Senior IRIS Operations Specialist (Must reside in WI)

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 u2022 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. u2022 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. u2022 Responds to incoming email requests from coworkers, providers and partner agencies. u2022 Manages phone queues and assists with outgoing and incoming calls. u2022 Analyzes data and workflows, offers suggestions for improvement and/or changes to management and assists with the implementation of changes. u2022 Manages projects and engages in problem-solving and overall process development and implementation within identified areas of primary responsibility and subject matter expertise. u2022 Ensures assigned areas of primary responsibility operate at high levels of efficiency and in accordance with IRIS program requirements. u2022 Serves as a liaison to other IRIS partners or providers as needed. u2022 Establishes and maintains positive and effective work relationships with coworkers, clients, participants, providers and customers. Required Qualifications u2022 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. u2022 Bacheloru2019s degree in a related field or commensurate experience. u2022 Strong customer service skills. u2022 Excellent organizational, prioritization, and time-management skills. u2022 Analytical and problem-solving skills. u2022 Ability to adhere to Health Insurance Portability and Accountability Act (HIPAA) regulations and maintain strictest confidentiality. u2022 Ability to focus on multiple priorities simultaneously. u2022 Resourceful, proactive, and detail-oriented, and ability to learn and incorporate new tasks quickly. u2022 Ability to work both collaboratively and independently, including ability to function as a strong partner on project teams. u2022 Ability to seek out opportunities to learn and grow, embrace challenges and learn from them. u2022 Demonstrated flexibility in the work environment, and willingness and ability to adapt to changing organizational needs. u2022 Data entry experience. u2022 Strong verbal and written communication skills. u2022 Microsoft Office suite/applicable software program(s) proficiency. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. 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.

Created: 2025-12-05