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%
$115,259
TOTAL 50%
$123,990
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)
Describes quality improvement principles and methodologies, including Lean Six Sigma.
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Level 2 Behaviors
(Light Experience)
Deals with needed process improvement to assist in enhancing product quality and cost.
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Level 3 Behaviors
(Moderate Experience)
Executes the implementation of improvements to the current processes to enhance operational quality.
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Level 4 Behaviors
(Extensive Experience)
Interprets data to drive best practices for quality improvements within our business.
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Level 5 Behaviors
(Mastery)
Champions strategic oversight to deliver strategic improvements into the quality planning process.
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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)
Describes the different models of continuous improvement used in optimizing existing processes.
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Level 2 Behaviors
(Light Experience)
Demonstrates open and accepting behaviors when new processes are implemented.
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Level 3 Behaviors
(Moderate Experience)
Executes new approaches in evaluating existing processes that affect workplace productivity.
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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)
Describes the concepts and principles of budgeting operations.
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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)
Determines system capabilities and needs to improve the process for financial budgeting.
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Level 5 Behaviors
(Mastery)
Develops financial models to support the strategic improvement of our budgeting processes.
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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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