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 $81,822 as of April 27, 2019, but the range typically falls between $74,633 and $88,117. 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)

Take just three simple steps below to generate your own personalized salary report.

Step of 3

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

Average Base Salary

Core compensation

 
 
 
74633
88117
81822

Average Total Cash Compensation

Includes base and annual incentives

 
 
 
78703
96068
88158
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 $74,633 to $88,117 with the average base salary of $81,822. The total cash compensation, which includes base, and annual incentives, can vary anywhere from $78,703 to $96,068 with the average total cash compensation of $88,158.
Step of 3

Discover how your pay is adjusted for skills, experience, and other factors

How much should you be paid?

For a real-time salary target, tell us more about your role in the four categories below.

74633
88117

 

Step of 3

Recalculate your target pay based on your unique skills and experiences

Career Path for this job

  1. This Job:

    Medical Policy Specialist

    2 - 4 years experience
    Bachelor's Degree

  2. Up a level:

    Medical Policy Manager

    5 + years experience
    Bachelor's Degree

Salary for

Are you an HR manager or compensation specialist?

Salary.com's CompAnalyst platform offers:

  • Detailed skills and competency reports for specific positions
  • Job and employee pricing reports
  • Compensation data tools, salary structures, surveys and benchmarks.
Learn about CompAnalyst
Job Openings for Medical Policy Specialist