Senior Specialist, Iris Operations (Must Reside In Wi)

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

Benefits offered by this job

Competitive benefits

Job summary

Molina Healthcare is seeking a senior administrative professional to support Wisconsin IRIS program operations, including referrals, enrollments, eligibility, service authorization, and related clerical duties to ensure quality and cost-effective care. You will work with DHS IT systems, SharePoint, and Power BI, manage calls and emails, analyze workflows, and help implement process improvements.

You will collaborate with staff and providers to maintain efficient operations while upholding HIPAA

Qualifications

• 2+ years of administrative and/or health care experience, preferably with IRIS program target groups.
• Bachelor’s degree or commensurate experience required.
• Strong customer service and organizational skills, with attention to detail.

Responsibilities

• Provides senior level support to operations and field staff handling referrals, enrollments, disenrollments, eligibility, and related administrative tasks for the Wisconsin IRIS program.
• Performs data entry and tracking in DHS IT systems, SharePoint, and Power BI.
• Responds to emails from coworkers, providers, and partner agencies; manages phone queues and calls.
• Analyzes data/workflows and suggests improvements; assists with implementing changes.
• Manages projects and collaborates with teams to develop and implement processes.

Skills

Customer service

Organizational skills

Time management

Analytical and problem solving

Data entry

Verbal and written communication

HIPAA compliance

Collaboration and independence

Attention to detail

Education

Bachelor’s degree in related field

Tools

SharePoint

Power BI

Microsoft Office

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.