Senior Specialist, IRIS Operations (Must reside in WI)

Molina Healthcare, Inc.; Wisconsin; Presencial; USD 42.000 - 64.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Benefits package

Descripción de la vacante

Molina Healthcare, Inc. in Wisconsin seeks a senior administrative professional to support the IRIS program operations, handling referrals, enrollments, eligibility, authorizations, and related clerical tasks.

You will assist data entry and tracking in DHS IT systems, SharePoint and Power BI, respond to emails, manage calls, analyze workflows, and help implement improvements while ensuring HIPAA compliance and high accuracy in daily activities.

Formación

• At least 2 years of administrative/health care experience, preferably with IRIS program knowledge.
• Bachelor’s degree in a related field or commensurate experience.
• Strong customer service, organizational, and time-management skills.
• Ability to adhere to HIPAA regulations and maintain confidentiality.
• Analytical, problem-solving, and data-entry abilities.
• Proficient with Microsoft Office and related software (SharePoint, Power BI).

Responsabilidades

• Provide senior administrative support for referrals, enrollments, eligibility, and authorizations for Wisconsin IRIS.
• Support data entry and tracking in DHS IT systems, SharePoint, and Power BI.
• Respond to emails from coworkers, providers, and partner agencies.
• Manage phone queues and assist with calls and outreach.
• Analyze workflows, suggest improvements, and help implement changes.
• Manage projects and collaborate with teams and providers to meet program goals.

Conocimientos

Customer service

Organizational skills

Time management

Analytical skills

Data entry

Written and verbal communication

Microsoft Office proficiency

Educación

Bachelor's degree or commensurate experience

Herramientas

SharePoint

Power BI

Microsoft Office

Descripción del empleo

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