictive data analytics using big data and data science technology for healthcare innovation. Perform analysis using data...

Claims Liaison I

Sunshine State Health Plan - 928 reviews - Sunrise, FL
Must perform work within the state of Pennsylvania. Document, track and resolve all plan providers’ claims projects....

Chief Operating Officer

Sunshine State Health Plan - 928 reviews - Sunrise, FL
Ensure successful development and implementation of business plans. Provide management all necessary contractual requirement information regarding state and...

Quality Improvement Coordinator II

Sunshine State Health Plan - 928 reviews - Sunrise, FL
Develop and implement Corrective Action Plans. Perform community activities related to clinical initiatives such as health fairs and communicate with agencies...

Manager, Provider Network

Sunshine State Health Plan - 928 reviews - Sunrise, FL
Review and audit network accounts documentation for compliance with health plan and State standards. Plan, coordinate and participate in scheduled and...

Clinical Extern

Sunshine State Health Plan - 928 reviews - Sunrise, FL
Develop clinical knowledge and skills by learning about various processes and functions within the Managed Care industry Observe processes and shadow...
Care Manager II (RN)
Assess the member's current health status, resource utilization, past and present treatment plan and services, prognosis, short and long term goals, treatment...
We're Hiring AWESOME Medical Billers
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....
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