How much does a Medical Policy Specialist make in New Jersey? The average Medical Policy Specialist salary in New Jersey is $101,922 as of March 26, 2024, but the range typically falls between $92,965 and $109,761. 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 $84,810 NJ March 26, 2024
25th Percentile Medical Policy Specialist Salary $92,965 NJ March 26, 2024
50th Percentile Medical Policy Specialist Salary $101,922 NJ March 26, 2024
75th Percentile Medical Policy Specialist Salary $109,761 NJ March 26, 2024
90th Percentile Medical Policy Specialist Salary $116,899 NJ March 26, 2024
25% $92,965 10% $84,810 90% $116,899 75% $109,761 $101,922 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 New Jersey

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Location Avg. Salary Date Updated
Location Bayonne, NJ Avg. Salary $105,084 Date Updated March 26, 2024
Location Bergenfield, NJ Avg. Salary $106,944 Date Updated March 26, 2024
Location Bloomfield, NJ Avg. Salary $107,037 Date Updated March 26, 2024
Location East Brunswick, NJ Avg. Salary $104,991 Date Updated March 26, 2024
Location Hoboken, NJ Avg. Salary $108,618 Date Updated March 26, 2024
Location Irvington, NJ Avg. Salary $105,084 Date Updated March 26, 2024
Location Lakewood, NJ Avg. Salary $103,503 Date Updated March 26, 2024
Location Middlesex, NJ Avg. Salary $104,340 Date Updated March 26, 2024
Location Passaic, NJ Avg. Salary $107,037 Date Updated March 26, 2024
Location Union, NJ Avg. Salary $105,084 Date Updated March 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 starts with a Provider Network Manager position, and then progresses to Provider Network Director.

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

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Medical Policy Specialist Salary in New Jersey
Medical Policy Specialist Salary Graph, Regional Distribution and Summary