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IRIS Ops Specialist (Admin/Customer Service role) - TMG (Madison, WI) (Onsite role)

Company: Molina Healthcare
Location: Madison
Posted on: May 13, 2024

Job Description:

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.
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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

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    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.
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            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.

Keywords: Molina Healthcare, Madison , IRIS Ops Specialist (Admin/Customer Service role) - TMG (Madison, WI) (Onsite role), Other , Madison, Wisconsin

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