Sunshine State Health Plan

Description

Address: 1301 International Pkwy # 400, Sunrise, FL 33323 Hours: Open ⋅ Closes 8PM Tuesday8AM–8PMWednesday8AM–8PMThursday8AM–8PMFriday8AM–8PMSaturdayClosedSundayClosedMonday8AM–8PMSuggest an edit Unable to add this file. Please check that it is a valid photo. Phone: (866) 796-0530: : : Place name: : Website: : Category: : Website: http://www.choosesunshinehealth.com/ Category: Health insurance agency Suggest an editUnable to add this file. Please check that it is a valid photo. Unable to add this file. Please check that it is a valid photo. Questions & answers Ask a question See all questions (37) Add a photoThanks for sharing!Your photo will be posted publicly on Google.Contribute MoreDoneUpload public photos of Sunshine State Health Plan Posting publicly on the Web Write a review Reviews"Be advised that the reviewer who gave four stars is the exception, not the norm." "And have made my quality of be none cause I can't get my meds or see a doctor" "I was pregnant and through the marketplace received Sunshine with medicaid." View all Google reviews

Sunshine State Health Plan List of Employees There's an exhaustive list of past and present employees! Get comprehensive information on the number of employees at Sunshine State Health Plan. You can filter them based on skills, years of employment, job, education, department, and prior employment.

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23 Sunshine State Health Plan employees in database. Find out everything there's to know about Sunshine State Health Plan employees. We offer you a great deal of unbiased information from the internal database, personal records, and many other details that might be of interest to you.

Sunshine State Health Plan Employees

Employee
Years
Job
Industry
Crystal Baird Crystal Baird Richmond Hill, Georgia Details
Crystal Baird's Sunshine State Health Plan Experience September 2013 - June 2014
Job Social Services Case Manager, Chatham County at Georgia Department of Human Resources
Industry Hospital & Health Care
Experience
Georgia Department of Human Resources  August 2014 - Present
Sunshine State Health Plan   September 2013 - June 2014
Amerigroup Corporation  February 2010 - September 2013

Skills
Case Management, Medicaid, Social Services, Healthcare, Healthcare Management, Managed Care, Elderly and Disabled, Event Planning, Public Speaking

Education
University of Central Florida   2000 — 2004
Bachelor's Degree, Social Work

University of Central Florida   2000 — 2004
Bachelor of Social Work, Social Work

Diana (Viola) Vanderpol Diana (Viola) Vanderpol Glenwood Springs, Colorado Details
Diana (Viola) Vanderpol's Sunshine State Health Plan Experience April 2011 - August 2011
Job Managed Care Specialist
Industry Hospital & Health Care
Experience
Valley View Hospital  August 2015 - Present
Memorial Healthcare System  August 2014 - August 2015
L.A. Care Health Plan   June 2013 - July 2014
March Vision Care  October 2011 - June 2013
Sunshine State Health Plan   April 2011 - August 2011
Diagnostic Professionals Inc.  October 2009 - March 2011

Skills
Credentialing, Medicare, HIPAA, Healthcare Management, Healthcare, Healthcare Information..., Medical Terminology, Managed Care, Hospitals, Provider Relations, NCQA, Health Insurance, Medicaid, Microsoft Excel, Microsoft Word, PowerPoint, Microsoft Exchange, Microsoft Office 2007, Epic Systems, CPT, Compliance, Microsoft Publisher, Access, Pivot Tables, Cactus Database, CAQH, Outlook, Microsoft Office, Customer Service, Customer Satisfaction, Training, Employee Training, Data Entry, NPDB, Quick Learner, Detail-Oriented, Physician Relations, Healthcare Industry, Physicians, JCAHO

Education
Keiser University-Ft Lauderdale   2011 — 2015
Associate of Arts and Sciences (AAS), Allied Health Diagnostic, Intervention, and Treatment Professions

