Medical Policy Specialist Salary in the United States

How much does a Medical Policy Specialist make in the United States? The average Medical Policy Specialist salary in the United States is $82,127 as of June 27, 2019, but the range typically falls between $74,912 and $88,444. 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.  View the Cost of Living in Major Cities

Job Description

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 2019 Salary.com)

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Average Base Salary

Core compensation

 
 
 
74912
88444
82127

Average Total Cash Compensation

Includes base and annual incentives

 
 
 
79000
96426
88486
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 $74,912 to $88,444 with the average base salary of $82,127. The total cash compensation, which includes base, and annual incentives, can vary anywhere from $79,000 to $96,426 with the average total cash compensation of $88,486.
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74912
88444

 

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City, State Compared to national average
City, State San Francisco, CA Compared to national average
+ 26.0%
City, State Washington, DC Compared to national average
+ 11.2%
City, State Miami, FL Compared to national average
-2.5%
City, State Chicago, IL Compared to national average
+ 6.5%
City, State Boston, MA Compared to national average
+ 13.8%
City, State New York, NY Compared to national average
+ 21.0%
City, State Dallas, TX Compared to national average
-0.7%
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