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Health Plan Manager Jobs (NOW HIRING)

UHS

Product Development Manager - Health Plan

Reno, NV · On-site

$114K - $142K/yr

Health Plan Management System (HPMS), System for Electronic Rates & Form Filings (SERFF), Smartsheet, SharePoint, Microsoft Office (Word, Excel, PowerPoint), and database software. * Familiarity with ...

Abby Care

Health Plan Strategy Lead

San Francisco, CA · On-site

We're looking for a Health Plan Strategy Lead to architect the strategy, economics, and regulatory ... Experience managing or mentoring team members, or clear readiness to build and lead a team as scope ...

Abby Care

We're looking for a Health Plan Strategy Lead to architect the strategy, economics, and regulatory ... Experience managing or mentoring team members, or clear readiness to build and lead a team as scope ...

LHH US

Senior Health Plan Analyst

Sparks, NV · Hybrid

$79K - $99K/yr

Manage health and welfare benefit programs, annual renewals, and vendor partnerships. * Ensure ... Strong knowledge of health plan compliance, vendor management, and benefits operations. * Advanced ...

Evio

Health Plan Operations Partner

Help implement CRM software and processes to track and support customer initiatives. * Support ... Pharmacy, PBM, or health plan pharmacy experience is strongly preferred. * Strong understanding of ...

Adventist Health

RN, Health Plan Care Manager

Portland, OR · On-site

$45.39 - $62.26/hr

... management and analytics department to provide safeguards, processes and expected outcomes for the Health Plan's member population. Perform and/or coordinate preventative care, wellness, and ...

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Health Plan Manager information

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$24.5K

$59.5K

$116K

How much do health plan manager jobs pay per year?

As of Sep 11, 2026, the average yearly pay for health plan manager in the United States is $59,525.00, according to ZipRecruiter salary data. Most workers in this role earn between $42,000.00 and $68,500.00 per year, depending on experience, location, and employer.

What is the difference between Health Plan Manager vs Health Insurance Coordinator?

AspectHealth Plan ManagerHealth Insurance Coordinator
CredentialsTypically requires a bachelor's degree in health administration, business, or related field; certifications like CPC or CHC are commonOften requires a high school diploma or associate degree; certifications like Certified Insurance Service Representative (CISR) may be preferred
Work EnvironmentWorks in healthcare organizations, insurance companies, or government agencies managing plans and policiesWorks in insurance offices, healthcare facilities, or brokerages assisting with policy enrollment and customer service
Employer & Industry UsageUsed by health insurance companies, managed care organizations, and healthcare providersCommonly employed by insurance agencies, healthcare providers, and brokers

While both roles involve health insurance, the Health Plan Manager oversees the development and administration of health plans, focusing on policy management and compliance. In contrast, the Health Insurance Coordinator handles customer interactions, policy enrollment, and claims assistance. The roles differ mainly in scope and responsibilities but share foundational knowledge of health insurance policies and industry standards.

How much do health plan managers make?

Health plan managers typically earn a median annual salary of around $90,000 to $120,000, depending on experience, location, and the size of the organization. Senior or specialized managers can earn higher salaries, often exceeding $150,000, especially with relevant certifications and leadership responsibilities.

What does a health plan manager do?

A health plan manager oversees the development, implementation, and administration of health insurance plans. They coordinate with healthcare providers, ensure compliance with regulations, analyze plan performance, and manage budgets to deliver cost-effective coverage for members.

What cities are hiring for Health Plan Manager jobs?

Cities with the most Health Plan Manager job openings:

What are the most commonly searched types of Health Plan jobs?

The most popular types of Health Plan jobs are:

What states have the most Health Plan Manager jobs?

States with the most job openings for Health Plan Manager jobs include:

What are popular job titles related to Health Plan Manager jobs?

For Health Plan Manager jobs, the most frequently searched job titles are:

Infographic showing various Health Plan Manager job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 15% Part Time, and 6% Contract. Highlights an 92% Physical, 1% Hybrid, and 7% Remote job distribution, with an average salary of $59,525 per year, or $28.6 per hour.

Health Plan Accreditation Specialist

Flint, MI • On-site

McLaren Integrated HMO Group
See more jobs at McLaren Integrated HMO Groupexternal

Full-time

Posted 17 days ago

Job description

McLaren Health Plan (MHP) is a company with a culture of high performance and a mission to help people live healthier and more satisfying lives. We are looking for a National Committee for Quality Assurance Specialist to join in leading the organization forward.

MHP is a Managed Care Organization dedicated to meeting the health care needs of each member. MHP offers multiple product lines, including individual and family plans, and Medicaid and Medicare plans to Michigan residents for every stage of life. McLaren Health Plan is accredited by the National Committee for Quality Assurance (NCQA).

MHP values the talents and abilities of all our employees and seeks to foster an open, cooperative and dynamic environment in which employees and the health plan can thrive. As an employee of MHP, you will be a part of a dynamic organization that considers all our employees as leaders in driving the organization forward and delivering quality service to all our members.

Learn more about McLaren Health Plan at https://www.mclarenhealthplan.org

Position Summary:

The NCQA Specialist coordinates quality improvement activities and supports various functions within the scope of the Plan quality improvement program, working both independently and as a team member. The functions may include but are not limited to committee support; regulatory and accreditation standard adherence; delegation oversight; performance monitoring and assessment; data collection and analysis; and the continual advancement of the quality improvement process to achieve the Health Plan's goals of excellence.

Essential Functions and Responsibilities:

  1. Accountable for assigned standards from National Committee for Quality Assurance (NCQA), which may involve oversight of delegated activities.

  2. Works with Plan departments, such as Quality, Contracting, Provider Relations, Member Services, Appeals and Grievances, Pharmacy Services, Utilization and Medical Management, Credentialing, and other departments and delegates to ensure that NCQA standards are met, and appropriate documentation is maintained.

  3. Counsels, guides and instructs Health Plan employees on adherence to accreditation standards, NCQA-focused activities and other quality improvement initiatives.

  4. Supports the Plan committee functions and activities as assigned. Ensures that meetings are organized, well documented and that they meet the Plan goals and objectives and the individual Committee's roles and responsibilities.

  5. Leads quality projects as directed, including appropriate audits and state projects and requirements.

  6. Assumes project management as directed.

 #LI-KH1

Qualifications:

Required:

  • Associate degree in a health care field or equivalent work.

  • Four (4) years' experience with a government regulated health organization or a managed care setting with at least two (2) years' experience performing complex quality management activities including HEDIS, NCQA etc.

Preferred:

  • Bachelor's in healthcare or related field.

  • Experience writing quantitative and qualitative analysis.

  • Knowledge of the National Committee on Quality Assurance (NCQA) Standards for the accreditation of managed care organizations and HEDIS specifications; the managed care environment and the basic tenets of continuous quality improvement.

Additional Information
  • Schedule: Full-time
  • Requisition ID: 26002953
  • Daily Work Times: 8:30 am - 5:00 pm
  • Hours Per Pay Period: 80
  • On Call: No
  • Weekends: No

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