Everglades High School   2004 — 2008
High School Diploma

CURLINE DIXON CURLINE DIXON Miami/Fort Lauderdale Area Details
CURLINE DIXON's Sunshine State Health Plan Experience June 2014 - Present
Job RN Case Manager at Sunshine Health Plan
Industry Hospital & Health Care
Experience
Sunshine State Health Plan   June 2014 - Present
Magellan Complete Care  May 2013 - July 2014
Senior Health Partners Inc  June 2011 - January 2013
Hebrew Hospital Home Continuum of Care  April 2010 - June 2011

Skills
Home Care, Case Managment, Nursing, Healthcare Management, Medicaid, Managed Care, Healthcare, Hospitals, Utilization Management, Palliative Care, Patient Advocacy, Disease Management, Utilization Review, Inpatient, Acute Care, BLS, Case Management, EMR, Elder Care, HIPAA, Health Education, Healthcare Information..., Medical Case Management, Medical/Surgical, Medication..., Nursing Education, Wound Care, Medical-Surgical

Education
Kaplan University   2013 — 2015
MSN, Family Practice Nurse/Nursing

City University of New York-Herbert H. Lehman College   2010 — 2012
Bachelor of Science (BS), Registered Nursing/Registered Nurse, 3.39

Broward Community College   1997 — 1999
Associate of Science (A.S.), Registered Nursing/Registered Nurse, 2.9

Lindsey Hopkins Technical Education Center   1996 — 1997
LPN, Licensed Practical/Vocational Nurse Training

Marcia Evans Marcia Evans Greater Boston Area Details
Marcia Evans's Sunshine State Health Plan Experience May 2010 - May 2011
Job Procurement Representive
Industry Banking
Experience
State Street Bank  October 2015 - Present
Aquanima  July 2011 - July 2015
Sunshine State Health Plan   May 2010 - May 2011
HEALTH PLANS INC. (Subsidy of Harvard Pilgrim Health Care)   April 2009 - May 2010
Sunshine State Health Plan   June 2008 - November 2008
John Hancock Financial Services  March 1996 - March 2008

Skills
Customer Service, PowerPoint, Project Management, Microsoft Office, Management, Business Strategy, Team Leadership, Process Improvement, Strategic Planning, Analysis, Negotiation, Leadership, SAP, Business Analysis, Schedule Analysis, Logistics Management, Shortage Control, Procurement, Supply Chain, Inventory Analysis, Contract Negotiation, Contract Management, Licensing, International Logistics, Ariba

Education
Keiser University-Ft Lauderdale   2010 — 2014
Bachelor's Degree, Bachelor of Arts in Business Administration & Management

David Harrell David Harrell Jacksonville, Florida Area Details
David Harrell's Sunshine State Health Plan Experience April 2013 - October 2014
Job at
Industry Insurance
Experience
Availity LLC  March 2015 - Present
Sunshine State Health Plan   April 2013 - October 2014
BlueCross & BlueShield of Florida   September 2007 - April 2013
Blue Cross Blue Shield of Florida  2007 - 2013
Availity, LLC  November 2001 - August 2007

Skills
Healthcare Information..., Insurance, Leadership, Leadership Development, Account Management, Business Analysis, Business Development, Call Centers, Claim, Cross-functional Team..., EDI, HIPAA, Health Insurance, Healthcare, Managed Care, Management, Marketing, Medicaid, Medicare, Process Improvement, Project Management, SDLC, Vendor Management, Provider Relations, Team Building, Data Analysis, Visio

Education
Jacksonville University   1999 — 2002
Master of Business Administration (M.B.A.)

Nova Southeastern University
Bachelor of Science (B.S.), Professional Management

Beth Nunnally Beth Nunnally Tallahassee, Florida Area Details
Beth Nunnally's Sunshine State Health Plan Experience March 2013 - Present
Job Vice President, External Relations at Centene Corporation Sunshine State Health Plan
Industry Insurance
Experience
Sunshine State Health Plan   March 2013 - Present
Centene Corporation - Sunshine State Health Plan   April 2012 - April 2013
Private  October 2010 - May 2012
WellCare  November 2007 - September 2010
Centene Corporation  June 2006 - November 2007
Universal Health Care  2003 - 2005
WellCare of Florida   1999 - 2003

