Responsible for delivering operational oversight for the Utilization Management (UM), Behavioral ... Overseeing community benefit investments, grants, or value-based funding models. * HRSN, social ...
Responsible for delivering operational oversight for the Utilization Management (UM), Behavioral ... Overseeing community benefit investments, grants, or value-based funding models. * HRSN, social ...
Prepare benefit summaries for current and recommended plan changes. * Leads special projects as needed. * Maintains an ongoing effort to manage current benefit trends and legislated requirements and ...
Prepare benefit summaries for current and recommended plan changes. * Leads special projects as needed. * Maintains an ongoing effort to manage current benefit trends and legislated requirements and ...
Additionally, certain audits validate the proper reimbursement of prescription rebates from a Pharmacy Benefits Manager (PBM) to a client per the contractual arrangement. This position is client ...
Additionally, certain audits validate the proper reimbursement of prescription rebates from a Pharmacy Benefits Manager (PBM) to a client per the contractual arrangement. This position is client ...
Business System Architect (Pharmacy Benefit Management)
Atlanta, GA · On-site +1
$72K - $104K/yr
Summary As a Business System Architect (Pharmacy Benefit Management) at Gainwell, you can contribute your skills as we harness the power of technology to help our clients improve the health and well ...
Business System Architect (Pharmacy Benefit Management)
Atlanta, GA · On-site +1
$72K - $104K/yr
Summary As a Business System Architect (Pharmacy Benefit Management) at Gainwell, you can contribute your skills as we harness the power of technology to help our clients improve the health and well ...
Workers Compensation Benefit Management Claim Analyst
Tampa, FL · Remote
$47K - $78K/yr
Under moderate supervision, manage Workers' Compensation Claims with: Stable Lifetime Indemnity and/or Medical Benefits where the medical expenditures are not expected to exceed $6,000 annually and ...
Workers Compensation Benefit Management Claim Analyst
Tampa, FL · Remote
$47K - $78K/yr
Under moderate supervision, manage Workers' Compensation Claims with: Stable Lifetime Indemnity and/or Medical Benefits where the medical expenditures are not expected to exceed $6,000 annually and ...
Strategic Account Executive (Pharmacy Benefit Management)
Manhattan, NY · On-site +1
$90K - $125K/yr
Manage and strengthen relationships with carriers, vendors, and external partners * Contribute to ... Thorough knowledge of Employee Benefits insurance. * Ability to read, analyze and interpret ...
Strategic Account Executive (Pharmacy Benefit Management)
Manhattan, NY · On-site +1
$90K - $125K/yr
Manage and strengthen relationships with carriers, vendors, and external partners * Contribute to ... Thorough knowledge of Employee Benefits insurance. * Ability to read, analyze and interpret ...
Workers Compensation Benefit Management Claim Analyst
Orlando, FL · Remote
$47K - $78K/yr
Under moderate supervision, manage Workers' Compensation Claims with: Stable Lifetime Indemnity and/or Medical Benefits where the medical expenditures are not expected to exceed $6,000 annually and ...
Workers Compensation Benefit Management Claim Analyst
Orlando, FL · Remote
$47K - $78K/yr
Under moderate supervision, manage Workers' Compensation Claims with: Stable Lifetime Indemnity and/or Medical Benefits where the medical expenditures are not expected to exceed $6,000 annually and ...
Strategic Account Executive (Pharmacy Benefit Management)
Newark, NJ · On-site +1
$90K - $125K/yr
Manage and strengthen relationships with carriers, vendors, and external partners * Contribute to ... Thorough knowledge of Employee Benefits insurance. * Ability to read, analyze and interpret ...
Strategic Account Executive (Pharmacy Benefit Management)
Newark, NJ · On-site +1
$90K - $125K/yr
Manage and strengthen relationships with carriers, vendors, and external partners * Contribute to ... Thorough knowledge of Employee Benefits insurance. * Ability to read, analyze and interpret ...
Strategic Account Executive (Pharmacy Benefit Management)
Houston, TX · On-site +1
$90K - $125K/yr
Manage and strengthen relationships with carriers, vendors, and external partners * Contribute to ... Thorough knowledge of Employee Benefits insurance. * Ability to read, analyze and interpret ...
Strategic Account Executive (Pharmacy Benefit Management)
Houston, TX · On-site +1
$90K - $125K/yr
Manage and strengthen relationships with carriers, vendors, and external partners * Contribute to ... Thorough knowledge of Employee Benefits insurance. * Ability to read, analyze and interpret ...
Spa Coordinator
Savannah, GA · On-site
$14 - $16.75/hr
... management rolesHealth insurance benefits at select locationsRetirement savings options at select locationsSupportive and team-oriented environmentIdeal Candidates Are:Warm, polished, and client ...
Spa Coordinator
Savannah, GA · On-site
$14 - $16.75/hr
... management rolesHealth insurance benefits at select locationsRetirement savings options at select locationsSupportive and team-oriented environmentIdeal Candidates Are:Warm, polished, and client ...
