Skills & Competencies for Medical Management Manager

Medical Management Manager job profile

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JOB SUMMARY for Medical Management Manager

Manages the organization's medical management programs, which may include case management, utilization review, quality management, or community health education programs with the goal of providing high quality, cost effective health care services.

JOB RESPONSIBILITIES for Medical Management Manager

Collects and analyzes data on utilization, outcomes, safety, and costs to determine trends and identify problem areas. Presents findings, proposed solutions, and implementation plans to management. Implements long and short term solutions for improvements in patient care and cost savings.

Medical Management Manager SALARY RANGE

BASE 50%
$118,254
TOTAL 50%
$127,213
Job Level
M02
Job Code
HC07000593
Education/Degree
Bachelor's Degree
Reports To
Head of a Unit/Department

Medical Management Manager 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 Manager skill and competencie below to view definitions.
JOB FAMILY COMPETENCIES CORE COMPETENCIES
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7 general skills or competencies (Job family competencies) for Medical Management Manager

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)
Lists needed requirements for abiding HIPAA compliance in our organization.
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Level 2 Behaviors
(Light Experience)
Records and reports potential security and compliance risks regarding HIPAA Privacy rules.
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Level 3 Behaviors
(Moderate Experience)
Performs investigation of HIPAA incidents to meet government and industry compliance standards.
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Level 4 Behaviors
(Extensive Experience)
Oversees all phases of HIPPA compliance analysis to optimize the organization's enforcement of privacy policies.
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Level 5 Behaviors
(Mastery)
Stays current of new technologies and processes impacting our organization’s HIPPA compliance program.
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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)
Names the industry best practices in conducting a quality improvement program.
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Level 2 Behaviors
(Light Experience)
Supports the implementation and improvement of the Quality Management System.
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Level 3 Behaviors
(Moderate Experience)
Uses various quality methodologies such as Kaizen and Six Sigma to conduct improvement projects.
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Level 4 Behaviors
(Extensive Experience)
Provides feedback on quality issues to ensure continuous quality improvement.
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Level 5 Behaviors
(Mastery)
Leads cross-functional improvement projects to improve quality, cost, and service excellence.
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3 Medical Management Manager - Skill and Competency
Proficiency Level - 3
4 Skill and Competency - Medical Management Manager
Proficiency Level - 4
5 Competency for - Medical Management Manager
Proficiency Level - 5

9 soft skills or competencies (core competencies) for Medical Management Manager

1 Core Competencies – Process Improvement
Proficiency Level -3
Skill definition-Analyzing and improving existing processes and workflows to minimize process errors and streamline organizational efficiency.
Level 1 Behaviors
(General Familiarity)
Lists most common tools used for process improvement.
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Level 2 Behaviors
(Light Experience)
Uses metrics to track the effectiveness of process improvement initiatives.
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Level 3 Behaviors
(Moderate Experience)
Utilizes tools in explaining process improvement to allow teams to clearly understand the objectives.
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Level 4 Behaviors
(Extensive Experience)
Presents challenges and offers solutions to overcome barriers for improvements.
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Level 5 Behaviors
(Mastery)
Leads transformational change to restructure business processes and achieve organizational excellence.
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2 Core Competencies – Budgeting
Proficiency Level -2
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)
Lists the elements and the steps on how to conduct budgeting.
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Level 2 Behaviors
(Light Experience)
Tracks and reports financial inefficiencies to ensure smooth functioning of our budgeting processes.
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Level 3 Behaviors
(Moderate Experience)
Works with senior management in creating appropriate budget amounts.
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Level 4 Behaviors
(Extensive Experience)
Recommends alternative budgeting strategies for resolving budgeting issues in our workplace.
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Level 5 Behaviors
(Mastery)
Introduces technologies, policies, and programs for more effective budget management.
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3 Medical Management Manager - Skill and Competency
Proficiency Level - 3
4 Skill and Competency - Medical Management Manager
Proficiency Level - 4
5 Competency for - Medical Management Manager
Proficiency Level - 5

Summary of Medical Management Manager skills and competencies

There are 0 hard skills for Medical Management Manager..
7 general skills for Medical Management Manager, HIPAA Compliance, Quality Improvement, Healthcare Industry, etc.
9 soft skills for Medical Management Manager, Process Improvement, Budgeting, Planning and Organizing, etc.
While the list totals 16 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 Manager, he or she needs to be skilled in Process Improvement, be proficient in Budgeting, and be skilled in Planning and Organizing.

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