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%
$115,531
TOTAL 50%
$124,281
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)
Describes the basic functions of tools, technologies, and software used in HIPAA compliance.
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Level 2 Behaviors
(Light Experience)
Carries out internal and external audits to review HIPAA compliance procedures of employees.
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Level 3 Behaviors
(Moderate Experience)
Defines and implements guidelines and protocols to reduce healthcare fraud and abuse.
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Level 4 Behaviors
(Extensive Experience)
Designs and implements standard procedures to rapidly resolve emerging issues in HIPAA compliance.
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Level 5 Behaviors
(Mastery)
Designs a privacy infrastructure to maximize operational controls with HIPAA compliance and associated regulations.
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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)
Cites techniques and procedures relating to quality control and process improvement.
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Level 2 Behaviors
(Light Experience)
Assists in the execution of continuous improvements to quality systems, programs, and initiatives.
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Level 3 Behaviors
(Moderate Experience)
Administers quality improvement projects, including setting up technology-based quality tools.
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Level 4 Behaviors
(Extensive Experience)
Directs organizational change and overall processes through the principles of quality improvement.
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Level 5 Behaviors
(Mastery)
Builds projects that address quality gaps or drive continuous improvement related to quality systems.
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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)
Cites examples of critical and limiting factors that drive process improvement.
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Level 2 Behaviors
(Light Experience)
Collects ideas and facts to translate viewpoints into action plans for improvement.
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Level 3 Behaviors
(Moderate Experience)
Contributes to the redefining of tools to optimize organizational processes.
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Level 4 Behaviors
(Extensive Experience)
Creates models and forecasts to justify and demonstrate the value of an improved process.
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Level 5 Behaviors
(Mastery)
Articulates benefits of process improvement to drive our business in implementing change.
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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)
Compiles a list of basic issues and risks for conducting our budget processes.
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Level 2 Behaviors
(Light Experience)
Assists in developing and improving budgeting models, plans, and strategies.
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Level 3 Behaviors
(Moderate Experience)
Compares planned budgets vs. actual expenditures, identifies, reports, and explains variances.
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Level 4 Behaviors
(Extensive Experience)
Anticipates organizational income and expenses to make forecasts and develop budget plans.
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Level 5 Behaviors
(Mastery)
Adapts relevant industry trends on techniques in financial budgeting in our organization.
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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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