... management via innovation and transparency. Our model is designed to improve an out-of-touch healthcare model to make pharmacy benefits simple and affordable for plan sponsors and members. Job ...
... management via innovation and transparency. Our model is designed to improve an out-of-touch healthcare model to make pharmacy benefits simple and affordable for plan sponsors and members. Job ...
Revenue Cycle Management (RCM) Benefits Manager
Utica, NY · On-site
$1K - $8K/mo
Educate program staff on evolving benefit changes and requirements. * Use effective relationship management, coordination of services, resource management, education and patient advocacy to promote ...
Revenue Cycle Management (RCM) Benefits Manager
Utica, NY · On-site
$1K - $8K/mo
Educate program staff on evolving benefit changes and requirements. * Use effective relationship management, coordination of services, resource management, education and patient advocacy to promote ...
Educate program staff on evolving benefit changes and requirements. * Use effective relationship management, coordination of services, resource management, education and patient advocacy to promote ...
Educate program staff on evolving benefit changes and requirements. * Use effective relationship management, coordination of services, resource management, education and patient advocacy to promote ...
Educate program staff on evolving benefit changes and requirements. * Use effective relationship management, coordination of services, resource management, education and patient advocacy to promote ...
Educate program staff on evolving benefit changes and requirements. * Use effective relationship management, coordination of services, resource management, education and patient advocacy to promote ...
Pharmacy Technician Certification required * 2 years of experience related to pharmacy benefits and prior authorization processes, strong understanding of pharmacy benefit management and claims ...
Pharmacy Technician Certification required * 2 years of experience related to pharmacy benefits and prior authorization processes, strong understanding of pharmacy benefit management and claims ...
Benefit Configuration Tester
Plano, TX · Remote
$16.75 - $18.25/hr
Our mission is to disrupt the expensive and inefficient Pharmacy Benefit Management (PBM) sector by building a next-generation drug acquisition platform driven by cutting-edge technology, innovative ...
Quick apply
Benefit Configuration Tester
Plano, TX · Remote
$16.75 - $18.25/hr
Our mission is to disrupt the expensive and inefficient Pharmacy Benefit Management (PBM) sector by building a next-generation drug acquisition platform driven by cutting-edge technology, innovative ...
UM program functions include Benefit Management, Benefit Review, Appeals and Grievances and Health Related Services (HRS). Together they support the healthcare needs of members, determine the best ...
UM program functions include Benefit Management, Benefit Review, Appeals and Grievances and Health Related Services (HRS). Together they support the healthcare needs of members, determine the best ...
Benefit Specialist
Fremont, CA · On-site
The Benefits Specialist manages day-to-day operations, including enrollments, employee support, vendor coordination, benefits billing, management of the benefits inbox, and reporting. This position ...
Benefit Specialist
Fremont, CA · On-site
The Benefits Specialist manages day-to-day operations, including enrollments, employee support, vendor coordination, benefits billing, management of the benefits inbox, and reporting. This position ...
Benefit Specialist
Scottsdale, AZ · On-site
$21.50 - $23.50/hr
RetireeFirst, a LaborFirst solution, provides end-to-end Retiree Benefits Management. In partnership with plan sponsors, brokers, and consultants, we design, implement, manage, and administer ...
Benefit Specialist
Scottsdale, AZ · On-site
$21.50 - $23.50/hr
RetireeFirst, a LaborFirst solution, provides end-to-end Retiree Benefits Management. In partnership with plan sponsors, brokers, and consultants, we design, implement, manage, and administer ...
Our mission is to disrupt the expensive and inefficient Pharmacy Benefit Management (PBM) sector by building a next-generation drug acquisition platform driven by cutting edge technology, innovative ...
Quick apply
Our mission is to disrupt the expensive and inefficient Pharmacy Benefit Management (PBM) sector by building a next-generation drug acquisition platform driven by cutting edge technology, innovative ...
Benefit Management information
See salary details
$38.5K - $47.8K
2% of jobs
$47.8K - $57.1K
11% of jobs
$66.3K is the 25th percentile. Wages below this are outliers.
$57.1K - $66.5K
13% of jobs
$66.5K - $75.8K
13% of jobs
The median wage is $82.9K / yr.
$75.8K - $85.1K
16% of jobs
$85.1K - $94.4K
14% of jobs
$100K is the 75th percentile. Wages above this are outliers.
$94.4K - $103.7K
13% of jobs
$103.7K - $113K
7% of jobs
$113K - $122.4K
5% of jobs
$122.4K - $131.7K
4% of jobs
$131.7K - $141K
3% of jobs
$38.5K
$88.3K
$141K
How much do benefit management jobs pay per year?