Skills
Provider Relations, Long-term Care, Hospitals, Medicaid, Network Development, Health Policy, Managed Care, Pharmacy Benefit..., Health Insurance, Healthcare Consulting, Insurance, EHR, Healthcare, Utilization Management, Disease Management, Quality Improvement, Medicare, Healthcare Information..., Healthcare Management, Healthcare Industry, Physician Relations, HMO, Medicare Part D, Credentialing, Business Development, HIPAA, Strategy, Physicians, Revenue Cycle, HEDIS, Medicaid Managed Care, Medical Coding

Education
Florida State University   1996 — 1999
BA, Communications, Art History, Theatre

Melissa Smallwood Melissa Smallwood Port Saint Lucie, Florida Details
Melissa Smallwood's Sunshine State Health Plan Experience June 2013 - October 2013
Job Case Manager, LTC for Sunshine Health
Industry Hospital & Health Care
Experience
Sunshine State Health Plan, Inc.   September 2015 - Present
Unity Recovery Group  March 2014 - September 2015
Melissasmallwood.com   June 2008 - September 2014
Centene Corporation  October 2013 - February 2014
Sunshine State Health Plan   June 2013 - October 2013
Julia Manor Health Care Center   March 2012 - May 2013
Young Life  October 2009 - April 2013
Organized Life by Design   January 2007 - May 2009
Genesis Healthcare, Canterbury Center   September 2005 - March 2007
Genesis Healthcare, Canterbury Center   June 2002 - September 2005

Skills
organization, leadership, Writing, Coaching, Leadership, Organization, Non-profits, Marketing, Motivational Speaking, Public Speaking, Blogging, Public Relations, Management, Marketing Communications, Nonprofits, Entrepreneurship, Social Media Marketing, Social Networking, Fundraising, Advertising, Social Media, Community Outreach, Editing, Event Planning

Education
Walden University   2015 — 2017
Master of Science (MS), Marriage and Family Therapy/Counseling

Ashford University   2010 — 2011
BA, Psychology

Jacqueline Seaton Jacqueline Seaton Tampa, Florida Details
Jacqueline Seaton's Sunshine State Health Plan Experience May 2014 - Present
Job Supervisor, Case Management LTC at Sunshine State Health Plan
Industry Hospital & Health Care
Experience
Sunshine State Health Plan   May 2014 - Present
Hope HealthCare Services  September 2012 - April 2014
Hope HealthCare Services  September 2010 - August 2012

Skills
Social Services, Psychotherapy, Mental Health, Home Care, Case Managment, Crisis Intervention, Case Management, Adolescents, Long-term Care, Elder Care, Managed Care, Healthcare Management, Patient Advocacy, End of Life, Community Outreach, Nonprofits, Public Speaking

Education
Adelphi University   2001 — 2005
MSW, Social Work

Mayra Judit Infanzon-Santana Mayra Judit Infanzon-Santana Miami, Florida Details
Mayra Judit Infanzon-Santana's Sunshine State Health Plan Experience May 2013 - Present
Job Director, Long Term Care and Support Services
Industry Insurance
Experience
Centene Corporation  April 2015 - Present
Sunshine State Health Plan   May 2013 - Present
Independent Living System   August 2012 - May 2013
Hope HealthCare Services  February 2011 - July 2012
American Eldercare  March 2004 - October 2010

Skills
Managed Care, Long-term Care, Medicaid, Medicare, Case Managment, HIPAA, Hospitals, Elder Care, Health Insurance, JCAHO, Disease Management, Case Management, Healthcare, Healthcare Consulting, Healthcare Information..., Healthcare Management, Home Care, Utilization Management

