IRIS Ops Specialist

2 weeks ago

Madison WI 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.

  • Iris Ops Specialist

    4 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...

  • 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...

  • IRIS Ops Specialist

    1 week 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...

  • IRIS - TMG Administrative / Customer Service (Madison, WI Onsite role)

    4 days ago

    Madison, WI, 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...

  • IRIS - TMG Administrative / Customer Service (Madison, WI Onsite role)

    5 days ago

    Madison, United States Molina Healthcare Full time

    Job DescriptionJob DescriptionJob SummaryThe 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...

  • TMG Community Partnership Specialist

    4 weeks ago

    Madison, United States Molina Healthcare Full time

    TMG Community Partnership Specialist - Must reside in WI JOB DESCRIPTION Community Partnership Specialist Are you a natural-born connector who likes helping others find the care, support, and resources they need to live their best life? Do you get passionate talking to people about all the different ways that people with disabilities and older adults can...

  • TMG Community Partnership Specialist

    1 week ago

    Madison, United States Molina Healthcare Full time

    TMG Community Partnership Specialist - Must reside in WI JOB DESCRIPTION Community Partnership Specialist Are you a natural-born connector who likes helping others find the care, support, and resources they need to live their best life? Do you get passionate talking to people about all the different ways that people with disabilities and older adults can...

  • Collections Specialist

    4 days ago

    Madison, United States Spherion Full time

    Spherion is looking for a Collections Specialist to join the team of our retail pharmacy client who has provided exceptional service to the community for over 80 years! The Collections Specialist will manage overdue accounts and ensure outstanding payments are resolved.You will use your professional customer service skills to complete tasks while maintaining...

  • Collections Specialist

    5 days ago

    Madison, Wisconsin, United States Spherion Full time

    Spherion is looking for a Collections Specialist to join the team of our retail pharmacy client who has provided exceptional service to the community for over 80 years The Collections Specialist will manage overdue accounts and ensure outstanding payments are resolved.You will use your professional customer service skills to complete tasks while maintaining...

  • Pharmacy Billing Specialist

    5 days ago

    Madison, Wisconsin, United States Spherion Full time

    Spherion is looking for a Pharmacy Billing Specialist to join the team of our retail pharmacy client who has provided exceptional service to the community for over 80 years The Pharmacy Billing Specialist will manage overdue accounts and ensure outstanding payments are resolved.You will use your professional customer service skills to complete tasks while...

  • Pharmacy Billing Specialist

    4 days ago

    Madison, United States Spherion Full time

    Spherion is looking for a Pharmacy Billing Specialist to join the team of our retail pharmacy client who has provided exceptional service to the community for over 80 years! The Pharmacy Billing Specialist will manage overdue accounts and ensure outstanding payments are resolved.You will use your professional customer service skills to complete tasks while...

  • REGISTERED NURSE SPECIALIST-F/C OPS

    2 weeks ago

    Chattahoochee, FL, United States MyFlorida Full time

    REGISTERED NURSE SPECIALIST-F/C OPS - 60953519 Date: Apr 23, 2024 Location: CHATTAHOOCHEE, FL, US, 32324 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website (http://www.dms.myflorida.com/workforce\_operations/human\_resource\_management/for\_job\_applicants/e\_verify) . Requisition No: 827958...

  • REGISTERED NURSE SPECIALIST-F/C OPS

    2 weeks ago

    Chattahoochee, FL, United States MyFlorida Full time

    REGISTERED NURSE SPECIALIST-F/C OPS - 60953529 Date: May 14, 2024 Location: CHATTAHOOCHEE, FL, US, 32324 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website (http://www.dms.myflorida.com/workforce\_operations/human\_resource\_management/for\_job\_applicants/e\_verify) . Requisition No: 817418...

  • Registered Nurse Specialist Ops

    2 weeks ago

    Macclenny, FL, United States State of Florida Full time

    Requisition No: 772103 Agency: Children and Families Working Title: REGISTERED NURSE SPECIALIST OPS - 60955422 Position Number: 60955422 Salary: $45.00 per hour Posting Closing Date: 06/30/2024 SHIFTS: Evening or Night Max hours worked per week: 24 - 40 Max hours worked per pay period: 48 Salary: $45.00 per hour This position requires lifting,...

  • Registered Nurse Specialist I

    2 weeks ago

    Orlando, FL, United States University of Central Florida Full time

    The Opportunity: The UCF Student Health Team is seeking qualified candidates for a Registered Nurse Specialist I position. The Registered Nurse Specialist I will provide professional culturally competent nursing care to patients. The Registered Nurse Specialist I will practice under the oversight of a licensed healthcare provider, practice nursing...

  • REGISTERED NURSE SPECIALIST OPS

    2 weeks ago

    Macclenny, FL, United States State of Florida Full time

    Requisition No: 772103 Agency: Children and FamiliesWorking Title: REGISTERED NURSE SPECIALIST OPS - 60955422Position Number: 60955422 Salary: $45.00 per hour Posting Closing Date: 06/30/2024 SHIFTS: Evening or NightMax hours worked per week: 24 - 40Max hours worked per pay period: 48Salary: $45.00 per hourThis position requires lifting, pulling, and...

  • Registered Nurse Specialist-f/c Ops

    2 weeks ago

    Chattahoochee, FL, United States State of Florida Full time

    Requisition No: 817418 Agency: Children and Families Working Title: REGISTERED NURSE SPECIALIST-F/C OPS - 60953529 Pay Plan: Temp Position Number: 60953529 Salary: agency to update Posting Closing Date: 06/21/2024 Total Compensation Estimator Tool This is an OPS position with the Minimum of 24 hours and the Maximum 40 hours worked per week. Shift and...

  • Registered Nurse Specialist-f/c Ops

    2 weeks ago

    Gainesville, FL, United States State of Florida Full time

    Requisition No: 815370 Agency: Children and Families Working Title: REGISTERED NURSE SPECIALIST-F/C OPS - 60957239 Position Number: 60957239 Salary: $45.00 per hour Posting Closing Date: 05/31/2024 Part-Time Registered Nurse OPS postitions available at North Florida Evaluation and Treatment Center in Gainesville, FL SHIFTS: All 24-40 hours per...

  • Registered Nurse Specialist I

    2 weeks ago

    Orlando, FL, United States University of Central Florida Full time

    Registered Nurse Specialist I (TEMP)The Opportunity: The UCF Student Health Team is seeking qualified candidates for a Registered Nurse Specialist I position. The Registered Nurse Specialist I will provide professional culturally competent nursing care to patients. The Registered Nurse Specialist I will practice under the oversight of a licensed healthcare...

  • Travel Nurse RN

    1 day ago

    Madison, WI, United States OneStaff Medical Full time

    OneStaff Medical is seeking a travel nurse RN ICU - Intensive Care Unit for a travel nursing job in Madison, Wisconsin.Job Description & RequirementsSpecialty: ICU - Intensive Care UnitDiscipline: RNStart Date: ASAPDuration: 13 weeks36 hours per weekShift: 12 hours, days, eveningsEmployment Type: TravelIntensive care unit (ICU) staff RNs provide care for...