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Sunshine Health Jobs (NOW HIRING)

BAS Healthcare

Internal Medicine Physician

Hesperia, CA

$270K - $290K/yr

... sunshine. Healthcare Organization: Established, physician-friendly multi-site primary care group with 10 outpatient locations throughout Southern California. The organization is known for its ...

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All JobsSunshine Health Jobs

Sunshine Health information

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$9

$24

$54

How much do sunshine health jobs pay per hour?

As of Jun 8, 2026, the average hourly pay for sunshine health in the United States is $24.87, according to ZipRecruiter salary data. Most workers in this role earn between $14.42 and $31.01 per hour, depending on experience, location, and employer.

What are some common challenges faced by employees working at Sunshine Health, and how are they addressed?

Employees at Sunshine Health often navigate challenges such as managing a diverse caseload, adapting to regulatory changes in healthcare, and collaborating with multidisciplinary teams across remote and on-site settings. To address these, Sunshine Health provides comprehensive training, fosters a supportive team environment, and utilizes technology platforms to streamline communication and documentation. Additionally, the company encourages ongoing professional development and offers mentorship programs to help staff overcome obstacles and advance in their careers.

What is the difference between Sunshine Health vs Medicaid Specialist?

AspectSunshine HealthMedicaid Specialist
CredentialsVaries by role, often requires healthcare or insurance knowledgeTypically requires knowledge of Medicaid policies, certifications may be preferred
Work EnvironmentHealthcare provider offices, insurance companies, call centersGovernment agencies, insurance companies, healthcare organizations
Employer & IndustryPrivate healthcare plans, insurance providersState Medicaid agencies, healthcare organizations
Common Search & ComparisonSunshine Health vs Medicaid Specialist

Sunshine Health is a healthcare insurance provider offering managed care plans, while a Medicaid Specialist focuses on assisting clients with Medicaid enrollment and benefits. Although both roles involve healthcare and insurance, Sunshine Health operates as a provider, whereas a Medicaid Specialist works within or for government agencies or organizations to support Medicaid recipients.

What are the key skills and qualifications needed to thrive as a Health Insurance Specialist at Sunshine Health, and why are they important?

To excel as a Health Insurance Specialist at Sunshine Health, you generally need a background in healthcare administration, insurance policies, and knowledge of regulatory guidelines, often supported by a degree in health administration or a related field. Familiarity with claims management systems, electronic health records (EHR), and billing software is typically required, along with certifications such as Certified Professional Coder (CPC) or Certified Medical Reimbursement Specialist (CMRS). Strong attention to detail, problem-solving abilities, and effective communication skills help resolve claims issues and assist members efficiently. These competencies ensure accurate claims processing, regulatory compliance, and high-quality service for members.

What is Sunshine Health and what services does it provide?

Sunshine Health is a managed care organization that offers health insurance plans to individuals and families, primarily in Florida. They provide Medicaid, Medicare, and Marketplace plans, helping members access a wide range of healthcare services such as doctor visits, hospital care, prescription drugs, and preventive care. Sunshine Health also offers care coordination, assistance with finding providers, and support for managing chronic conditions. Their goal is to improve health outcomes and make healthcare accessible to their members.
More about Sunshine Health jobs
What cities are hiring for Sunshine Health jobs? Cities with the most Sunshine Health job openings:
What states have the most Sunshine Health jobs? States with the most job openings for Sunshine Health jobs include:
What job categories do people searching Sunshine Health jobs look for? The top searched job categories for Sunshine Health jobs are:
Sunshine Health jobs near you
Infographic showing various Sunshine Health job openings in the United States as of May 2026, with employment types broken down into 2% As Needed, 79% Full Time, and 19% Part Time. Highlights an 97% Physical, 2% Hybrid, and 1% Remote job distribution, with an average salary of $51,732 per year, or $24.9 per hour.
Claims Specialist

Claims Specialist

Little Havana Activities and Nutrition Centers of Dade County

Miami, FL • On-site

Full-time

Medical, Dental, Vision, PTO

Posted 8 days ago

Job description

List of Duties / Position Description:

1. Reviews paper and electronic claims for Medicaid/Long-Term Care services rendered to participants enrolled with Sunshine Health Plan who are assigned to Little Havana.

2. Arranges and provides training to providers on how to bill using our Provider Claims Portal.

3. Solves issues encountered by providers while processing claims in person, by email or telephonically through our established Provider Hotline.

4. Provides support to providers who need assistance with Electronic Visit Verification (EVV) related issues.

5. Maintains quality customer service by following good customer service practices and responding to customer inquiries in a timely and professional manner.

6. Reviews claims and checks status of inquiries and adjustments.

7. Protects operations by keeping claims information confidential.

8. Performs data entry and filing.

9. Performs other duties as assigned.

Minimum Requirements:

1. High School Diploma or equivalent.

2. Minimum of 2 years’ experience in a similar position.

3. Excellent customer service skills.

4. Strong analytical and organization skills.

5. Good interpersonal and communication skills.

6. Must be bilingual (English/Spanish).

Company Description

Join Little Havana Activities and Nutrition Centers of Dade County, Inc. (LHANC)
Little Havana Activities and Nutrition Centers of Dade County, Inc. (LHANC) is a tax-exempt, charitable non-profit organization dedicated to serving socially isolated and economically disadvantaged seniors throughout South Florida.
At LHANC, we are driven by a strong commitment to service, integrity, and compassion. Our mission is to provide a wide range of social, nutritional, and health-related services that support low-income, frail, and isolated older adults. Through targeted funding and community partnerships, we help seniors maintain their independence, continue living safely at home, and avoid premature and costly institutionalization.
Our programs are designed to meet the growing needs of the elderly population and are delivered with dignity, respect, and sensitivity. LHANC is funded through government grants and private donations and is a licensed TPA vendor for Sunshine Health.