Education
Barry University   2000 — 2001
Master's degree, Social Work

Florida International University   1995 — 1998
Bachelor's degree, Social Work

Lorie Harris Lorie Harris Fort Lauderdale, Florida Details
Lorie Harris's Sunshine State Health Plan Experience November 2012 - January 2014
Job Director, Grievance and Appeals at EmblemHealth Administrators, an EmblemHealth company
Industry Insurance
Experience
EmblemHealth Administrators, an EmblemHealth company   August 2014 - Present
Sunshine State Health Plan   November 2012 - January 2014
Protiviti  June 2012 - November 2012
Health Insurance Plan Administrators, an EmblemHealth company   January 2009 - July 2011
Health Insurance Plan Administrators, an EmblemHealth company   November 2006 - January 2009
Health Insurance Plan Administrators, an EmblemHealth company   May 2001 - November 2006

Skills
Medicare, Health Insurance, Medicaid, Managed Care, Process Improvement, Insurance, Healthcare, Claim, HIPAA, Business Analysis, Healthcare Management, Quality Assurance, Change Management, Microsoft Excel, Microsoft Word, PowerPoint, Strategic Planning, User Acceptance Testing, Visio, SharePoint, Access, PeopleSoft, Hyperion Enterprise, Crystal Reports, Enterprise eTime, Healthcare Industry, Business Process..., Risk Management, Data Analysis, Analysis, Healthcare Consulting

Education
Nova Southeastern University
Master of Business Administration (M.B.A.)

Florida International University - College of Business Administration
Bachelor, Finance

Broward Community College
Associate of Arts, Information Technology

Laura Bernstein Laura Bernstein Miami/Fort Lauderdale Area Details
Laura Bernstein's Sunshine State Health Plan Experience March 2012 - June 2013
Job Clinical Resource Specialist at Sunshine Health Long Term Care
Industry Hospital & Health Care
Experience
Sunshine State Health Plan - Long Term Care Program   June 2013 - Present
Sunshine State Health Plan   March 2012 - June 2013
Camp Jenny   May 2006 - May 2013
Universal American Corporation - Today's Options   July 2008 - January 2012
Jewish Family Home Care   June 2004 - July 2008
URJ-Kutz   January 1996 - January 2005
North Broward Hospital District  January 1990 - June 1992
Comprehensive American Care, Inc   July 1986 - September 1989
CIGNA Healthplan  June 1985 - July 1986
Miami Children's Hospital  June 1982 - September 1985

Skills
Healthcare, Nursing

Education
Excelsior College   2011 — 2015
Masters in Nursing, Informatics, Current GPA: 4.0

Broward College   2012 — 2012
Practice Workflow & Information Management Redesign Specialist, HITECH Workforce Program

Florida International UniversityNorth   1985 — 1987
Masters, Health Services Administration

University of Connecticut   1978 — 1982
BSN, Nursing

On line Home Mod

On line Home Mod

University of Southern California

University of Southern California

Maria Jam-Crease Maria Jam-Crease Miami/Fort Lauderdale Area Details
Maria Jam-Crease's Sunshine State Health Plan Experience February 2009 - September 2014
Job VP Medical Management at Sunshine State Health Plan
Industry Hospital & Health Care
Experience
Univita Health Inc  2014 - 2015
Univita Health Inc  2014 - 2015
Sunshine State Health Plan   February 2009 - September 2014
Access Health Solutions   September 1999 - February 2009
Foundation Health  1995 - 1999

Skills
Medicaid, Medicare, Managed Care, Healthcare Management, Healthcare, HIPAA, Healthcare Information..., Hospitals, Healthcare Consulting, Healthcare Industry, EMR, Health Insurance, EHR, Revenue Cycle, Process Improvement, Physician Relations, Disease Management, Utilization Management, Home Care, Physicians, Informatics, Health Policy, Nursing, Quality Improvement, Credentialing, Practice Management, Performance Improvement

Education
Barry University   1985 — 1989
BSN, Nursing

Emmanuella Byssainthe Emmanuella Byssainthe Fort Lauderdale, Florida Details
Emmanuella Byssainthe's Sunshine State Health Plan Experience November 2011 - August 2012
Job Director of Medical Records/HIM at Deerfield Beach Health and Rehab
Industry Hospital & Health Care
Experience
Deerfield Beach Health and Rehab   December 2014 - Present
Team Health  August 2012 - December 2014
Sunshine State Health Plan   November 2011 - August 2012
UniHealth Select   January 2008 - August 2010

