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Remote Hedis Jobs in Baton Rouge, LA (NOW HIRING)

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Remote Hedis information

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$19

$33

$45

How much do remote hedis jobs pay per hour?

As of Aug 27, 2026, the average hourly pay for remote hedis in Baton Rouge, LA is $33.01, according to ZipRecruiter salary data. Most workers in this role earn between $27.93 and $36.92 per hour, depending on experience, location, and employer.

What are remote HEDIS jobs?

Remote HEDIS jobs allow you to work from home to review and process medical records for the Healthcare Effectiveness Data and Information Set (HEDIS). HEDIS is an industry measurement plan that evaluates factors like access to care, the effectiveness of care, and experience of care to help healthcare facilities improve their daily operations. Remote HEDIS positions may involve gathering offsite data to enter into the system or auditing existing data to verify its accuracy. HEDIS data submissions are made annually, but data collection and verification is done throughout the year so companies can ensure the information is ready to submit on-time. In a virtual HEDIS job, you may work for a single medical office or provide support for multiple healthcare facilities.

What are remote HEDIS jobs?

Remote HEDIS jobs involve working with the Healthcare Effectiveness Data and Information Set (HEDIS) from a remote location, typically in roles such as abstractors, reviewers, or coordinators. Professionals in these positions collect, review, and analyze health care data to ensure compliance with quality measures used by health plans and providers. These jobs often require familiarity with medical records, coding, and healthcare regulations. Remote HEDIS roles offer flexibility and are in demand during the annual HEDIS reporting season, usually requiring strong attention to detail and computer proficiency.

What are some common challenges faced by remote HEDIS professionals, and how can they be managed?

Remote HEDIS professionals often encounter challenges such as managing large volumes of medical records, ensuring data accuracy, and navigating various electronic health record (EHR) systems. Working remotely can also require strong time management and self-motivation, as well as clear communication with team members and providers. To address these challenges, it's helpful to establish a structured daily routine, utilize secure and reliable technology, and participate in regular virtual meetings to stay aligned with team goals and updates.

What are the key skills and qualifications needed to thrive as a remote HEDIS abstractor, and why are they important?

To thrive as a Remote HEDIS Abstractor, you need a strong background in healthcare data abstraction, knowledge of HEDIS measures, and experience with medical records, often supported by an RN, LPN, or similar clinical credential. Familiarity with HEDIS-specific software, electronic health records (EHRs), and data management systems is typically required. Attention to detail, strong organizational skills, and effective communication are vital soft skills for ensuring accuracy and collaborating with remote teams. These skills ensure reliable data collection and reporting, which are essential for healthcare quality improvement and regulatory compliance.

What is the difference between Remote Hedis vs Remote Medical Reviewer?

AspectRemote HedisRemote Medical Reviewer
Required CredentialsRN, LPN, or Medical DegreeMD, DO, or Nurse Practitioner
Work EnvironmentHome-based, healthcare settingHome-based, healthcare setting
Industry UsageUtilized in Medicaid/Medicaid Managed CareUsed in insurance, utilization review
Common Search IntentCompare roles in Medicaid reviewCompare medical review roles in insurance

Remote Hedis specialists typically hold nursing or medical degrees and focus on HEDIS data collection and quality measures for Medicaid plans. Remote Medical Reviewers often have advanced medical degrees and perform comprehensive case reviews for insurance companies. While both roles are remote healthcare positions, they differ mainly in credentials and specific job functions.

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For Remote Hedis jobs in Baton Rouge, LA, the most frequently searched job titles are:

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The top searched job categories for Remote Hedis jobs in Baton Rouge, LA are:

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Cities near Baton Rouge, LA with the most Remote Hedis job openings:

Remote Hedis jobs near you
Infographic showing various Remote Hedis job openings in Baton Rouge, LA as of August 2026, with employment types broken down into 33% Full Time, 33% Part Time, and 34% Contract. Highlights an 100% Remote job distribution, with an average salary of $68,657 per year, or $33 per hour.

