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Sunshine State Health Plan

60 Sunshine State Health Plan Jobs Hiring Near You

International Association of Insurance Professionals (IAIP)

$44 - $94/hr

At CVS Health ® , you'll be surrounded by passionate colleagues who care deeply, innovate with ... Possesses and demonstrates knowledge of CMS, contractual, accreditation, federal, state, and ...

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HMSA

Health Plan Specialist - Hilo

Hilo, HI · On-site

$17.25 - $23/hr

Use every customer interaction to move the customer along the health continuum in furtherance of ... state, and HMSA compliance requirements. * Provide input and feedback on corporate policies ...

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Sunshine State Health Plan Jobs Information

What is it like to work at Sunshine State Health Plan?

Sunshine State Health Plan is a mission-driven organization that prioritizes collaboration and teamwork, fostering a supportive environment where employees can work together to improve the health and well-being of its members.

The company's team structure is designed to promote open communication and cross-functional collaboration, with various departments working together to achieve its goals. The work environment is dynamic, with opportunities for professional growth and development, and a focus on delivering high-quality services to its members.

Working at Sunshine State Health Plan may appeal to individuals who are passionate about healthcare and committed to making a positive impact in their community, as the company offers a range of career opportunities in a supportive and inclusive work environment.

What makes Sunshine State Health Plan an attractive place to work?

Sunshine State Health Plan is a leading health maintenance organization in Florida, dedicated to providing high-quality healthcare services to its members. The company offers a dynamic work environment that values collaboration, innovation, and employee growth, with opportunities for professional development and advancement in a stable and supportive setting. By joining Sunshine State Health Plan, individuals can contribute to the organization's mission of improving the health and well-being of its members, while also advancing their own careers in a rewarding and challenging industry.
Infographic showing various job openings at Sunshine State Health Plan in the United States as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution.

Health Plan Specialist - Hilo

Hawaii Medical Service Association

Hilo, HI • On-site

$15.50 - $20.50/hr

Full-time

Medical

Re-posted 15 days ago

Job description

  1. CUSTOMER EXPERIENCE
    • Provide all customers with an exceptional customer-focused and positive HMSA Center experience. Ensure that the experience meets the customer's needs and exceeds their expectations. Communicate and promote HMSA's brand message and commitment to service excellence.
    • Build enduring relationships with HMSA's customers/members and other consumers by becoming their personal trusted advisor, and by effectively delivering on commitments.
    • Understand the full suite of products and services offered. Seek to understand the customer's needs; analyze and identify the root causes; propose solutions that meet the customer's specific needs, issues, and problems. Gain acceptance to proceed with an option or solution. Resolve customer issues and/or close sales opportunities.
    • Use every customer interaction to move the customer along the health continuum in furtherance of HMSA's vision.
    • Analyze new customer's needs. Conduct product comparisons to determine eligibility, and identify the best product solutions, including benefits, features, company services, and operation processes and how they specifically benefit the customer. Effectively communicate, educate and sell these options to the customer.
    • Create a friendly service experience for anyone with questions regarding health care, health insurance (benefits, claims, premiums, payments and enrollment) or other related topics. Use broad product and service knowledge to educate and answer customer questions in a way that is simple and easy to understand.
    • Use web-based tools and other aids to educate customers on how to effectively use HMSA resources, including healthcare and cost information tools.
    • Using language that is customer friendly, provide guidance and education to customers/members and other consumers on changes in the healthcare industry (e.g. ACA) and how it affects them.
    • Support and deliver on the HMSA Center's overall sales, service, membership, and customer-satisfaction goals.
    • Ensure customers understand their current products, benefits, tools and how to use them effectively.
    • Service phone inquiries as needed.
    • Ensure the cleanliness and professional appearance of the common areas in the HMSA Center.
    • Refill and stock collateral.
    • Refill and stock refreshment station.
  2. GREETING
    • Create a warm and welcoming atmosphere for HMSA Center customers.
    • Warmly greet customers entering and the HMSA Center and thank them as they leave.
    • Ask questions to uncover the customer's problem.
    • Identify and confirm understanding of the problem.
    • Assess the problem and resolve if possible.
    • As the single point person, use good judgment to guide the customer, throughout the HMSA Center experience and create an exceptional warm referral experience to management or to a subject matter expert when appropriate.
  3. TRAINING
    • Meet ongoing training requirements and keep current on product and service knowledge.
    • Understand the drivers and trends within HMSA and the healthcare industry that affect HMSA's consumers and shape their buying decisions. Be aware of competitive activities and opportunities.
    • Assist and train customers on use of the self-service tools available such as the self-service kiosk or self-service payment center.
  4. STANDARDS AND COMPLIANCE
    • Comply with operational (e.g. operational playbook); service standards (e.g. consumer experience); and all federal, state, and HMSA compliance requirements.
    • Provide input and feedback on corporate policies, processes and procedures, marketing collateral and campaigns to HMSA Center Manager.
  5. Performs all other miscellaneous responsibilities and duties as assigned or directed.
  1. Associate's degree and two years of related experience, or anequivalent combination of education and experience.
  2. Excellent verbal and written communication skills.
  3. Basic knowledge of Microsoft Office applications. Including but not limited to Word, Excel, PowerPoint, and Outlook.
  4. Active license with the state of Hawaii Department of Commerce and Consumer Affairs OR pass all four sections of the state licensing examination within three months of hire date.
    • Having an active license to sell Health, Life and Group Insurance products in the state of Hawaii is a condition of employment.

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