As of March 01, 2025, the average annual salary for a Medical Policy Specialist in the United States is $95,348. Salary.com reports that pay typically ranges from $86,965 to $102,684, with most professionals earning between $79,333 and $109,362.
| Annual Salary |
Monthly Pay |
Weekly Pay |
Hourly Wage |
|
| 75th Percentile | $102,684 | $8,557 | $1,975 | $49 |
| Average | $95,348 | $7,946 | $1,834 | $46 |
| 25th Percentile | $86,965 | $7,247 | $1,672 | $42 |
An entry-level Medical Policy Specialist with less than 1 year of experience earns about $90,566. With 1-2 years of experience, the average salary increases to $91,184. For 2-4 years of experience, the pay typically rises to $94,817. Senior-level professionals with 5-8 years of experience earn around $97,850, and those with over 8 years of experience can expect an average of $98,391.
| Levels | Salary |
|---|---|
| Entry Level Medical Policy Specialist | $90,566 |
| Intermediate Level Medical Policy Specialist | $91,184 |
| Senior Level Medical Policy Specialist | $94,817 |
| Specialist Level Medical Policy Specialist | $97,850 |
| Expert Level Medical Policy Specialist | $98,391 |
| Entry Level | 5% |
| Mid Level | 4% |
| Senior Level | 1% |
| Top Level | 3% |
| Experienced | 3% |
Salaries in the United States differ widely between states due to factors like cost of living, local economies, and industry presence.
What Am I Worth?
Salaries in the United States can vary greatly between cities due to factors like cost of living, local economies, and industry presence.
As of March 01, 2025, our research reveals a significant shift in Medical Policy Specialist compensation over the past six years. For example, the median salary increased from $70,741 in 2023 to approximately $70,457 in 2024. (For a detailed analysis of Medical Policy Specialist salary trends, click here.)
Key factors like location, experience, industry demand, and economic growth significantly influence salary variations, making them important to consider.
Salary.com job board provides millions of Medical Policy Specialist information for you to search for. Click on search button below to see Medical Policy Specialist job openings or enter a new job title here.
Here are companies hiring for Medical Policy Specialist and their salaries, click below for more details.
| Core Compensation | ||||
| Core Compensation | Median | % of Total | ||
| Base Salary | $95,348 | 67.6% | ||
| Bonus | $7,384 | 5.2% | ||
| Value of Benefits | ||||
| Core Compensation | Median | % of Total | ||
| Social Security | $7,859 | 5.6% | ||
| 401K/403B | $5,034 | 3.6% | ||
| Disability | $1,644 | 1.2% | ||
| Healthcare | $6,371 | 4.5% | ||
| Pension | $4,315 | 3.1% | ||
| Time Off | $13,039 | 9.2% | ||
| Total Compensation | $140,993 | 100% | ||
| Degree Level | % of user with this level of education |
|---|---|
| High School | 33.3% |
| Associates | 33.3% |
| Masters | 33.3% |
What Am I Worth?
The average annual salary of Medical Policy Specialist is $95,348. In case you are finding an easy salary calculator, the average hourly pay of Medical Policy Specialist is $46; the average weekly pay of Medical Policy Specialist is $1,834; the average monthly pay of Medical Policy Specialist is $7,946.
A Medical Policy Specialist's earning potential can vary widely depending on several factors, including location, industry, experience, education, and the specific employer. According to the latest salary data by Salary.com, a Medical Policy Specialist earns the most in San Jose, CA, where the annual salary of a Medical Policy Specialist is $119,662.
The highest pay for Medical Policy Specialist is $109,362.
The lowest pay for Medical Policy Specialist is $79,333.
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.
Salary.com provides salary estimates, histograms, trends, and comparisons using data from employer job postings and third-party sources.
We offer detailed salary information across multiple percentiles for your reference. (Click here to learn Why the Salary Midpoint Formula Is Crucial for Achieving Pay Equity.)
With the most extensive online, real-time compensation data available, Salary.com helps you pinpoint your exact pay target.
