
51 - 200 employees
Founded 1982
🏥 Healthcare
⚕️ Healthcare Insurance
🤝 B2B
Healthcare • Healthcare Insurance • B2B
HealthCare Strategies is a medical cost-management company that provides predictive care management, virtual nursing and outreach, and medical management services to reduce plan costs and improve member outcomes. It serves self-insured employers, labor funds and coalitions, third-party administrators (TPAs), government and commercial health plans, and provider groups. HCS uses AI-driven analytics and a consumer health platform to identify emerging health risks earlier, connects members with care managers and virtual nurses, and offers utilization management, precertification, case review, and independent review services. The company emphasizes measurable improvements in health outcomes and cost reductions and is based in Columbia, MD.
🕒 August 11
Where this job comes from
Posted on HealthCare Strategies's careers page, not through a job board
First seen by Remote Rocketship August 11

51 - 200 employees
Founded 1982
🏥 Healthcare
⚕️ Healthcare Insurance
🤝 B2B
Healthcare • Healthcare Insurance • B2B
HealthCare Strategies is a medical cost-management company that provides predictive care management, virtual nursing and outreach, and medical management services to reduce plan costs and improve member outcomes. It serves self-insured employers, labor funds and coalitions, third-party administrators (TPAs), government and commercial health plans, and provider groups. HCS uses AI-driven analytics and a consumer health platform to identify emerging health risks earlier, connects members with care managers and virtual nurses, and offers utilization management, precertification, case review, and independent review services. The company emphasizes measurable improvements in health outcomes and cost reductions and is based in Columbia, MD.
• Answer incoming calls related to medical service requests and determine whether prior authorization is required • Explain the role and services of HCS to members and providers • Accurately document all call details in the computer system • Gather member demographics, provider details, and clinical information to initiate authorizations • Communicate medical review outcomes to medical professionals and members as needed • Appropriately triage calls and refer to other HCS products or departments when applicable • Facilitate requests for medical services for various benefit plans • Guide members and providers through the authorization process
• Minimum of 1 year of experience in a healthcare setting preferred • Minimum of 1 year of experience in a call center environment preferred • Strong verbal and written communication skills (required) • Bilingual in Spanish a plus • Excellent problem-solving and decision-making abilities • Strong multi-tasking and organizational skills • Ability to provide guidance based on policy, procedures, and benefit plan design • Proficient computer skills; familiarity with Windows-based applications required • Monday–Friday, 9am–6pm ET schedule availability
• Competitive salary, based on experience • Excellent benefits package available • Comprehensive training • 100% remote work from home
Apply NowImprove your chances of getting an interview by checking your resume score before you apply.
🕒 July 28
Intake Coordinator managing the onboarding process for new clients at Success4Life Tutoring Services. Responsible for collecting and verifying client information while maintaining organized records in a remote setting.
🕒 July 10
Acute Clearance Specialist responsible for patient insurance benefits verification and referral processing at Soleo Health. Focused on simplifying complex care in specialty infusion services.
🕒 June 30
Clearance Specialist processing referrals and verifying patient eligibility for Soleo Health's specialty infusion pharmacy. Managing prior authorizations and communicating with patients and referrers.