Senior Specialist, Iris Operations (Must Reside In Wi)

Jobtome; La Crosse (WI); On-site; USD 25,000 - 48,000; Full time

Job summary

Molina Healthcare is hiring for a senior administrative role supporting Wisconsin IRIS program operations. You will handle referrals, enrollments, eligibility tasks, and service authorizations, while ensuring efficient workflows and adherence to program requirements.

The role involves data entry across DHS systems, SharePoint, and Power BI, plus responding to emails and calls, analyzing processes, and driving improvements in collaboration with teams across the organization.

Qualifications

• 2+ years of administrative/healthcare experience preferred, especially with IRIS-like programs.
• Bachelor’s degree or commensurate experience required.
• Strong customer service skills are essential.
• Excellent organizational, prioritization and time-management abilities.
• Analytical and problem-solving capabilities required.
• Ability to follow HIPAA and maintain confidentiality.
• Ability to manage multiple priorities simultaneously.
• Strong written and verbal communication skills.
• Proficiency with Microsoft Office and related software.

Responsibilities

• Provide senior-level administrative support to operations and field staff for referrals, enrollment, eligibility, and service authorization in the Wisconsin IRIS program.
• Support data entry and tracking in DHS systems, SharePoint, and Power BI.
• Handle email requests from coworkers, providers, and partner agencies; manage phone queues and calls.
• Analyze data/workflows and propose improvements; assist with implementing changes.
• Lead projects and contribute to process development within areas of responsibility.

Skills

Customer service

Organizational skills

Time management

Analytical thinking

Communication

Teamwork

Education

Bachelor's degree or commensurate experience

Tools

Microsoft Office

SharePoint

Power BI

Job description

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.

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.