Skills
Medicare, HIPAA, Healthcare Management, Insurance, Employee Benefits, CPT, Managed Care, Health Insurance, Healthcare, Data Entry, Provider Relations, HCPCS, Commercial Insurance, HMO, Medical Terminology, ICD-9, Medical Billing, Social Skills, Knowledge of Medical..., Interpersonal Skills, Team Leadership, Microsoft Office, Attention To Detail, Able To Multi-task, PPO, Workers Compensation, Billing, Claims, Compliance, Problem Solving, Detail Oriented, Strategic Planning, Skilled Multi-tasker

Education
Herzing University-Atlanta   2007 — 2009
Bachelor of Science, Health Care Administration

Georgia Perimeter College   2004 — 2006

Jeff Rosnick Jeff Rosnick Miami/Fort Lauderdale Area Details
Jeff Rosnick's Sunshine State Health Plan Experience February 2008 - November 2009
Job Director of Hospital Contracting at Prestige Health Choice
Industry Hospital & Health Care
Experience
Jeffrey Rosnick - Consultant   September 2013 - Present
Prestige Health Choice  April 2010 - August 2013
Sunshine State Health Plan   February 2008 - November 2009
Freedom Health, Inc   April 2006 - February 2008
United Healthcare  November 2005 - March 2006
United Health Care  November 2005 - February 2006
Humana, Inc  April 2004 - November 2005

Skills
Hospital, Physician, &..., Medicaid, Medicare, Healthcare Industry, HMO, PPO, Physicians, Hospitals, Claims Resolution, Hospital Contracting, Management, Provider Education, Managed Care

Education
Florida International University
M.S., Health Care Management

Florida International University
M.S, Health Care Management/Administration

Mt. Sinai School of Nuclear Medicine Technology
N.M.T

Tulane University
B.A.

Ira Protas Ira Protas Miami/Fort Lauderdale Area Details
Ira Protas's Sunshine State Health Plan Experience October 2011 - May 2012
Job DirectorBenefit Integrity at EnvisionRxOptions
Industry Hospital & Health Care
Experience
EnvisionRxOptions  May 2013 - Present
..   May 2012 - June 2013
Sunshine State Health Plan   October 2011 - May 2012
PharMerica  January 2011 - October 2011
CHEMRX  February 2007 - February 2011

Skills
Pharmacy Automation, Pharmacists, Medication Therapy..., Managed Care, Hospitals, Healthcare, Healthcare Management, Long-term Care, Pharmacy Benefit..., Home Infusion, Pharmacy, Medicare Part D, Medicare, Diabetes, Pharmaceutical Industry, Home Care, Medication Adherence, Medicaid, Healthcare Industry, Oncology

Education
Saint John's University   1987 — 1990
B.Pharm

State University of New York College at Fredonia   1980 — 1984
BS

Marianna Acevedo Marianna Acevedo Miami/Fort Lauderdale Area Details
Marianna Acevedo's Sunshine State Health Plan Experience June 2009 - September 2013
Job Appeals & Grievance Manager
Industry Health, Wellness and Fitness
Experience
MCNA Dental: Managed Care of North America  September 2013 - Present
Sunshine State Health Plan   June 2009 - September 2013
CareGuide  1997 - 2008
City of Coral Springs, FL   1992 - 1997

Skills
Executive Management, Managed Care, Administrative..., Medicare, Health Policy, Customer Service, Human Resources, Leadership, Disease Management, Contract Negotiation, Microsoft Office, Healthcare, Microsoft Excel, Management, Project Management, Employee Benefits, Team Building, Business Planning, Strategy, Process Improvement, Medicaid, Insurance, Administrative...

