Skills & Competencies for Medical Management Director

Medical Management Director job profile

JOB SUMMARY for Medical Management Director

Directs and oversees the operations and strategic planning of the organization's medical management initiatives and programs.

JOB RESPONSIBILITIES for Medical Management Director

Establishes case management, utilization review, quality and outcome management, and community education programs to provide high quality, cost effective health care services. Develops and implements clinical guidelines for care designed to improve outcomes while managing costs.

Medical Management Director SALARY RANGE

BASE 50%
$159,670
TOTAL 50%
$178,900
Job Level
M03
Job Code
HC07000592
Education/Degree
Bachelor's Degree
Reports To
Top Management

Medical Management Director Skills and Competencies List

Proficiency Levels and Behavioural Indicators
Salary.com identifies five increasing levels of proficiency for each skill/competency. Some jobs require only a relatively low level of proficiency in each skill/competency, while other jobs will require a more advanced level of proficiency in the same skill/competency. These levels rate the degree of proficiency (skill level, expertise) we expect the incumbent to perform in the given skill/competency for the given job. Note that we intentionally do not associate timeframes or years of experience in performing the skill/competency because that can be misleading. Proficiency levels identify what the incumbent knows and can do rather than how long they have been doing it. Also, note that the proficiency levels are cumulative, e.g., a level 4 proficiency implies the ability to perform all the behaviors at the lower levels.
Check each Medical Management Director skill and competencie below to view definitions.

7 general skills or competencies (Job family competencies) for Medical Management Director

1 Job Family Competencies – HIPAA Compliance
Proficiency Level -3
Skill definition-Abiding in the act protects sensitive patient health information from being disclosed without the patient's consent and knowledge.
Level 1 Behaviors
(General Familiarity)
Identifies the potential security and compliance risks according to HIPAA Privacy rules.
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Level 2 Behaviors
(Light Experience)
Participates in HIPPA Compliance risk assessment activities to support the evaluation of existing policies.
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Level 3 Behaviors
(Moderate Experience)
Executes the Security Safeguards of HIPAA regulations to guarantee security and privacy of information.
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Level 4 Behaviors
(Extensive Experience)
Leads the development of compliance training instructional design to deliver changes and updates to HIPAA rules.
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Level 5 Behaviors
(Mastery)
Leads our organization's changes in processes to achieve HIPPA compliance regulations and prevent violations.
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2 Job Family Competencies – Quality Improvement
Proficiency Level -3
Skill definition-Utilizing effectively a set of tools, methods, and practices in analyzing the performance and efforts to successfully improve the overall process.
Level 1 Behaviors
(General Familiarity)
Follows methods, standards, and cost analysis systems to promote quality improvement.
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Level 2 Behaviors
(Light Experience)
Suggests needed changes in the existing process to correct and/or eliminate quality issues.
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Level 3 Behaviors
(Moderate Experience)
Partners with the senior management in developing continuous improvement plans to drive excellence.
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Level 4 Behaviors
(Extensive Experience)
Oversees the identification of process improvement opportunities to achieve quality targets.
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Level 5 Behaviors
(Mastery)
Establishes an effective quality management system to identify opportunities for improvement.
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3 Medical Management Director - Skill and Competency
Proficiency Level - 3
4 Skill and Competency - Medical Management Director
Proficiency Level - 4
5 Competency for - Medical Management Director
Proficiency Level - 5

12 soft skills or competencies (core competencies) for Medical Management Director

1 Core Competencies – Process Improvement
Proficiency Level -4
Skill definition-Analyzing and improving existing processes and workflows to minimize process errors and streamline organizational efficiency.
Level 1 Behaviors
(General Familiarity)
Identifies the role and value of process improvement in enhancing organizational productivity.
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Level 2 Behaviors
(Light Experience)
Supports management in identifying opportunities for change and improvement.
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Level 3 Behaviors
(Moderate Experience)
Reviews key indicators to determine steps to improve the overall business process.
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Level 4 Behaviors
(Extensive Experience)
Facilitates training to develop team's process knowledge and initiate change management.
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Level 5 Behaviors
(Mastery)
Designs software and systems to centralize the planning, execution, and tracking of process improvement.
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2 Core Competencies – Budgeting
Proficiency Level -3
Skill definition-Applying specific policies, tools and practices to plan and prepare projected revenues, expenses, cash flows, and capital expenditures.
Level 1 Behaviors
(General Familiarity)
Explains the importance of budget reporting and forecasting in our workplace.
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Level 2 Behaviors
(Light Experience)
Supplies supporting information and justification for major line items.
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Level 3 Behaviors
(Moderate Experience)
Utilizes software tools and applications to forecast our annual budget accurately.
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Level 4 Behaviors
(Extensive Experience)
Provides in-depth training to our entire organization about the zero based budgeting methodology.
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Level 5 Behaviors
(Mastery)
Forecasts asset needs to leverage available inventory and data compilation for annual budgeting.
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3 Medical Management Director - Skill and Competency
Proficiency Level - 3
4 Skill and Competency - Medical Management Director
Proficiency Level - 4
5 Competency for - Medical Management Director
Proficiency Level - 5

Summary of Medical Management Director skills and competencies

There are 0 hard skills for Medical Management Director.
7 general skills for Medical Management Director, HIPAA Compliance, Quality Improvement, Healthcare Industry, etc.
12 soft skills for Medical Management Director, Process Improvement, Budgeting, Planning and Organizing, etc.
While the list totals 19 distinct skills, it's important to note that not all are required to be mastered to the same degree. Some skills may only need a basic understanding, whereas others demand a higher level of expertise.
For instance, as a Medical Management Director, he or she needs to be skilled in Process Improvement, be skilled in Budgeting, and be skilled in Planning and Organizing.

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