New

Healthcare Compliance Review Specialist

TEKsystems
$40.00 - $43.00 / hr
life insurance, sick time, 401(k), retirement plan
United States, California, Fairfield
Jul 29, 2026
Healthcare Compliance Review Specialist Remote (Training Onsite in Fairfield, CA for First 30 Days) Are you a detail-oriented professional who enjoys reviewing documentation, solving problems, and helping ensure fair and equitable access to healthcare services? We are seeking a Healthcare Compliance Review Specialist to join a respected healthcare organization committed to diversity, inclusion, and health equity. This is a fully remote opportunity following a 30-day onsite training period in Fairfield, CA, where you'll gain the knowledge and support needed to succeed in the role. What You'll Do As a Healthcare Compliance Review Specialist, you'll play a key role in reviewing member grievances and appeals, ensuring compliance with regulatory requirements, and helping promote culturally and linguistically appropriate healthcare services. Responsibilities include: * Review member grievances and appeals to ensure compliance with company policies and regulatory requirements * Investigate and analyze cases, including discrimination-related concerns, and help identify appropriate resolutions * Review documentation and incoming member files for accuracy and completeness * Evaluate the cultural and linguistic competency of subcontractors and recommend improvements where needed * Monitor accreditation, contractual, legal, and regulatory requirements related to cultural and linguistic services * Collaborate with internal teams to resolve member concerns in a timely manner * Support health equity initiatives aimed at improving healthcare access and outcomes for diverse populations * Maintain department records and files for auditing purposes * Assist with training initiatives designed to promote cultural sensitivity and effective communication * Perform data entry and other administrative responsibilities as needed What We're Looking For We're looking for someone who thrives in an independent work environment and has strong analytical and organizational skills. Ideal candidates may have experience in: * Appeals and grievances * Compliance * Case review * Auditing * Administrative support * Quality assurance or documentation review Preferred Qualifications * Strong written and verbal communication skills * Excellent attention to detail and organizational abilities * Critical thinking and problem-solving skills * Experience reviewing documents, policies, or case files * Ability to work effectively with diverse populations and individuals from varying backgrounds * Healthcare industry experience is preferred, but not required Schedule Training Period: First 30 days onsite in Fairfield, CA After Training: Fully Remote Hours: Monday - Friday, 8:00 AM - 5:00 PM Interview Process To move forward in the hiring process, candidates will complete: * Typing Assessment (35-40 WPM required) * Critical Thinking Assessment Qualified candidates who successfully complete both assessments will be invited to the interview stage. If you're a strong problem solver who enjoys investigative work, document review, compliance-focused responsibilities, and making a positive impact in healthcare, we'd love to hear from you. Job Type & LocationThis is a Contract position based out of Fairfield, CA. Pay and BenefitsThe pay range for this position is $40.00 - $43.00/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 fully onsite position in Fairfield,CA. Application DeadlineThis position is anticipated to close on Aug 11, 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 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. 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.