Education
Fordham University   1988 — 1992
BA

Jonathan Hu Jonathan Hu Jacksonville, Florida Area Details
Jonathan Hu's Sunshine State Health Plan Experience June 2009 - July 2011
Job COO/VP of Network Development at NewCare of Florida, LLC
Industry Insurance
Experience
NewCare of Florida, LLC   August 2012 - Present
Sunshine State Health Plan   June 2009 - July 2011
Access Health Solutions   2001 - 2008

Skills
Business Analysis, Change Management, Network Development, Risk Management, Process Improvement, Business Process..., Business Transformation, Contract Negotiation, Governance, HIPAA, Health Insurance, Healthcare, Healthcare Information..., IT Strategy, Insurance, Medicare, Managed Care, Provider Relations, Vendor Management, Strategic Planning, Healthcare Consulting

Education
Jacksonville University

Rosella Villanueva Rosella Villanueva Miami/Fort Lauderdale Area Details
Rosella Villanueva's Sunshine State Health Plan Experience April 2013 - Present
Job Supervisor of prior authorizations at Sunshine state health plan
Industry Hospital & Health Care
Experience
Sunshine state health plan   April 2013 - Present
Home Health & Hospice Care  July 2009 - April 2013
Strategic Health Dev Corp   July 2003 - April 2009

Skills
Nursing, BLS, Home Care, Wound Care, Hospitals, Healthcare, Healthcare Management, Patient Advocacy, Cpr Certified, Clinical Research, Case Managment, Registered Nurses, Healthcare Information..., Treatment, Medicare, Managed Care, Medical/Surgical

Education
Humber College   1980 — 1982
Nursing diploma

Thomas L. kennedy high school   1975 — 1980
Academic

Kathy Rupp Kathy Rupp Boca Raton, Florida Details
Kathy Rupp's Sunshine State Health Plan Experience March 2009 - Present
Job Manager of Provider Relations, Long Term Care at Sunshine State Health Plan, (subsidiary of Centene)
Industry Insurance
Experience
Sunshine State Health Plan, (subsidiary of Centene)   March 2013 - Present
Sunshine State Health Plan   March 2009 - Present
Amerigroup Corporation  March 2007 - March 2009
CarePlus Health Plan  April 2004 - February 2007
Amerigroup Corporation  March 2003 - March 2004

Skills
Medicare, Managed Care, Medicaid Managed Care, HMO, People Skills, Microsoft Office, Contract Negotiation, Social Networking, Credentialing, Long-term Care

Education
Palm Beach Atlantic University
Bachelor's degree, Human Resources Management and Services

Barry Schwartzman Barry Schwartzman Miami, Florida Details
Barry Schwartzman's Sunshine State Health Plan Experience January 2009 - December 2011
Job Hospital & Health Care Professional
Industry Hospital & Health Care
Experience
Sunshine State Halth Plan   2009 - 2012
Sunshine State Health Plan   January 2009 - December 2011
Access Health Solutions (acquired by Sunshine State Health Plan)   March 2005 - December 2008
MMI Consultants, Inc.   January 2004 - March 2005
Humana Health Plans  April 2000 - January 2004

Skills
Healthcare Management, Non-profits, Healthcare, Managed Care, Policy, Nonprofits, Management, Project Management, HIPAA, Healthcare Information..., Process Improvement, EMR, Medicaid, Public Speaking, Team Building

Education
University of South Florida   1972 — 1978
MBA

Janna Sundook Janna Sundook Greater Boston Area Details
Janna Sundook's Sunshine State Health Plan Experience
Job Care Manager at Sunshine State Health Plan
Industry Insurance
Experience
Sunshine State Health Plan  

Skills
Healthcare, Medicare, Managed Care, Healthcare Management, Case Management, Utilization Management, Nursing, Medicaid, Disease Management, Hospitals, Home Care, Health Insurance, Long-term Care, HIPAA, Mental Health

Education
Florida Atlantic University

natalie grissett natalie grissett Jacksonville, Florida Details
natalie grissett's Sunshine State Health Plan Experience December 2013 - Present
Job Case Management Supervisor at Sunshine State Health Plan
Industry Hospital & Health Care
Experience
Sunshine State Health Plan   December 2013 - Present
Florida Department of Veteran Affairs   March 2011 - December 2013

Education
Bethune-Cookman University   1996 — 2001
Bachelor of Science (B.S.), Gerontology, 3.25