ZipRecruiter

Log In

2

Remote Utilization Management Jobs in Baton Rouge, LA

All JobsUtilization Management JobsRemote Utilization Management JobsRemote Utilization Management Jobs in Baton Rouge, LA

Remote Utilization Management information

See Baton Rouge, LA salary details

$20

$40

$66

How much do remote utilization management jobs pay per hour?

As of Jul 15, 2026, the average hourly pay for remote utilization management in Baton Rouge, LA is $40.60, according to ZipRecruiter salary data. Most workers in this role earn between $32.07 and $46.63 per hour, depending on experience, location, and employer.

How does a Remote Utilization Management professional typically collaborate with healthcare providers and insurance teams?

Remote Utilization Management professionals frequently interact with both healthcare providers and insurance teams through secure digital platforms, phone calls, and virtual meetings. They review patient records, assess the necessity of medical services, and communicate their recommendations or authorization decisions. Effective collaboration requires clear documentation, timely responses, and strong communication skills to ensure that care is both medically appropriate and cost-effective. While the work is often independent, regular coordination with interdisciplinary teams is essential for maintaining high-quality patient outcomes and adhering to regulatory standards.

What are the key skills and qualifications needed to thrive as a Remote Utilization Management Nurse, and why are they important?

Success as a Remote Utilization Management Nurse requires a registered nursing license, clinical experience, and strong knowledge of medical necessity criteria and insurance guidelines. Familiarity with utilization review software, electronic health records (EHRs), and case management systems is typically necessary. Exceptional communication, critical thinking, and organizational skills help professionals excel in evaluating cases and coordinating with providers remotely. These skills are crucial for ensuring appropriate care, cost-effective resource use, and regulatory compliance in a remote healthcare setting.

What is remote utilization management?

Remote utilization management is a process in which healthcare professionals, such as nurses or case managers, review and assess the necessity, efficiency, and appropriateness of medical services—often from a remote location. These professionals typically work for insurance companies, hospitals, or healthcare organizations to ensure that patients receive the right care while controlling costs. By working remotely, they use electronic health records, phone calls, and other digital tools to collaborate with providers and patients. This role helps improve healthcare quality and cost-effectiveness while allowing employees flexible work arrangements.

What is the difference between Remote Utilization Management vs Remote Case Management?

AspectRemote Utilization ManagementRemote Case Management
CredentialsRN, LPN, or licensed healthcare professionalsRN, LPN, or social workers
Work EnvironmentHealthcare facilities, insurance companies, telehealthHealthcare providers, insurance, community agencies
Industry UsageInsurance, healthcare, telehealthHealthcare, social services, insurance
Primary FocusReviewing medical necessity, authorizationsCoordinating patient care, support services

Remote Utilization Management primarily involves reviewing medical necessity and authorizations, while Remote Case Management focuses on coordinating patient care and support services. Both roles require healthcare credentials and are used within healthcare and insurance industries, but they serve different functions in patient care and resource allocation.

What are the most commonly searched types of Utilization Management jobs in Baton Rouge, LA? The most popular types of Utilization Management jobs in Baton Rouge, LA are:
What are popular job titles related to Remote Utilization Management jobs in Baton Rouge, LA? For Remote Utilization Management jobs in Baton Rouge, LA, the most frequently searched job titles are:
What job categories do people searching Remote Utilization Management jobs in Baton Rouge, LA look for? The top searched job categories for Remote Utilization Management jobs in Baton Rouge, LA are:
What cities near Baton Rouge, LA are hiring for Remote Utilization Management jobs? Cities near Baton Rouge, LA with the most Remote Utilization Management job openings:
Remote Utilization Management jobs near you
Infographic showing various Remote Utilization Management job openings in Baton Rouge, LA as of July 2026, with employment types broken down into 1% As Needed, 77% Full Time, 19% Part Time, 1% Temporary, and 2% Contract. Highlights an 87% Physical, 3% Hybrid, and 10% Remote job distribution, with an average salary of $84,449 per year, or $40.6 per hour.
Senior Healthcare Informatics Analyst

Senior Healthcare Informatics Analyst

Strategic Staffing Solutions

Baton Rouge, LA • Remote

$50/hr

Other

Re-posted 13 days ago

Job description

Job Description Senior Healthcare Informatics Analyst Location: Remote (Louisiana Preferred) Duration: 6-Month Contract Pay Rate: Up to $50/hour Overview We are seeking a Senior Healthcare Informatics Analyst to support advanced healthcare analytics initiatives focused on improving healthcare quality, outcomes, utilization, and cost management. This role will leverage predictive modeling, outcomes research, machine learning, and healthcare data analytics to provide actionable insights that drive strategic business decisions. The ideal candidate will have strong experience in Healthcare Economics and Outcomes Research (HEOR), predictive analytics, healthcare data modeling, and payer/provider healthcare environments.

Key Responsibilities Analyze healthcare data to improve patient outcomes, utilization, quality, and cost efficiency. Develop predictive models and advanced analytic solutions to support business and clinical initiatives. Perform healthcare economics and outcomes research using large healthcare datasets.

Design and execute descriptive, predictive, and statistical analyses. Translate business problems into data-driven solutions and actionable recommendations. Collaborate with business, clinical, actuarial, finance, and technology teams to support strategic decision-making.

Validate data quality, accuracy, completeness, and consistency across analytical deliverables. Develop reporting, dashboards, and analytical frameworks that support operational and strategic initiatives. Serve as a subject matter expert on healthcare analytics methodologies and outcomes measurement.

Present complex analytical findings to both technical and non-technical stakeholders. Required Qualifications Education Bachelor's degree in Healthcare Administration, Statistics, Economics, Computer Science, Finance, Analytics, or another quantitative discipline. Equivalent experience may be considered in lieu of degree requirements.

Experience 4+ years of healthcare analytics, healthcare informatics, healthcare consulting, or related experience. Experience building predictive models and advanced analytical solutions. Experience working with healthcare payer and/or provider data environments.

Strong understanding of the U.S. healthcare delivery system. Technical Skills SQL SAS Python R Tableau Analytical Skills Predictive Modeling Healthcare Analytics Data Mining Statistical Analysis Machine Learning Outcomes Research Big Data Analytics Preferred Qualifications Strong experience in Healthcare Economics and Outcomes Research (HEOR)

Experience with SAS Enterprise Miner. Experience supporting population health management initiatives. Knowledge of provider reimbursement and payment methodologies.

Experience with risk adjustment models and methodologies. Familiarity with healthcare quality and performance measures. Clinical & Healthcare Analytics Knowledge HCC DxCG DRG APC ETG MEG HEDIS AHRQ Statistical & Machine Learning Methods Linear Regression Logistic Regression Polynomial Regression Decision Trees Cluster Analysis Time Series Analysis Support Vector Machines Ensemble Models Unstructured Data Mining Ideal Candidate Profile Deep expertise in healthcare analytics and outcomes research.

Strong background in predictive modeling and healthcare data science. Experience translating complex healthcare data into business insights. Ability to communicate analytical findings to executive and operational stakeholders.

Comfortable working independently while collaborating across multiple business functions. Experience supporting payer, managed care, population health, risk adjustment, or value-based care initiatives. Key Areas of Focus Healthcare Economics & Outcomes Research (HEOR) Predictive Analytics Population Health Provider Performance Analytics Risk Adjustment Medical Cost Management Quality Measurement Healthcare Utilization Analytics Patient Outcomes Analysis Healthcare Data Strategy and Decision Support.

Apply