Provider Practice Performance Advisor

Baton Rouge, LA • On-site, Remote

Amerihealth Caritas
Health Care and Social Assistance • 5 - 10K employees

8.3

Company rating: 8.3 out of 10

Based on 73 frontline employees who took The Breakroom Quiz

130th of 312 rated insurance

Great coworkers

Good employer

Paid breaks

Learn more about Amerihealth Caritasexternal

Full-time

Medical, Retirement, PTO

Posted 8 days ago

Job description

For roles that are 100% remote or hybrid, you must have access to a reliable high-speed internet connection to support daily job responsibilities. A minimum bandwidth of 50 Mbps download and 5 Mbps upload is required. Those fully remote associates residing in states where service is required by contract, law, or regulation will be allowed to submit for reimbursement.

Your career starts now. We're looking for the next generation of health care leaders.

At AmeriHealth Caritas, we're passionate about helping people get care, stay well and build healthy communities. As one of the nation's leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together we can build healthier communities. If you want to make a difference, we'd like to hear from you.

Headquartered in Newtown Square, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services.

Discover more about us at www.amerihealthcaritas.com.

Job Summary

The Performance Practice Advisor, is part of the POD support model and provides support to the Provider Network Management team and Provider Network responsible for producing and presenting performance reports, VBC models, care coordination effectiveness and practice efficiencies.

Work Arrangements:

  • Hybrid - Associate must be located in Louisiana (LA)

Essential Functions

Collaborates with providers as it relates to HEDIS, withhold measures, TCOC performance metrics and other performance-based programs. Coordinates with the Quality Team on key reports and initiatives related to provider performance. Supports Account Executives and local market provider network team in directing interactions that relate to providers' quality and performance. Responsible and accountable for improving provider's performance.

Responsible for:

  • Produce all quality and performance related reporting establishing opportunities and strategies regularly in preparation for JOC's.
  • Interpret claims data and connections to patient outcomes and utilization trends.
  • Interprets utilization trends, optimizing performance based on state driven quality improvement programs i.e. HEDIS.
  • Attends meetings with providers to review gaps in care and developing plan of action with the provider to address these gaps in conjunction with PNM and CMO as applicable.
  • Supports network and quality strategy.
  • Implements and provides oversight of performance related projects as corporate best practices and strategy have identified.
  • Uses data and analysis tools to identify opportunities for improved performance and collaborates with peers to develop intervention strategies of which can be applied to the provider action plans.
  • Conducts meetings with providers to review performance data and discuss areas of opportunities to strengthen provider partnerships in conjunction with PNM and CMO as applicable.
  • Tracks and prepares reports on action plans and outcomes of initiatives that advance provider VB performance per year.
  • Provides cross functional collaboration with PNO, PNM, and Quality program to achieve goals and objectives.
  • May assist with scheduling appointments for members and attend member outreach meetings in addition to provider meetings.

Knowledge for:

  • Value-based contracts with providers as it relates to HEDIS, withhold measures, TCOC performance metrics and other quality-based programs.
  • General Operational Knowledge related to provider satisfaction, education and communication with a fundamental understanding of operational items such as claims coding, payment integrity, provider data, credentialing, appeals disputes etc. applicable to State, Federal and STARS standards to ensure compliance.

Education/Experience

  • Associate's Degree Required
  • Bachelor's degree in healthcare administration or similar field required.
  • Five (5) or more years of experience in provider networking if no bachelor's degree.
  • 3 or more years Account Executive experience, total cost of care, understanding of reimbursement methodologies to include risk or Value Based contracting.
  • Understand quality and provider performance reporting and HEDIS or other quality measures.

Other Skills

  • Healthcare regulations, reimbursement models and quality measures.
  • Possesses strong analytical skills to interpret and prepare provider performance data.

Our Comprehensive Benefits Package

Flexible work solutions including remote options, hybrid work schedules, Competitive pay, Paid time off including holidays and volunteer events, Health insurance coverage for you and your dependents on Day 1, 401(k) Tuition reimbursement and more.

Employment Type: FULL_TIME

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