Team

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Summary

Company information

Address

Multiple locations

Size

Medium

CEO

Michael F. Neidorff

Type

Company - Private

Industry

Direct Insurance Companies

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Jobs

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Specialist, ImplementationsSunshine State Health Plan, INC.Washington, DC
The Specialist, Implementations works closely with the Implementations team, outside vendors, and consultants to support client implementations. A successful Specialist, Implementations must be a highly motivated individual who thrives in a fast-paced...Read more
UX/UI DesignerSunshine State Health Plan, INC.Washington, DC
The UX/UI Designer is responsible for conceiving and conducting user research, interviews and surveys, and translating them into wireframes and prototypes. You will also design the overall functionality of the product and continuously improve the design to...Read more
UX UI DeveloperSunshine State Health Plan, INC.Washington, DC
The UX/UI Developer is responsible for developing finished user interfaces from wireframes and prototypes. You will also work closely with product to continuously improve the design to optimize the user experience and achieve business goals.The UX/UI...Read more
Senior Manager, Consulting ServicesSunshine State Health Plan, INC.Washington, DC
The Senior Manager, ConServices is responsible for cultivating and maintaining strong relationships within assigned accounts. The role works to ensure high levels of customer satisfaction and recognition of ROI, leading to strengthened relationships...Read more
Product OwnerSunshine State Health Plan, INC.Washington, DC
POSITION SUMMARYThe Product Owner is the key representative of Product Management and the voice of customers on the integrated software development team. As Product Management prioritizes key areas of work during a program increment, the Product Owner will...Read more
Full Stack DeveloperSunshine State Health Plan, INC.Washington, DC
The Full Stack Developer is a technology solutions team member, responsible for the creation and the enhancement of innovative solutions that transform the healthcare system. In this role you will work with internal teams to refine business requirements...Read more
Cloud ArchitectSunshine State Health Plan, INC.Washington, DC
As a Cloud Architect you will be responsible for developing and driving our cloud computing strategy along with assisting with the integration of new emerging technologies and public cloud services, cloud identity, cloud adoption plans, cloud application...Read more
Manager, Health PolicySunshine State Health Plan, INC.Washington, DC
Under the direction of the Director, Public Affairs, the Health Policy Manager is responsible for maintaining a portfolio of state public policy issues focused on healthcare administrative simplification, provider data management, interoperability, digital...Read more
Director, Public AffairsSunshine State Health Plan, INC.Washington, DC
Under the direction of the SVP, the Director of Public Affairs is responsible for managing the CAQH state and federal government relations activities. These activities include monitoring state and federal legislative and regulatory activity, assessing the...Read more
AccountantSunshine State Health Plan, INC.Washington, DC
This position is responsible for assisting with the majority of the CAQH revenue and accounts receivable processes. The Accountant reports to the Accounting Manager in the Finance and Administration department. This is a full-time, non-exempt, remote...Read more
Manager, Strategy & PartnershipsSunshine State Health Plan, INC.Washington, DC
CAQH is a national alliance of leading health plans and providers that provides critical data and technology-enabled solutions to help streamline and simplify business processes. Partnering closely with our health plan and provider Board, CAQH transforms...Read more
Manager, Human ResourcesSunshine State Health Plan, INC.Washington, DC
The Human Resources Manager, Training and Development is responsible for the day-to-day administration of Human Resources. He/She executes people-related initiatives that support and develop a collaborative, high performance culture. He/She manages...Read more
Director, Product Management - Payer Data SolSunshine State Health Plan, INC.Washington, DC
Seeking to fill two positions: * One with Domain experience in healthcare payment integrity products with a focus on Coordination of Benefits, overpayment identification and recovery, and fraud waste and abuse detection. * A second with Domain experience...Read more
Assistant Product ManagerSunshine State Health Plan, INC.Washington, DC
The Assistant Product Manager supports the team that is charged with delivering product line contribution for one or more innovative solutions that transform the healthcare system. This includes increasing sales and user adoption of existing products and...Read more
VP, Technology & Infrastructure OperationsSunshine State Health Plan, INC.Washington, DC
Position Summary: The Vice President, Technology and Infrastructure Operations is responsible for driving all aspects of Information Technology engineering and cloud infrastructure, systems governance, strategic direction, oversight and growth for all CAQH...Read more
