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)
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 –
Healthcare Industry
Proficiency Level -3
Level 1 Behaviors
(General Familiarity)
Describes current systems and scope of services provided by healthcare organizations.
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Level 2 Behaviors
(Light Experience)
Conducts research on existing issues within the healthcare industry and possible solutions.
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Level 3 Behaviors
(Moderate Experience)
Identifies cost-effective solutions to address regulatory compliance challenges in healthcare services.
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Level 4 Behaviors
(Extensive Experience)
Develops a framework that promotes cross-functional cooperation and communication to optimize healthcare service.
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Level 5 Behaviors
(Mastery)
Develops and establishes risk reduction best practices to mitigate security breaches in our healthcare organization.
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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)
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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2
Core Competencies –
Service Excellence
Proficiency Level -4
Level 1 Behaviors
(General Familiarity)
Emphasizes the importance and value of providing excellent service.
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Level 2 Behaviors
(Light Experience)
Directs customers to the appropriate team or department if predicament cannot be immediately resolved.
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Level 3 Behaviors
(Moderate Experience)
Contributes to a service recovery program to rectify the situation and regain the client's trust.
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Level 4 Behaviors
(Extensive Experience)
Anticipates clients' needs and fulfills them in advance.
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Level 5 Behaviors
(Mastery)
Champions a customer-centric, service excellence culture.
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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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