What is the difference between Benefit Management vs Benefits Coordinator?
| Aspect | Benefit Management | Benefits Coordinator |
|---|---|---|
| Primary Focus | Oversees overall employee benefits programs, strategy, and policy implementation | Administers and communicates specific benefits to employees |
| Required Credentials | HR certifications, benefits administration experience | HR or benefits-related certifications, customer service skills |
| Work Environment | HR departments, benefits consulting firms | HR departments, insurance companies, corporate offices |
| Industry Usage | Common in large organizations and benefits consulting | Common in HR teams across various industries |
Benefit Management involves strategic oversight of employee benefits programs, while Benefits Coordinators focus on administering and communicating specific benefits. Both roles require HR knowledge and certifications, but Benefit Management emphasizes policy development and strategy, whereas Benefits Coordinators handle day-to-day benefits administration.
What are the key skills and qualifications needed to thrive in Benefit Management, and why are they important?
What is benefit management?
What are some common challenges faced by professionals working in Benefit Management, and how can they be addressed?

Full-time
This job post has expired today. Applications are no longer accepted.
Samaritan Health Services rating
7.3
Based on 62 frontline employees who took The Breakroom Quiz
296th of 867 rated healthcare providers
Job description
- Samaritan Health Plans (SHP) operates a portfolio of health plan products under several different legal structures: InterCommunity Health Plans, Inc. (IHN) is designated as a regional Coordinated Care Organization (CCO) for Medicaid beneficiaries; Samaritan Health Plans, Inc. offers Medicare Advantage and Commercial Large Group plans. As part of an Integrated Delivery System, Samaritan Health Plans is strategically and operationally aligned with Samaritan Health Services' mission of Building Healthier Communities Together. As part of an Integrated Delivery System, Samaritan Health Plans is strategically and operationally aligned with Samaritan Health Services' mission of Building Healthier Communities Together. This is a remote position in which we are able to employ in the following states: Alabama, Alaska, Arizona, Arkansas, Connecticut, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Louisiana, Michigan, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Mexico, North Carolina, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, West Virginia, or Wisconsin
- JOB SUMMARY/PURPOSE
- Responsible for delivering operational oversight for the Utilization Management (UM), Behavioral Health (BH), Social Determinants of Health (SDOH), Health Related Social Needs (HRSN), and Health Equity (HE) teams. Ensures the delivery of medically necessary, cost-effective, and high-quality care through evidence-based UM processes that fully comply with CMS, OHA and other contractual requirements while ensuring that health equity goals are identified and addressed. Fulfills the role of the designated Health Equity Administrator and oversees all health equity initiatives including the Community Health Assessment (CHA), Community Health Improvement Plan (CHIP), and the Health Equity Plan (HEP). Drives clinical and operational excellence across the teams responsible for all UM, BH, SDOH, HRSN, HE functions, including prior authorizations, concurrent reviews, and service requests. Provides oversight of engagement with key community partners including the social care infrastructure. Works closely with executive leadership, Behavioral Health leadership, community partners, counties within the service area, and state agencies.
- EXPERIENCE/EDUCATION/QUALIFICATIONS
- Bachelor's degree required. Master's degree in a related field preferred.
- Current unencumbered Oregon RN license required.
- Five (5) years of leadership experience in utilization review, case management, quality improvement, or a related healthcare area required.
- Experience in the following required:
- Managed care and specialty healthcare organizations.
- Regulatory compliance.
- EHRs.
- Data analytics.
- Technology integration.
- Healthcare operations.
- Process optimization.
- Experience in the following preferred:
- CHA/CHIP, Health Equity Plans, or NCQA Health Equity standards.
- Overseeing community benefit investments, grants, or value-based funding models.
- HRSN, social care networks, and cross-sector partnerships.
- Working with advisory councils or governance bodies.
- Utilizing Milliman Care Guidelines (MCG) criteria and other state-specific authorization requirements.
- KNOWLEDGE/SKILLS/ABILITIES
- Leadership - Inspires, motivates, and guides others toward accomplishing goals. Achieves desired results through effective people management.
- Conflict resolution - Influences others to build consensus and gain cooperation. Proactively resolves conflicts in a positive and constructive manner.
- Critical thinking - Identifies complex problems. Involves key parties, gathers pertinent data and considers various options in decision making process. Develops, evaluates and implements effective solutions.
- Communication and team building - Leads effectively with excellent verbal and written communication. Delegates and initiates/manages cross-functional teams and multi-disciplinary projects.
- PHYSICAL DEMANDS
- Rarely (1 - 10% of the time) Occasionally (11 - 33% of the time) Frequently (34 - 66% of the time) Continually (67 - 100% of the time) LIFT (Floor to Waist: 0"-36") 0-20 Lbs LIFT (Knee to chest: 24"-54") 0 - 20 Lbs LIFT (Waist to Eye: up to 54") 0 - 20 Lbs CARRY 1-handed, 0 - 20 pounds CARRY 2-handed, 0 - 20 pounds KNEEL (on knees) BEND FORWARD at waist CLIMB - STAIRS STAND WALK - LEVEL SURFACE ROTATE TRUNK Standing REACH - Upward PUSH (0-20 pounds force) PULL (0-20 pounds force) SIT ROTATE TRUNK Sitting REACH - Forward MANUAL DEXTERITY Hands/wrists FINGER DEXTERITY PINCH Fingers GRASP Hand/Fist None specified
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