Join our client's team as a Grievance & Appeals Coordinator I and dive into the heart of managed healthcare operations. This role offers the chance to directly impact patient and provider satisfaction by resolving their grievances and appeals efficiently.

Position Details:

• Job Title: Grievance & Appeals Coordinator I

• Location: Remote (Los Angeles, CA, 91367)

• Pay Rate: $20.00/hr

• Contract Length: 39 weeks

• Placement Type: Contract

Key Responsibilities:

• Analyze and resolve verbal and written claims and authorization appeals from providers.

• Pursue resolution of formal grievances from members.

• Prepare response letters for complaints, grievances, and appeals.

• Maintain accurate files on individual appeals and grievances.

• Coordinate the Grievance and Appeals Committee activities.

• Support data entry, tracking, and research for HEDIS and pay-for-performance programs.

Position Highlights:

• 100% remote work flexibility.

• Comprehensive benefits package including medical, dental, vision, and 401(k).

• Opportunities for professional growth in a supportive and flexible team environment.

Required Skills & Qualifications:

• High school diploma or equivalent required; Associate's degree preferred.

• Minimum of 2 years in grievance or appeals, claims handling, or related managed care experience.

• Proficiency in Medicaid regulations and guidelines.

• Strong communication skills for creating provider correspondences and handling outreach.

• Ability to meet strict deadlines and maintain high-quality standards.

Next Steps:

To apply, please submit your resume through our application portal. Expect feedback within three business days if you meet the required qualifications. We look forward to your application and potentially welcoming you to our team!

Pay and Benefits

The pay range for this position is $20.00 - $20.00/hr.

Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: • Medical, dental & vision• Critical Illness, Accident, and Hospital• 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available• Life Insurance (Voluntary Life & AD&D for the employee and dependents)• Short and long-term disability• Health Spending Account (HSA)• Transportation benefits• Employee Assistance Program• Time Off/Leave (PTO, Vacation or Sick Leave)

Workplace Type

This is a fully remote position.

Application Deadline

This position is anticipated to close on Mar 12, 2025.

About TEKsystems:

We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.