How much does a Medical Policy Specialist make in Pennsylvania? The average Medical Policy Specialist salary in Pennsylvania is $92,608 as of February 26, 2024, but the range typically falls between $84,470 and $99,734. Salary ranges can vary widely depending on the city and many other important factors, including education, certifications, additional skills, the number of years you have spent in your profession.

Medical Policy Specialist Salaries by Percentile
Percentile Salary Location Last Updated
10th Percentile Medical Policy Specialist Salary $77,061 PA February 26, 2024
25th Percentile Medical Policy Specialist Salary $84,470 PA February 26, 2024
50th Percentile Medical Policy Specialist Salary $92,608 PA February 26, 2024
75th Percentile Medical Policy Specialist Salary $99,734 PA February 26, 2024
90th Percentile Medical Policy Specialist Salary $106,223 PA February 26, 2024
25% $84,470 10% $77,061 90% $106,223 75% $99,734 $92,608 50%(Median) Didn’t find job title? Click
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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 2024 Salary.com)... View full job description

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Job Openings for Medical Policy Specialist in Pennsylvania

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Location Avg. Salary Date Updated
Location Stroudsburg, PA Avg. Salary $95,193 Date Updated February 26, 2024
Location Aaronsburg, PA Avg. Salary $89,701 Date Updated February 26, 2024
Location Abbottstown, PA Avg. Salary $90,780 Date Updated February 26, 2024
Location Abington, PA Avg. Salary $98,398 Date Updated February 26, 2024
Location Ackermanville, PA Avg. Salary $99,234 Date Updated February 26, 2024
Location Acme, PA Avg. Salary $87,807 Date Updated February 26, 2024
Location Acosta, PA Avg. Salary $85,444 Date Updated February 26, 2024
Location Adah, PA Avg. Salary $90,845 Date Updated February 26, 2024
Location Adamsburg, PA Avg. Salary $91,030 Date Updated February 26, 2024
Location Adamstown, PA Avg. Salary $92,308 Date Updated February 26, 2024

Career Path for Medical Policy Specialist

A career path is a sequence of jobs that leads to your short- and long-term career goals. Some follow a linear career path within one field, while others change fields periodically to achieve career or personal goals.

For Medical Policy Specialist, the first career path typically progresses to Staff Nurse - RN, Sr. - Medical Management.

The second career path typically progresses to Medical Policy Manager.

The third career path typically progresses to Top Provider Network Executive.

Additionally, the fourth career path typically progresses to Reimbursement Services Director.

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Medical Policy Specialist Salary in Pennsylvania
Medical Policy Specialist Salary Graph, Regional Distribution and Summary