Sunshine State Health Plan jobs

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CORRESPONDENCE COORDINATOR

Responsible for screening member/provider incoming and outgoing mail daily and log all correspondence received Log all returned mail, correspondence, members premium checks, returned provider checks, and distribute to the appropri...

CompanySunshine State Health Plan
AddressPembroke Pines, FL
CategoryInformation Technology
Salary$15.29 - $26.20 an hour
Job typeFull-time
Date Posted 2 weeks ago See detail

Correspondence Coordinator

Sunshine State Health Plan

Pembroke Pines, FL

$15.29 - $26.20 an hour

Responsible for screening member/provider incoming and outgoing mail daily and log all correspondence received Log all returned mail, correspondence, members premium checks, returned provider checks, and distribute to the appropri...

Business Analyst I- Claims Operations

Sunshine State Health Plan

Lorida, FL

$25.97 - $46.68 an hour

Support business initiatives through data analysis, identification of implementation barriers and user acceptance testing of new systems Identify and analyze user requirements, procedures, and problems to improve existing processe...

Grievance & Appeals Coordinator I

Sunshine State Health Plan

Tampa, FL

$18.66 - $31.73 an hour

Gather, analyze and report verbal and written member and provider complaints, grievances and appeals Prepare response letters for member and provider complaints, grievances and appeals Maintain files on individual appeals and grie...

Behavioral Health Care Manager

Sunshine State Health Plan

Lorida, FL

$52,900 - $95,200 a year

Assesses, plans, implements, monitors and evaluates options and services to meet complex psychosocial health needs of inpatient and outpatient members. Manages a caseload in compliance with contractual obligations and WellCare sta...

Pediatric Care Manager RN, Medical Foster Care

Sunshine State Health Plan

Gainesville, FL

$54,000 - $97,100 a year

Develop, assess and adjust, as necessary, the care plan and promote desired outcome Assess the member's current health status, resource utilization, past and present treatment plan and services, prognosis, short and long term goal...

Program Coordinator II

Sunshine State Health Plan

Tampa, FL

$22.36 - $38.07 an hour

Initiate authorization requests for output or input services in keeping with the prior authorization list Maintain integrity of PHI and working relationships with other departments Research claims inquiry specific to the departmen...

Provider Data Management Specialist I

Sunshine State Health Plan

Lorida, FL

$18.66 - $31.73 an hour

Applicants for this job have the flexibility to work remote from home anywhere in the United States. Create and maintain multiple databases, including, contract provider network, prior authorization, third party liability, provide...

Program Coordinator I

Sunshine State Health Plan

Tampa, FL

$18.66 - $31.73 an hour

Initiate authorization requests for output or input services in keeping with the prior authorization list. Research claims inquiry specific to the department and responsibility. Perform tasks necessary to promote member compliance...

Program Coordinator - Child Welfare Team

Sunshine State Health Plan

Tampa, FL

$18.27 - $31.10 an hour

Initiate authorization requests for output or input services in keeping with the prior authorization list. Research claims inquiry specific to the department and responsibility. Perform tasks necessary to promote member compliance...