Manager, CORESunshine State Health Plan, INC.Washington, DC
The CAQH CORE Manager leads the day-to-day activities of CAQH CORE operating rule development, research, maintenance, and implementation. This includes facilitating industry work groups composed of representatives leading healthcare organizations including...Read more
VP, Marketing & CommunicationSunshine State Health Plan, INC.Washington, DC
The VP, Marketing and Communications drives the development and execution of strategic marketing and communication campaigns for CAQH, raising awareness of the organization and its initiatives to achieve organizational goals. This includes responsibility...Read more
Senior Manager, Customer & Market InsightsSunshine State Health Plan, INC.Washington, DC
Leads the primary and secondary market research function for the company to inform overall product strategy and direction. * Facilitates regularly scheduled and ad-hoc research to assess customer experience and expectations over time, delivering relevant...Read more
Intern Research & MeasurementSunshine State Health Plan, INC.Washington, DC
CAQH, a non-profit alliance, is the leader in creating shared initiatives to streamline the business of healthcare. Through collaboration and innovation, CAQH accelerates the transformation of business processes, delivering value to providers, patients and...Read more
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Supervisor, Case ManagementSunshine State Health PlanSunrise, FL
Position Purpose: Supervise the day to day operations of the case management function. Communicate with departmental and plan administrative staff to facilitate daily department functions. AssureRead more
Supervisor, Case ManagementSunshine State Health PlanOrlando, FL
Position Purpose: Supervise the day to day operations of the case management function. Communicate with departmental and plan administrative staff to facilitate daily department functions. AssureRead more
Long Term Care Coordinator I (Alachua County)Sunshine State Health PlanJacksonville, FL
Position Purpose: * Responsible for members gaining access to needed services through coordination and integration of medical and long term care services for the purpose of orientation, care planRead more
Long Term Care Coordinator ISunshine State Health PlanSunrise, FL
Description: Position Purpose: Responsible for members gaining access to needed services through coordination and integration of medical and long term care services for the purpose of orientation,Read more
Product ManagerSunshine State Health PlanWashington, DC
The Product Manager guides theteam that is charged with delivering product line contribution for one or moreinnovative solutions that transform the healthcare system. This includes increasing salesRead more
Director, TechnologySunshine State Health PlanWashington, DC
Position Summary:The Director of Technology has overall IT delivery responsibility for a portfolio of innovative solutions that transform the healthcare system. The Director of Technology manages aRead more
Long Term Care Coordinator ISunshine State Health PlanTallahassee, FL
Description: Position Purpose: Responsible for members gaining access to needed services through coordination and integration of medical and long term care services for the purpose of orientation,Read more
Long Term Care Coordinator ISunshine State Health PlanFort Lauderdale, FL
Position Purpose: Responsible for members gaining access to needed services through coordination and integration of medical and long term care services for the purpose of orientation, care planRead more
Long Term Care Coordinator ISunshine State Health PlanBradenton, FL
Position Purpose: Responsible for members gaining access to needed services through coordination and integration of medical and long term care services for the purpose of orientation, care planRead more
Long Term Care Coordinator ISunshine State Health PlanTampa, FL
Position Purpose: * Responsible for members gaining access to needed services through coordination and integration of medical and long term care services for the purpose of orientation, care planRead more
Long Term Care Coordinator ISunshine State Health PlanDuval County, FL
Position Purpose: Responsible for members gaining access to needed services through coordination and integration of medical and long term care services for the purpose of orientation, care planRead more
Long term care coordinator iSunshine State Health PlanJacksonville, NC
Position Purpose: Responsible for members gaining access to needed services through coordination and integration of medical and long term care services for the purpose of orientation, care planRead more
CORE Senior ManagerSunshine State Health PlanWashington, DC
Position Summary: The CAQH CORE Senior Manager leads research efforts on new technology trends, produces new associated operating rules, identifies potential partnership opportunities, and partnersRead more
Director, Customer & Market InsightsSunshine State Health PlanWashington, DC
Position Summary: The job leads the primary and secondary market research function for the company, as well as the marketing analytics/marketing operations function. 1) Provides regularly-scheduledRead more
Customer Service Representative ISunshine State Health PlanTampa, FL
