URGENTLY HIRING! MUST HAVE: Grievance & Appeals experience

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100% Remote (CA, AZ, NV or TX)

$24/hr | 5-Month Contract

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MUST HAVE:

• 2+ years of Grievance & Appeals experience
• Healthcare, Health Plan, or Managed Care experience
• Medicare or Medicare Advantage experience strongly preferred
• Claims experience
• Knowledge of Medical Terminology
• Experience working within regulatory and compliance guidelines

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Responsibilities:

• Investigate member grievances and appeals
• Gather documentation from providers, vendors, and internal departments
• Review claims-related issues and supporting records
• Track and manage case inventories to ensure regulatory deadlines are met
• Communicate with members and providers regarding case status and information requests
• Prepare case files and maintain detailed documentation
• Ensure compliance with Medicare and health plan regulations
• Coordinate with clinical teams and leadership as needed

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Preferred Experience:

• Medicare Advantage
• Managed Care
• Health Plans
• Grievance & Appeals Operations
• Claims Processing
• Case Management

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Preferred Systems:

• QNXT
• MHK
• IKA
• Microsoft Office Suite (Excel, Outlook, Teams, Word)

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Target Job Titles:

• Grievance & Appeals Coordinator
• Appeals Coordinator
• Appeals Specialist
• Grievance Specialist
• Medicare Appeals Specialist
• Claims Appeals Specialist
• Appeals Analyst
• Claims Representative
• Claims Examiner

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Ideal Candidate:

Must have hands-on experience handling grievances and appeals within a health plan, managed care, or Medicare Advantage environment. Candidates with only customer service, medical billing, or general claims backgrounds without appeals experience will not be considered.

Apply if you have experience managing appeals, grievances, claims investigations, and regulatory timelines in a healthcare setting.

Job Type & Location

This is a Contract position based out of Long Beach, CA.

Pay and Benefits

The pay range for this position is $24.00 - $24.00/hr.

Individual compensation offered for this position within this range will depend on many factors, including qualifications, skills, relevant experience, job knowledge, geographic location, internal equity, and other pertinent job-related factors.

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 Oct 8, 2026.

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

Were 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. Were 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. Were strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. Were 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.

San Francisco Fair Chance Ordinance: Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in the city and county of San Francisco, we will consider for employment qualified applicants with arrest and conviction records.

Massachusetts Lie Detector: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

Use of Artificial Intelligence (AI): We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates. AI helps assess applications and qualifications, but final decisions are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools.