Sunshine State Health Plan
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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.
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
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
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
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
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
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
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
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