Health Services Coordinator

TEKsystems • Fairfield, CA

3d • Onsite

About The Position

Join our Enhanced Health Services (EHS) team, where you’ll play a key role in supporting members with complex medical, behavioral, and social needs. Our department is dedicated to delivering whole-person, coordinated care by connecting clinical services with community-based resources. If you enjoy working in a detail-oriented environment, collaborating across teams, and making a real impact in people’s lives, this role is a great fit.

Requirements

• Ability to interpret and apply regulatory guidelines to daily operations
• Strong attention to detail with the ability to identify gaps or inconsistencies in TARs, referrals, and reports
• Experience responding to Compliance or Regulatory inquiries with accuracy and clarity
• Ability to identify missing documentation or misaligned service requests and take appropriate action
• Strong organization, communication, and problem-solving skills

Responsibilities

• Reviewing and validating Treatment Authorization Requests (TARs) for approval
• Processing referrals and routing them to appropriate providers based on service needs and Medi-Cal counties
• Generating and maintaining reports to meet DHCS (Department of Health Care Services) requirements
• Researching and providing documentation for internal teams such as Regulatory Affairs and Compliance
• Supporting coordination efforts that address both clinical and non-clinical needs (housing, nutrition, transportation, etc.)

Benefits

• 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)

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed