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Managed Care Staffing Ratio Update 2003-04This report was
designed to offer Human Resource personnel general benchmarking
information for consideration in planning their organization's
staffing levels. We have chosen 121 benchmark managed care positions
from top executive to entry-level positions to feature in this
publication. In addition, we include over 350 pages of supportive
and related charts/tables to supplement the staffing ratio
information provided.
Table of Contents
Participation Profile
- Total Number of FTEs
- Total Number of Covered Lives
- Total Number of Commercial Covered Lives
- Total Number of Medicare Covered Lives
- Total Number of Medicaid Covered Lives
- Medical Expense Ratios
- Administrative Expense Ratios
- Ratio Total Number of FTEs/Members
- Participation List
Administration Dept. Total FTEs
- Administration Dept Ratio of FTEs to Members
- Administration Dept. to Medicare Lives
- Administration Dept. to Medicaid Lives
- Chief Executive Officer/Members
- Assistant/Associate CEO/Members
- Regional Director/Members
- General Manager/Members
- VP of Government Affairs/Members
- Director of Government Affairs/Members
- Government Relations Manager/Members
- Legal Counsel (In House)
- Compliance Officer/Members
- Legal Compliance Coordinator/Members
- Compliance Specialist/Members
- HIPAA Compliance Officer/Members
- Administrative Assistant/Members
- Receptionist/Secretary/Members
- File Clerk/Members
- Mail Clerk/Members
- Other Administration Director, Managers, Supervisors
- Other Administration Coordinators, Support Staff
Finance & Operations Dept. Ratio of FTEs to Members
- Finance & Operations Dept. to Medicare Lives
- Finance & Operations Dept. to Medicaid Lives
- Chief Financial Officer
- Finance Director
- Controller
- Chief Accountant
- Accounting Supervisor
- Sr. Accountant
- Staff Accountant
- Sr. Financial Analyst
- Financial Analyst
- Accounting Clerk
- VP of Operations
- Director of Actuarial Services
- Underwriting Manager
- Underwriter
Human Resources Dept. Ratio of FTEs to Members
- Ratio of Human Resources Dept. to Total Number of Employees
- Human Resources Dept. to Medicare Lives
- Human Resources Dept. to Medicaid Lives
- Human Resource Director
- Human Resource Generalist
- Compensation & Benefits Specialist
- Employee Training Manager
Medical Management Dept. Ratio of FTEs to Members
- Medical Management Dept. to Medicare Lives
- Medical Management Dept. to Medicaid Lives
- Chief Medical Officer
- Medical Director
- Director of Health Services
- Director of Pharmacy Services
- Pharmacy Services Manager
- Manager of Contract Development
- Contract Specialist
- Director of Network Development
- Network Development Manager
- Network Development Representative
- Provider Relations Director
- Provider Relations Manager
- Provider Relations Representative
- Ratio of Provider Relations Representatives to Number of
Physicians
- Credentialing Manager
- Credentialing Supervisor
- Credentialing Specialist
- Ratio of Total Credentialing Staff to Number of Physicians
- Director of Quality Improvement
- HEIDIS Coordinator
- Disease Management Coordinator
- Intake Coordinator
- Appeals Manager
- Appeals Supervisor
- Grievance Coordinator
- Health Educator
Utilization Review/Quality Assurance & Case Management Dept.
Ratio of FTEs to Members
- UR/QA & Case Mgt Dept to Medicare Lives
- UR/QA & Case Mgt Dept to Medicaid Lives
- Director of Utilization Review
- Supervisor of Utilization Review
- Utilization Review/Quality Assurance Nurse
- Supervisor of Quality Assurance
- Case Manager
Management Information Systems Dept Ratio of FTEs to Members
- MIS Dept to Medicare Lives
- MIS Dept to Medicaid Lives
- Director of MIS
- Systems Program Manager
- Sr. Programmer/Analyst
- Systems Analyst/Programmer
- Network Administrator
- Manager, Network Operations
- Personal Computer Technician
- Help Desk Coordinator
- Manager of Configuration
- Computer Operator
- Telecommunications Specialist
Claims Administration Department Ratio of FTEs to Members
- Claims Administration Dept to Medicare Lives
- Claims Administration Dept to Medicaid Lives
- Number of Claims Processed Annually
- Ratio of FTEs to Number of Claims Processed Annually
- Director of Claims Administration
- Claims Manager
- Claims Supervisor
- Sr. Claims Analyst
- Claims Analyst (Non-Supervisory)
- Claims Examiner
- C.O.B. Specialist
- Number of COB Specialists to Claims Processed Annually
- Claims Clerk
- Number of Claims Clerks to Claims Processed Annually
- Health Data Analyst
Membership Services Dept Ratio of FTEs to Members
- Membership Services Dept to Medicare Lives
- Membership Services Dept to Medicaid Lives
- Director of Membership Services
- Member Services Manager
- Supervisor of Member Services
- Enrollment Manager
- Enrollment Supervisor
- Member Services Trainer/Auditor
- Enrollment Clerk
- Member Services Representative
Marketing & Sales Department Ratio of FTEs to Members
- Marketing & Sales Dept to Medicare Lives
- Marketing & Sales Dept to Medicaid Lives
- Chief Marketing Officer
- Marketing Director
- Sales Manager
- Communications Manager
- Product Development Manager
- Group Services Representative
- Account Executive
- Ratio of Account Executives to Number of Groups Signed
- Medicare Marketing Representative
- Ratio of Medicare Marketing Represetnatives to Medicare
Members
- Junior Marketing Representative
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