Job Description

Job Summary

The IRIS Operations Specialist provides support to IRIS program operations and field staff in the areas of referrals, enrollments, disenrollments, workload assignments, ongoing eligibility, service authorizations and other requirements of Wisconsin’s IRIS Program.

The position requires problem solving; use of data tracking to inform performance, coordination across functions, and technical competencies;

and the ability to prioritize workloads across multiple functions.

Knowledge / Skills / Abilities

• Completes data entry and tracking within WISITS, SharePoint and Power BI.
• Provides skilled supports and technical assistance to field staff in completing data entry and tracking within WISITS, SharePoint, and Power BI.
• Processes incoming email requests and assists with outgoing and incoming calls.
• Supports Operations functions such as caseload assignments, financial eligibility support, program eligibility support, enrollment and disenrollment activities, timely welcome calls, prior authorizations, individualized service plan activities, and consultation, training, and support to field staff.
• Participates in team discussions, assists with projects, and engages in problem solving and overall process development and implementation.
• Completes other duties as assigned.
• Strong customer service skills
• Excellent written and verbal communication skills
• Excellent organizational, prioritization, and time management skills
• Ability to adhere to HIPAA rules and maintain strictest confidentiality
• Ability to focus on multiple priorities simultaneously
• Ability to be resourceful, proactive, and detail-oriented, and learn and incorporate new tasks quickly
• Ability to analyze data, draw appropriate conclusions and recommend solutions
• Flexibility in the work environment and willingness and ability to adapt to changing organizational needs
• Demonstrated computer and software skills required; proficiency with Microsoft Office Suite and other software; database operation / maintenance skills and data entry experience

Job Qualifications

Required Education :

Associate degree in a related field or commensurate experience

Required Experience :

0-1 years of previous applicable experience

Required Licensure or Certification :

Must possess a valid driver’s license, maintain adequate auto insurance for job-related travel, and ability to travel within Wisconsin and other states as necessary

Preferred Qualifications :

2 years of previous applicable experience

PHYSICAL DEMANDS :

Working environment is generally favorable and lighting and temperature are adequate. Work is generally performed in an office environment in which there is only minimal exposure to unpleasant and / or hazardous working conditions.

Must have the ability to sit for long periods. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential function.

To all current Molina employees : If you are interested in applying for this position, please apply through the intranet job listing.

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

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Pay Range : $16.4 - $31.97 / HOURLY

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

About Us

Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance.

If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission.

Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package.

Molina Healthcare is an Equal Opportunity Employer (EOE) M / F / D / V.

Job Type : Full Time Posting Date : 05 / 01 / 2024

Last updated : 2024-05-22