How much does a Medical Policy Specialist make in South Carolina? The average Medical Policy Specialist salary in South Carolina is $87,787 as of March 26, 2024, but the range typically falls between $80,072 and $94,539. 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 $73,048 SC March 26, 2024
25th Percentile Medical Policy Specialist Salary $80,072 SC March 26, 2024
50th Percentile Medical Policy Specialist Salary $87,787 SC March 26, 2024
75th Percentile Medical Policy Specialist Salary $94,539 SC March 26, 2024
90th Percentile Medical Policy Specialist Salary $100,686 SC March 26, 2024
25% $80,072 10% $73,048 90% $100,686 75% $94,539 $87,787 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 South Carolina

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Location Avg. Salary Date Updated
Location Goose Creek, SC Avg. Salary $88,159 Date Updated March 26, 2024
Location Abbeville, SC Avg. Salary $85,741 Date Updated March 26, 2024
Location Adams Run, SC Avg. Salary $87,787 Date Updated March 26, 2024
Location Aiken, SC Avg. Salary $85,834 Date Updated March 26, 2024
Location Alcolu, SC Avg. Salary $83,137 Date Updated March 26, 2024
Location Allendale, SC Avg. Salary $85,369 Date Updated March 26, 2024
Location Anderson, SC Avg. Salary $85,834 Date Updated March 26, 2024
Location Andrews, SC Avg. Salary $84,439 Date Updated March 26, 2024
Location Arcadia, SC Avg. Salary $87,415 Date Updated March 26, 2024
Location Awendaw, SC Avg. Salary $87,694 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 South Carolina
Medical Policy Specialist Salary Graph, Regional Distribution and Summary