Senior Specialist, IRIS Consulting

Molina Healthcare•Madison, WI

1d•$22 - $43

About The Position

Provides senior-level support to older adults and people with physical or intellectual disabilities as they navigate Wisconsin's IRIS program, a fully self-directed long-term supports and services program. The role manages a complex participant caseload, promotes consistent application of program requirements, serves as a peer resource, and supports supervisory and team initiatives to strengthen service quality, compliance, and participant outcomes. The position provides participant consultation, planning, monitoring, and follow-up; conducts required contacts, including in-person and annual home visits; and supports participant orientation and person-centered planning. It guides participants in pursuing desired outcomes and managing program budgets and administrative requirements, while ensuring timely documentation and compliance. The Senior Specialist also researches community resources, helps resolve participant and service issues, mentors and supports other consultants, and contributes to team initiatives, audits, training, and continuous improvement. Local travel is required.

Requirements

At least 4 years of experience related to delivering social services to older adults and individuals with intellectual and/or physical disabilities, or an equivalent combination of relevant education and experience.
Bachelor’s degree in social work, psychology, human services, counseling, nursing, special education, or a closely related field; alternatively, 4 years of commensurate experience if no degree.
Valid and unrestricted driver’s license, reliable transportation, and adequate auto insurance for job-related travel, unless otherwise required by law.
Knowledge of long-term care programs and familiarity with self-determination, person-centered planning, and community-based service coordination.
Ability to work independently with minimal supervision while managing multiple priorities, deadlines, and participant needs.
Strong problem-solving, critical-thinking, and decision-making skills, including identifying risks, evaluating options, and recommending next steps.
Strong verbal and written communication skills and ability to build effective relationships with participants, families, providers, and internal partners.
Ability to adapt communication and work style to varied settings, diverse populations, personalities, and sensitive personal situations.
Resourcefulness in researching community resources, resolving issues, and supporting access to services and natural supports.
Proficiency with Microsoft Office applications and other technology used for documentation, communication, reporting, and data entry in online systems and databases.
Ability to model consistency, provide peer support, and reinforce established policies, procedures, and service expectations.

Nice To Haves

Experience supporting onboarding, mentoring, training, or peer development activities.
Experience participating in committees, special projects, quality initiatives, or process improvement efforts.
Strong working knowledge of IRIS program operations, documentation expectations, and company policies and procedures.

Responsibilities

Manage a complex IRIS participant caseload and deliver consultation, planning, monitoring, and follow-up in accordance with program requirements, participant needs, and service standards.
Conduct required participant contacts, including in-person visits and annual home visits, and respond to participant requests.
Deliver and oversee new-participant orientation covering program rights and responsibilities, enrollment documentation, and stewardship of public funds.
Facilitate person-centered planning by assessing participant goals, relationships, natural supports, community connections, employment interests, backup plans, and awareness of program options.
Partner with participants to identify desired outcomes and monitor plans to ensure alignment with participant goals, budgets, and Wisconsin Department of Health Services requirements.
Ensure accurate and timely documentation of participant contacts, planning activities, plan changes, and required system updates.
Guide participants in understanding budget reports, amendment requests, one-time expense processes, provider payment issues, and other administrative requirements.
Research and share community resources, natural supports, and service options that advance participant outcomes and reduce barriers.
Identify, escalate, and help resolve participant, service, documentation, or compliance issues.
Serve as a peer resource to IRIS Consultants by sharing best practices, reinforcing consistent service and documentation practices, and supporting onboarding and mentoring.
Support supervisors and operational leaders through team initiatives, committees, workgroups, audits, workflow support, and other assigned activities.
Promote compliance with company policies, confidentiality standards, and applicable program requirements, and maintain effective working relationships with participants, colleagues, and partners.
Participate in team meetings, case consultation, training, and continuous improvement efforts.
Travel locally as required.