Senior Specialist, IRIS Operations (Must reside in WI)

Molina Healthcare•Long Beach, CA

10d

About The Position

Provides senior-level administrative support for Wisconsin IRIS program operations, including referrals, enrollment, eligibility, service authorization, and other administrative requirements. Contributes to the overarching strategy of providing quality and cost-effective care. The position must be based in Wisconsin.

Requirements

At least 2 years of applicable administrative and/or health care experience, preferably serving adults with physical or intellectual disabilities or older adults, or an 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 HIPAA regulations and maintain strict confidentiality.
Ability to focus on multiple priorities simultaneously.
Resourceful, proactive, and detail-oriented, with the ability to learn and incorporate new tasks quickly.
Ability to work collaboratively and independently, including as a strong project-team partner.
Ability to seek learning and growth opportunities, embrace challenges, and learn from them.
Flexibility and willingness and ability to adapt to changing organizational needs.
Data entry experience.
Strong verbal and written communication skills.
Proficiency with Microsoft Office and applicable software programs.
Must reside in Wisconsin.

Responsibilities

Support operations and field staff with participant referrals, enrollments, disenrollments, workload assignments, ongoing and financial eligibility, welcome calls, prior authorizations, individualized service plan activities, and other administrative and clerical requirements related to the Wisconsin IRIS program.
Support operations and field staff with data entry and tracking in the DHS information technology system, SharePoint, and Power BI.
Respond to incoming email requests from coworkers, providers, and partner agencies.
Manage phone queues and assist with incoming and outgoing calls.
Analyze data and workflows, suggest improvements or changes to management, and help implement changes.
Manage projects and contribute to problem-solving and process development and implementation within areas of primary responsibility and subject matter expertise.
Ensure assigned areas of responsibility operate efficiently and in accordance with IRIS program requirements.
Serve as a liaison to other IRIS partners or providers as needed.
Establish and maintain positive, effective work relationships with coworkers, clients, participants, providers, and customers.