Medical Management
Responsible for providing leadership, direction, training, and management for medical operations. Provides strategic expertise and guidance, and has increased accountability. Management level roles have the management and development of people as a major accountability and have direct reports. This role accomplishes goals through overseeing their areas of responsibility, planning, managing resources, prioritizing, and directing the responsibilities of employees.
Typical Functions
Typical functions listed below are examples of work performed by positions in this role and are not intended to be all-inclusive. Some duties may overlap levels; however, the preponderance of the work will be assessed when assigning positions to specific levels.
- Provides guidance, leadership, and oversight of medical administrative functions.
- Responsible for activities related to the delivery of medical care and clinical services such as cost management, utilization review, medical protocol development, and the continuous quality assurance of the practice.
- Accountable for setting goals and objectives for the work of others to achieve operational objectives and services standards.
- Develops, initiates, and implements operational
- Provides expertise and analysis for long-range strategic planning.
- Translates strategic plans into operational
- Provides interpretation of rules and regulations and is responsible for ensuring compliance.
- Assesses risk and makes determinations on the assumption of risk.
- Manages other healthcare technicians, paraprofessionals, and professionals to improve the efficiency and quality in the delivery of direct healthcare services.
- Creates and implement policies, goals, and procedures for their departments.
- Remains abreast of changes and new laws and regulations for the healthcare facilities where they work to adequately comply with those regulations.
- Works with clinicians regarding to making policy decisions, overseeing patient care, budgeting, and other relevant activities necessary to ensure the organization functions.
- Collaborates with appropriate stakeholders to maintain, monitor, and administer budget.
- Ensures compliance with policies, procedures, and regulations.
Knowledge, Skills, Abilities (KSAs)
Listed below are the minimum requirements for this role. KSAs will become more advanced as the level increases and will vary depending on the requirements of the position.
- Knowledge of medical specialty area.
- Knowledge of research grant funding.
- Organizational skills.
- Interpersonal and communication skills.
- Ability to interpret and maintain composure during life-threatening situations and emergencies.
Level Descriptions
Medical Management 1
- Serves as an operational manager of a specialty unit at a hospital, clinic, and/or student health/counseling center, making administrative decisions on personnel, financial, contractual, and policies and procedures.
- Responsible for administrative and operative functions including, but not limited to recruitment, developing and implementing budget strategies, credentialing, and supporting clinical programs for communities.
- Makes decisions on the implementation of operations.
- Informs higher level of potentially controversial matters, or matters with far-reaching implications.
- Provides guidance on budget matters regarding budget, including hiring and the purchase of large budget items.
Education/Experience
Typically requires an advanced degree in an appropriate area of specialization and four years of relevant, progressively responsible experience, or an equivalent combination of education, training, and experience. Terminal degree preferred.
Certification/License
Applicable certification or licensure required.
Market Range: MR12
Medical Management 2
- Manages other managers and professional staff.
- Sets own priorities and goals and determines how to accomplish results with few or no guidelines to follow, although past practices may exist.
- Makes financial and operational decisions within broadly defined parameters and decisions require a high level of judgment.
- Works on complex issues requiring in-depth analysis of variable factors.
- Sets strategic direction.
Education/Experience
Typically requires an advanced degree in an appropriate area of specialization and five years of relevant, progressively responsible experience, or an equivalent combination of education, training, and experience. M.D. or other specialty terminal degree preferred. Supervisory experience required.
Certification/License
Applicable certification or licensure required.
Market Range: MR16
Medical Management 3
- Manages other managers, professional staff, and physicians.
- Develops policies and procedures and oversees the activities of group physicians.
- Advises and guides medical staff and programs.
- Makes decisions on the construction of educational experiences for students and staff.
- Makes decisions on policies and procedures.
- Resolves complex, controversial, or unprecedented issues and problems, and demonstrates sound judgment.
- Oversees treatments and interventions for patients.
Education/Experience
Typically requires an MD, PhD, or other specialty terminal degree and eight years of relevant, progressively responsible experience in health care management. Supervisory experience required.
Certification/License
Licensure in field of study.
Market Range: MR23
Effective Date: January 4, 2021
