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)
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 –
Healthcare Industry
Proficiency Level -3
Level 1 Behaviors
(General Familiarity)
Describes the history and recent developments in the healthcare industry.
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Level 2 Behaviors
(Light Experience)
Locates resources to acquire updates regarding changes in healthcare regulations and requirements.
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Level 3 Behaviors
(Moderate Experience)
Leverages advanced analytics to improve patient-based service outcomes.
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Level 4 Behaviors
(Extensive Experience)
Evaluates healthcare industry changes and proposes objective and strategy improvements.
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Level 5 Behaviors
(Mastery)
Keeps current on issues concerning information privacy to improve customers' trust in sharing personal information.
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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 different purposes and uses of our organization's budgets.
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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)
Monitors budgeting processes to ensure adherence to our organization's financial practices and standards.
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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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2
Core Competencies –
Service Excellence
Proficiency Level -4
Level 1 Behaviors
(General Familiarity)
Explains the definition and characteristics of service excellence.
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Level 2 Behaviors
(Light Experience)
Provides timely response to customers' complaints, feedback, and comments.
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Level 3 Behaviors
(Moderate Experience)
Follows through on customers' complicated questions, requests, and complaints.
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Level 4 Behaviors
(Extensive Experience)
Directs service design programs to optimize service delivery and customer experience.
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Level 5 Behaviors
(Mastery)
Explores innovative service models and processes to exceed client expectations.
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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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