support direct and indirect reports in
expanding their knowledge and experiences. Encourage and reward others’
• Financial acumen: Utilize financial processes/tools to ensure fiscally
responsible use of resources.
• Values: Create a balance between
achieving desired, measurable outcomes and demonstrating compassion,
excellence, stewardship, and integrity.
Breaking down the core competen-
cies of a healthcare executive, imaging
administrator responsibilities include,
but are not limited to:
• Planning, organizing and directing
the workflow within the imaging
• The delivery of quality patient care
• Budgetary oversight
• Customer service
• Meeting all regulatory and accrediting
• Creating and maintaining depart-
mental/organizational policies and
• Quality assurance (QA) and perfor-
• Health Insurance Portability and
Accountability Act (HIPAA) compliance
• Strategic planning and project
• Medical records functions
• Billing and coding oversight
• Staff and physician satisfaction
• Recruitment and retention
These responsibilities fall under five
management areas, or domains2:
• Human resources
• Communication and information
The Certified Radiology Administra-
tor (CRA) designation defines one as a
leader and an expert in imaging admin-
istration. The CRA credential is an imag-
ing management specific credential that
validates the competencies required for
imaging administrators. The following
summarizes the core competencies of a
Human Resource Management
1. Employ the necessary level of staff by
developing an effective recruitment
and staffing program to support the
mission of the organization.
2. Implement a retention program using
proactive interviews and surveys to
understand employee needs.
3. Conduct on-going staff performance evaluations using established
appraisal tools to assess competence
and formulate professional and personal development plans.
4. Establish skill development processes
to expand employee, trainee, and/or
student technical competence using
various methods to fulfill employee
potential and organizational needs.
5. Implement a leadership development
program using various methods to
enhance employee administrative
skills and develop a succession plan.
6. Recognize employees whose actions
enhance the organization by creating
an employee recognition program to
improve employee morale and job
Asset Resource Management
1. Acquire necessary capital equipment by developing business plans to
address forecasted growth of current
and/or new demands.
2. Select capital equipment by conducting an evaluation in collaboration with organization stakeholders
(physicians, finance, materials management, etc) to provide optimal
3. Manage projects effectively by
empowering appropriate employee
teams to implement projects that support strategic plans.
4. Establish an ongoing equipment main-
tenance program using both internal
and/or external sources to optimize
functional status and maximize uptime.
5. Manage equipment and space acqui-
sition, construction/renovation, site
preparation, and installation projects
by coordinating with internal and
external parties to complete the proj-
ects within timelines and budgets.
6. Manage supply levels by establishing
a materials management program to
ensure supply availability and control
1. Develop an operating budget in collaboration with the organization
using established accounting principles to maximize revenue and minimize expense.
2. Monitor monthly revenue and
expense activities by analyzing data to
meet budget targets, justify variances,
and make revisions as necessary.
3. Forecast future demand for services
through market research to maintain
and grow market position.
4. Develop a strategic plan using market
research outcomes to capitalize on
5. Create business plans by assessing and
analyzing information to address the
organization’s needs and fulfill the
6. Ensure appropriate reimbursement
through pre-certification/preautho-rization (when required) and management of accurate charge coding to
comply with applicable federal, state,
and local regulations.
The CRA is an imaging management specific credential
that validates the competencies required
for imaging administrators.