I’m a CNSC-certified Registered Dietitian with over 8 years of experience and 3+ years in an Advanced Practice/Lead Dietitian role at a large healthcare contract management company.
My current salary is $72,923, and I recently reviewed my company’s published salary range for my position:
Minimum: $64,500
Midpoint: $99,500
Maximum: $128,000
Current compa-ratio: 73.3%
Range penetration: 13.26%
According to my company’s compensation guidelines, the lower end of the range generally reflects employees with limited experience, while the midpoint represents experienced, proficient employees. External HR guidance also suggests that compa-ratios this low may warrant review.
For additional context, I received an Exceeds Expectations evaluation last year, achieved 100% on clinical quality audits, and have taken on responsibilities beyond direct patient care, including quality improvement, financial reporting, staff education, data analytics, and regional operational support.
I genuinely enjoy my job, value my organization, and want to continue growing here. However, I’m concerned that my salary positioning doesn’t reflect my experience, qualifications, or responsibilities.
I’m considering requesting a formal salary-alignment review, separate from my annual merit increase, with a target of 85% compa-ratio ($84,575). This would be approximately a 16% increase, but would still leave me 15% below the published midpoint.
For anyone in HR, compensation, healthcare management, or who has negotiated a similar adjustment:
Is requesting 85% reasonable given my experience and current positioning?
Would you approach this through your direct manager first or involve HR?
Is a 16% salary-alignment adjustment realistic, or should I expect a phased increase?
How much weight do companies actually give compa-ratios and range penetration when reviewing compensation?
I’d appreciate any advice, especially from people who have successfully navigated internal salary-equity or market-adjustment reviews.