New

Member Services Representative - Hybrid Schedule

TEKsystems
$26.00 / hr
life insurance, sick time, 401(k), retirement plan
United States, California, Santa Barbara
Feb 07, 2026
Position: Member Services Care Coordinator Experience Level: Entry Level Location: Hybrid -Santa Barbara - can live in SLO, Santa Barbara or Ventura County Employment Type: Full-time Description We are seeking a compassionate, detailoriented Member Services Care Coordinator to support members with continuity of care, benefit navigation, provider coordination, and healthcare system guidance. In this role, you will assist with PCP selection, referrals, authorizations, and help members navigate MediCal and other available programs. You will also work closely with internal departments, providers, and community organizations to ensure members receive timely, highquality support. Responsibilities * Identify, triage, and transition continuityofcare issues while assisting members with Primary Care Provider (PCP) selection, benefit explanation, and program referrals. * Assist members in coordinating healthcare services between the health plan, network providers, RBM, specialty pharmacies, DME vendors, and tertiary care centers such as UCLA and other Centers of Excellence. * Support members with issues related to other health coverage, including researching coverage changes, documenting updates, and notifying the Recoveries and DSS teams as needed. * Provide member portal guidance, including explaining available tools, helping with navigation, and answering accountrelated questions. * Assist Call Center leadership by responding to member web inquiries and ensuring timely, accurate resolutions. Top Skills * Microsoft Office * Customer service * MediCal knowledge * Medical terminology * Call center operations * Patient services * Prior authorization support * Eligibility verification Additional Skills & Qualifications Must be able to navigate and understand the following systems/screens: * Eligibility (and nine subscreens) * MEDSLite & CalSAWS * Adjudication * Member Grievance - COG * HIS - Call Tracking System * Provider screens * Cisco Agent Desktop * RBM * Authorization Processing (TAR) * Claim Search * Problem Claim Check * Standard Reports * Procedure screens Ideal Candidate * Strong verbal and written communication skills * Customerfocused and compassionate * Ability to manage multiple systems at once * Comfortable with fastpaced call center environments * Strong attention to detail and problemsolving * A passion for helping members navigate their healthcare benefits Job Type & Location This is a Contract to Hire 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 Feb 21, 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.