IRIS Ops Specialist

2 weeks ago

Madison, United States Molina Healthcare Full time

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 work both collaboratively and independently
Ability to analyze data, draw appropriate conclusions and recommend solutions
Ability to seek out opportunities to learn and grow—embrace challenges and learn from them
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.
#PJCorp Pay Range: $16.4 - $31.97 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

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