New

Member Services Representative

TEKsystems
$26.00 / hr
life insurance, sick time, 401(k), retirement plan
United States, California, Santa Barbara
Feb 17, 2026
Job Title: Member Services Representative / Care Coordination Support (Entry Level) Job Summary The Member Services Representative supports MediCal members by identifying, triaging, and resolving continuityofcare needs. This role assists members with provider selection, authorizations, benefits education, and coordination of care across multiple healthcare partners. The position also supports digital and webbased member inquiries and collaborates closely with internal teams to ensure a positive member experience. Key Responsibilities * Identify, triage, and transition continuityofcare issues to ensure members receive uninterrupted healthcare services * Assist members with selecting Primary Care Providers (PCPs) and explain available programs, benefits, and covered services * Coordinate care between the health plan and internal/external partners, including: * Network and nonnetwork providers * Radiology Benefit Managers (RBM) * Specialty Pharmacy * Durable Medical Equipment (DME) vendors * Tertiary care facilities and centers of excellence (e.g., UCLA and similar institutions) * Support authorization processing, including Treatment Authorization Requests (TARs), and assist with eligibility and claimrelated inquiries * Research, document, and resolve issues related to other health coverage, notifying Recoveries and DSS as appropriate * Provide guidance to members on using the online member portal, including account access, available tools, and general navigation * Respond to and assist with member web inquiries in collaboration with the Call Center management team * Accurately document all member interactions using designated calltracking and casemanagement systems * Maintain confidentiality and comply with HIPAA and organizational policies at all times Required Skills * Strong customer service and call center support skills * Working knowledge of MediCal programs and healthcare terminology * Proficiency with Microsoft Office (Outlook, Word, Excel) * Ability to navigate multiple systems simultaneously while on calls * Clear verbal and written communication skills * Attention to detail and accurate data entry Top Skills * Microsoft Office * Customer Service * MediCal * Medical Terminology * Call Center Operations Systems & Tools (Training Provided) Candidates must be comfortable learning and navigating multiple systems, including: * Eligibility systems and subscreens * MEDSLite and CalSAWS * Authorization Processing (TAR) * Adjudication and Claim Search * Problem Claim Check * RBM platforms * Provider systems * HIS Call Tracking System * Member Grievance (COG) * Cisco Agent Desktop * Standard reporting tools and procedures Job Type & LocationThis is a Contract position based out of Santa Barbara, CA. Pay and BenefitsThe pay range for this position is $26.00 - $26.00/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 TypeThis is a hybrid position in Santa Barbara,CA. Application DeadlineThis position is anticipated to close on Mar 2, 2026. h4>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. About TEKsystems and TEKsystems Global Services We're a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We're a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We're strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We're building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com. The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.