Medical Policy Specialist Salary in the United States

Medical Policy Specialist Salary

How much does a Medical Policy Specialist make in the United States? The average Medical Policy Specialist salary in the United States is $85,648 as of May 27, 2021, but the range typically falls between $78,118 and $92,238. Salary ranges can vary widely depending on many important factors, including education, certifications, additional skills, the number of years you have spent in your profession. With more online, real-time compensation data than any other website, Salary.com helps you determine your exact pay target. 

Salary Salary + Bonus Benefits How To Become
Based on HR-reported data: a national average with a geographic differential
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25% $78,118 10% $71,261 90% $98,237 75% $92,238 $85,648 50%(Median)

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Check out Medical Policy Specialist jobs in Virginia

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Job Description for Medical Policy Specialist

Medical Policy Specialist researches and designs criteria to determine policy guidelines used in review of patient cases to ensure only medically appropriate services are reimbursed. Recommends a policy and process that ensure alignment with company guidelines and nationally accepted medical/coding standards. Being a Medical Policy Specialist establishes the proper codes to use for claims processing. Responds to questions from medical staff and communicates details about policy and guidelines. Additionally, Medical Policy Specialist requires a bachelor's degree. Typically reports to a supervisor or manager. Requires Registered Nurse RN. The Medical Policy Specialist gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. To be a Medical Policy Specialist typically requires 2 to 4 years of related experience. (Copyright 2021 Salary.com)... View full job description

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Medical Policy Specialist Pay Difference by Location

City, State Compared to national average
City, State San Francisco, CA Compared to national average
+ 25.0%
City, State Washington, DC Compared to national average
+ 11.3%
City, State Miami, FL Compared to national average
-2.6%
City, State Chicago, IL Compared to national average
+ 6.1%
City, State Boston, MA Compared to national average
+ 12.7%
City, State New York, NY Compared to national average
+ 20.3%
City, State Dallas, TX Compared to national average
-0.7%

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Understand the total compensation opportunity for a Medical Policy Specialist, base salary plus other pay elements

Average Base Salary

Core compensation

 
 
 
78118
92238
85648

Average Total Cash Compensation

Includes base and annual incentives

 
 
 
82379
100556
92278
These charts show the average base salary (core compensation), as well as the average total cash compensation for the job of Medical Policy Specialist in the United States. The base salary for Medical Policy Specialist ranges from $78,118 to $92,238 with the average base salary of $85,648. The total cash compensation, which includes base, and annual incentives, can vary anywhere from $82,379 to $100,556 with the average total cash compensation of $92,278.
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78118
92238

 

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Skills associated with Medical Policy Specialist: Utilization Management, Medical Policy Management

Salary estimation for Medical Policy Specialist at companies like : HCI GROUP INC, PRIMERICA INC, Verisk Analytics, Inc.

Jobs with a similar salary range to Medical Policy Specialist : IT Process Manager