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)
Explains covered entities to comply with HIPAA Privacy rules and regulations.
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Level 2 Behaviors
(Light Experience)
Follows the set guidelines to inform the employees about rights under the HIPPA act.
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Level 3 Behaviors
(Moderate Experience)
Evaluates changes in HIPAA rules to update and expand policies in alignment with new regulations.
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Level 4 Behaviors
(Extensive Experience)
Establishes a periodic evaluation of the organization's information systems to achieve HIPAA compliance.
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Level 5 Behaviors
(Mastery)
Determines the vision of advanced HIPAA-compliant program to achieve our organization's data privacy and security.
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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)
Discusses practice workflows to identify opportunities for process and quality improvement.
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Level 2 Behaviors
(Light Experience)
Documents quality audits, results, and key metrics to drive continuous improvement activities.
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Level 3 Behaviors
(Moderate Experience)
Participates in improvement activities related to quality and key performance indicators.
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Level 4 Behaviors
(Extensive Experience)
Investigates internal quality issues to provide recommendations on process improvements.
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Level 5 Behaviors
(Mastery)
Conceptualizes automated processes to analyze quality systems for improvement.
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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)
Documents the best practices and resources used in process improvement.
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Level 2 Behaviors
(Light Experience)
Looks for alternative ways to eliminate redundancy and uncertainties in processes.
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Level 3 Behaviors
(Moderate Experience)
Implements strategic changes to existing processes to make our business more efficient or profitable.
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Level 4 Behaviors
(Extensive Experience)
Delivers organization-wide solutions to address complex problems affecting process improvement.
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Level 5 Behaviors
(Mastery)
Champions digital solutions to remove inefficiencies and replicate best practices toward improvement.
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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 procedures for capital and expense allocation and budgeting.
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Level 2 Behaviors
(Light Experience)
Gathers financial data to help support management in budgeting analysis and forecasting.
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Level 3 Behaviors
(Moderate Experience)
Prepares and reviews the annual budgeting process to ensure effective and efficient budgeting.
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Level 4 Behaviors
(Extensive Experience)
Evaluates past decisions on budgetary considerations to improve the budgeting process.
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Level 5 Behaviors
(Mastery)
Establishes operating procedures to guide the consistency and repeatability 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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