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)
Identifies the potential security and compliance risks according to HIPAA Privacy rules.
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Level 2 Behaviors
(Light Experience)
Participates in HIPPA Compliance risk assessment activities to support the evaluation of existing policies.
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Level 3 Behaviors
(Moderate Experience)
Executes the Security Safeguards of HIPAA regulations to guarantee security and privacy of information.
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Level 4 Behaviors
(Extensive Experience)
Leads the development of compliance training instructional design to deliver changes and updates to HIPAA rules.
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Level 5 Behaviors
(Mastery)
Leads our organization's changes in processes to achieve HIPPA compliance regulations and prevent violations.
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2
Job Family Competencies –
Healthcare Industry
Proficiency Level -3
Level 1 Behaviors
(General Familiarity)
Explains the clinical benefits of integrating innovations and technological advances into healthcare services.
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Level 2 Behaviors
(Light Experience)
Supports the development of innovative healthcare practices to reduce healthcare costs.
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Level 3 Behaviors
(Moderate Experience)
Researches technical developments in the healthcare industry and assesses their implications for our organization.
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Level 4 Behaviors
(Extensive Experience)
Integrates advanced processes into clinical workflows to diagnose and treat diseases more precisely.
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Level 5 Behaviors
(Mastery)
Leads the development of services and solutions to address complex healthcare industry challenges.
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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)
Explains the importance of budget reporting and forecasting in our workplace.
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Level 2 Behaviors
(Light Experience)
Supplies supporting information and justification for major line items.
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Level 3 Behaviors
(Moderate Experience)
Utilizes software tools and applications to forecast our annual budget accurately.
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Level 4 Behaviors
(Extensive Experience)
Provides in-depth training to our entire organization about the zero based budgeting methodology.
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Level 5 Behaviors
(Mastery)
Forecasts asset needs to leverage available inventory and data compilation for annual budgeting.
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2
Core Competencies –
Service Excellence
Proficiency Level -4
Level 1 Behaviors
(General Familiarity)
Identifies internal policies and resources on customer service.
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Level 2 Behaviors
(Light Experience)
Resolves common client inquiries and problems effectively following standard guidelines.
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Level 3 Behaviors
(Moderate Experience)
Identifies and investigates emerging issues in service delivery; suggests improvement measures.
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Level 4 Behaviors
(Extensive Experience)
Looks for long-term benefits to the customer and adjusts service delivery accordingly.
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Level 5 Behaviors
(Mastery)
Leads business process design and re-design to enhance high-quality service delivery.
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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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