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)
Cites the policies and procedures on compliance with the HIPAA Privacy Rule.
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Level 2 Behaviors
(Light Experience)
Adheres to policies and procedures in conducting HIPAA compliance process.
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Level 3 Behaviors
(Moderate Experience)
Analyzes and maintains authorization forms, plan documents, and notices to ensure compliance with HIPAA regulations.
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Level 4 Behaviors
(Extensive Experience)
Adopts documentation platforms to improve security for HIPAA compliance of employees and client-proprietary information.
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Level 5 Behaviors
(Mastery)
Constructs strategic action plans for potential compliance risks with applicable policies from HIPAA regulations.
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2
Job Family Competencies –
Healthcare Industry
Proficiency Level -3
Level 1 Behaviors
(General Familiarity)
Compiles a list of risks and regulatory challenges for healthcare industries.
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Level 2 Behaviors
(Light Experience)
Assists in implementing industry best practices to secure and protect confidential healthcare information.
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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)
Delivers healthcare education and training programs to bridge skill gaps in our organization.
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Level 5 Behaviors
(Mastery)
Designs and implements cost-effective strategies to optimize resource utilization within healthcare settings.
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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)
Adapts relevant industry trends on techniques in financial budgeting in our organization.
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2
Core Competencies –
Service Excellence
Proficiency Level -4
Level 1 Behaviors
(General Familiarity)
Describes different levels of service that exceed, meet or fall short of expectations.
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Level 2 Behaviors
(Light Experience)
Complies with service agreements entered into with customers or provides early notice of any deviations.
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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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