Skills & Competencies for Member Services Director
Member Services Director job profile
Book a Demo and Receive a Sample Job ProfileJOB SUMMARY for Member Services Director
Directs and coordinates all aspects of the health maintenance organization (HMO) member services department.
JOB RESPONSIBILITIES for Member Services Director
Plans and directs policies and objectives for addressing member inquiries. Establishes service quality goals for the department and implements strategies to meet these goals.
Member Services Director SALARY RANGE
BASE 50%
$136,352
TOTAL 50%
$153,473
Job Level
M04
Job Code
EX05000220
Education/Degree
Bachelor's Degree
Reports To
Top Management
Member Services Director Skills and Competencies List
6 general skills or competencies (Job family competencies) for Member Services Director
1
Job Family Competencies –
HIPAA Compliance
Proficiency Level -3
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 –
Healthcare Industry
Proficiency Level -3
Level 1 Behaviors
(General Familiarity)
Names the healthcare industry sectors and defines the purpose and functions of each.
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Level 2 Behaviors
(Light Experience)
Uses and maintains electronic health records (EHRs) according to legal and industry standards.
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Level 3 Behaviors
(Moderate Experience)
Works with various industry professionals to formulate new treatment processes for patients.
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Level 4 Behaviors
(Extensive Experience)
Recommends innovations to minimize and control costs in providing quality care to clients.
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Level 5 Behaviors
(Mastery)
Stays abreast of the changes in industry laws to ensure our organization's adherence.
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3
Member Services Director
- Skill and Competency
Proficiency Level - 3
4
Skill and Competency -
Member Services Director
Proficiency Level - 4
5
Competency for -
Member Services Director
Proficiency Level - 5
10 soft skills or competencies (core competencies) for Member Services Director
1
Core Competencies –
Budgeting
Proficiency Level -3
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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2
Core Competencies –
Service Excellence
Proficiency Level -4
Level 1 Behaviors
(General Familiarity)
Names popular customer service Key Performance Indicators (KPIs) and metrics.
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Level 2 Behaviors
(Light Experience)
Utilizes the tools and systems properly to manage customer service tasks.
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Level 3 Behaviors
(Moderate Experience)
Improves service design to better meet clients expectations.
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Level 4 Behaviors
(Extensive Experience)
Monitors service KPIs and metrics to make sure service levels meets expectations.
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Level 5 Behaviors
(Mastery)
Leads co-creation initiatives with employees, customers, and other stakeholders to guarantee sustainable service excellence.
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3
Member Services Director
- Skill and Competency
Proficiency Level - 3
4
Skill and Competency -
Member Services Director
Proficiency Level - 4
5
Competency for -
Member Services Director
Proficiency Level - 5
Summary of Member Services Director skills and competencies
There are 0 hard skills for Member Services Director.
6 general skills for Member Services Director, HIPAA Compliance, Healthcare Industry, Healthcare Knowledge, etc.
10 soft skills for Member Services Director, Budgeting, Service Excellence, 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 Member Services Director, he or she needs to be skilled in Budgeting, be skilled in Service Excellence, and be skilled in Planning and Organizing.
6 general skills for Member Services Director, HIPAA Compliance, Healthcare Industry, Healthcare Knowledge, etc.
10 soft skills for Member Services Director, Budgeting, Service Excellence, 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 Member Services Director, he or she needs to be skilled in Budgeting, be skilled in Service Excellence, and be skilled in Planning and Organizing.
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