Position Purpose: Respond to customer inquiries via telephone and written correspondence in a timely and appropriate manner. * Respond to telephone or written correspondence inquiries from membersRead more
Manager, Business DevelopmentSunshine State Health PlanWashington, DC
Position Summary: Position is responsible for maximizing organizational growth and revenue by identifying opportunities and consultatively selling CAQH Solutions to decision-makers at a variety ofRead more
Customer service representative iiSunshine State Health PlanBlaine, KS
Position Purpose: Resolve customer inquiries via telephone and written correspondence in a timely and appropriate manner * Reference current materials to answer escalated and complex inquiries fromRead more
Claims Liaison ISunshine State Health PlanSunrise, FL
Description: Position Purpose: Serve as a liaison between the plan, claims, providers and various departments to effectively identify and resolve claims issues Audit check run and send claims to theRead more
Prior Authorization Nurse ISunshine State Health PlanOrlando, FL
Position Purpose: Promote the quality and cost effectiveness of medical care by applying clinical acumen and the appropriate application of policies and guidelines to prior authorization requests.Read more
Long Term Care Coordinator ISunshine State Health PlanPort Charlotte, FL
Description: Position Purpose: Responsible for members gaining access to needed services through coordination and integration of medical and long term care services for the purpose of orientation,Read more
Director, Provider Network PerformanceSunshine State Health PlanSunrise, FL
Description: Position Purpose: Oversee efforts to improve provider network performance and promote provider engagement. Oversee the planning and operations of all activities related to providerRead more
Referral Specialist ISunshine State Health PlanSunrise, FL
Description: Position Purpose: Assist in monitoring utilization of medical services to assure cost effective use of medical resources through processing prior authorizations. Initiate authorizationRead more
Director, Contracting & Network DevelopmentSunshine State Health PlanTampa, FL
Description: Position Purpose: Oversee activities of the provider contracting, network development and/or provider relations functions and aid in formulating and administering organizational policiesRead more
Long Term Care Coordinator ISunshine State Health PlanClearwater, FL
Description: Position Purpose: Responsible for members gaining access to needed services through coordination and integration of medical and long term care services for the purpose of orientation,Read more
Program Manager IISunshine State Health PlanSunrise, FL
Description: Position Purpose: Plan, organize, monitor, and oversee programs utilizing cross functional teams to deliver defined requirements and meet business needs and strategic objectives. SupportRead more
Member Advocate ISunshine State Health PlanSunrise, FL
Position Purpose: Act as an advocate for the Member and a liaison between the Health Plan and Provider(s) to ensure availability and access to care. Establish a community presence, promote MemberRead more
Long Term Care Coordinator ISunshine State Health PlanMaitland, FL
Description: Position Purpose: Responsible for members gaining access to needed services through coordination and integration of medical and long term care services for the purpose of orientation,Read more
Director, Provider Network PerformanceSunshine State Health PlanBroward County, FL
Description: Position Purpose: Oversee efforts to improve provider network performance and promote provider engagement. Oversee the planning and operations of all activities related to providerRead more
Vendor Management AnalystSunshine State Health PlanSunrise, FL
Description: Position Purpose: Assist with all vendor activity, including but not limited to dental, ancillary, pharmacy and vision vendors for the Health Plan Assit with vendor utilization includingRead more
Care manager ii (rn)Sunshine State Health PlanTampa, FL
: Perform care management duties to assess, plan and coordinate all aspects of medical and supporting services across the continuum of care for select Associated topics: bsn, cardiothoracic, coronary,Read more

Q&A about Sunshine State Health Plan

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Q: What industry is Sunshine State Health Plan in?
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A: Insurance.
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Q: What’s the main location of Sunshine State Health Plan?
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A: It’s Tampa, FL.
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Q: What companies are similar to Sunshine State Health Plan?
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A: Aetna, a CVS Health Company, Broward Health, Centene Corporation, HCA Healthcare, Humana, Molina Healthcare, UnitedHealth Group, WellCare.
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Q: Who is the CEO of Sunshine State Health Plan?
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A: Michael F. Neidorff.
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Q: how long does it take for the background check to be done?
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