Senior Specialist, IRIS Operations (Must reside in WI)

Molina Healthcare • Racine, WI • 2h ago

JOB DESCRIPTION Job Summary

Provides senior level administrative support for Wisconsin IRIS program operations, including referrals, enrollment, eligibility, service authorization and other administrative related requirements of the IRIS program. Contributes to overarching strategy to provide quality and cost-effective care.

Essential Job Duties

Provides senior level support to operations and field staff completing participant referrals, enrollments, disenrollments, workload assignments, ongoing eligibility, financial eligibility, welcome calls, prior authorizations, individualized service plan activities and other administrative and clerical requirements related to the Wisconsin IRIS program.

Provides skilled supports to operations and field staff in completion of data entry and tracking within the DHS information technology system, SharePoint, and Power BI programs.

Responds to incoming email requests from coworkers, providers and partner agencies.

Manages phone queues and assists with outgoing and incoming calls.

Analyzes data and workflows, offers suggestions for improvement and/or changes to management and assists with the implementation of changes.

Manages projects and engages in problem-solving and overall process development and implementation within identified areas of primary responsibility and subject matter expertise.

Ensures assigned areas of primary responsibility operate at high levels of efficiency and in accordance with IRIS program requirements.

Serves as a liaison to other IRIS partners or providers as needed.

Establishes and maintains positive and effective work relationships with coworkers, clients, participants, providers and customers.

Required Qualifications

At least 2 years of applicable administrative and/or health care experience, preferably serving the target groups of the IRIS program (adults with physical/intellectual disabilities or older adults), or equivalent combination of relevant education and experience.

Bachelor's degree in a related field or commensurate experience.

Strong customer service skills.

Excellent organizational, prioritization, and time-management skills.

Analytical and problem-solving skills.

Ability to adhere to Health Insurance Portability and Accountability Act (HIPAA) regulations and maintain strictest confidentiality.

Ability to focus on multiple priorities simultaneously.

Resourceful, proactive, and detail-oriented, and ability to learn and incorporate new tasks quickly.

Ability to work both collaboratively and independently, including ability to function as a strong partner on project teams.

Ability to seek out opportunities to learn and grow, embrace challenges and learn from them.

Demonstrated flexibility in the work environment, and willingness and ability to adapt to changing organizational needs.

Data entry experience.

Strong verbal and written communication skills.

Microsoft Office suite/applicable software program(s) proficiency.

To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

Pay Range: $18.04 - $35.17 / HOURLY

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Similar Jobs

Senior Specialist, IRIS Operations (Must reside in WI)

Molina Healthcare • Kenosha, WI • 2h ago

JOB DESCRIPTION Job Summary Provides senior level administrative support for Wisconsin IRIS program operations, including referrals, enrollment, eligibility, service authorization and other administrative related require...

2h ago

Go to Apply

Senior Specialist, IRIS Operations (Must reside in WI)

Molina Healthcare • Milwaukee, WI • 2h ago

2h ago

Go to Apply

Customer Service Manager

Daniels Sharpsmart Inc • Sturtevant, WI • 2h ago

Management & Administrative

JOB REQUIREMENTS: Join Daniels Health, a mission-driven leader in healthcare waste management, as our Customer Service Manager based at our plant in Sturtevant, WI. At Daniels, we\'re transforming the way healthcare orga...

2h ago

Go to Apply

Account Manager - HVAC Service

EMCOR Group • West Allis, WI • 3h ago

Management & Administrative

About Us We provide commercial HVAC, plumbing, sheet metal fabrication, advanced BAS and energy services to clients across Wisconsin. Our expertise extends into a full-range of industries - from healthcare and manufactur...

3h ago

Go to Apply

Sr National Accounts Manager

Zimmer Biomet • Milwaukee, WI • 3h ago

Management & Administrative

At Zimmer Biomet, we believe in pushing the boundaries of innovation and driving our mission forward. As a global medical technology leader for nearly 100 years, a patient's mobility is enhanced by a Zimmer Biomet produc...

3h ago

Go to Apply

Rental Account Manager

Ryder System • Milwaukee, WI • 3h ago

Management & Administrative

Job Seekers can review the Job Applicant Privacy Policy by clicking here ( http://ryder.com/job-applicant-privacy-policy ) . Job Description : Summary The Rental Account Manager exists as the primary Rental Sales/Marketi...

3h ago

Go to Apply

Oncology Account Manager

GE HealthCare • Milwaukee, WI • 3h ago

Management & Administrative

Job Description Summary Our business purpose: We are a purpose-driven team working to drive life-changing clarity in precision diagnostics that helps uncover what's hidden inside the body - enabling earlier, more confide...

3h ago

Go to Apply

Assembler

LSI Staffing • Kenosha, WI • 3h ago

Manufacturing & Warehouse

Temp to Hire Now Hiring - Entry-Level & Skilled Production Roles | 1st Shift | Kenosha, WI Looking to start a new job? We have potential openings at a fast-paced production facility in Kenosha! We're hiring for a var...

3h ago

Go to Apply

Aircraft Component Assembler

Aerotek • Milwaukee, WI • 3h ago

Manufacturing & Warehouse

Aircraft Component Assembler / Repair Technician Menomonee Falls, WI Pay: $19-$21/hr Schedule: 1st Shift - 6:00am-2:30pm Overview: We're hiring entry-level Aircraft Assembly & Repair Technicians to diagnose, repair,...

3h ago

Go to Apply

Logistics Management Specialist

Veterans Affairs, Veterans Health Administration • Milwaukee, WI • 6h ago

Management & Administrative

Summary This position serves as the Logistics Management Specialist with responsibility for direction and control of logistics planning that includes multiple activities and may include geographically separated areas whe...

6h ago

Go to Apply

Subscribe to get new jobs sent directly to you
(no charge, cancel anytime)