Senior Specialist, IRIS Operations (Must reside in WI)

Sr IRIS Training Specialist

The Sr IRIS Training Specialist is responsible for delivering a standard training curriculum for all incoming IRIS Consultants, developing training materials to ensure consistent training among IRIS Consultant staff, and leading and executing training activities and initiatives to support IRIS program operations and field staff in the areas of referrals, enrollments, disenrollments, workload assignments, ongoing eligibility, service authorization, and other requirements of Wisconsin's IRIS program. The position requires independent problem solving; strategic thinking and initiative; and the ability to use data to monitor contract compliance, coordination across functions, and technical competencies.

Knowledge / Skills / Abilities

• Analyzes data and workflow, offers suggestions for improvement and / or changes to management, and assists with the implementation of changes.
• Maintains primary responsibility, as assigned, for functions such as consultation, training, and support to field staff, caseload assignments, financial eligibility support, program eligibility support, enrollment and disenrollment activities, timely welcome calls, prior authorizations, and individualized service plan activities.
• Manages projects and engages in problem solving and overall process development and implementation within identified areas of primary responsibility and subject matter expertise.
• Provides skilled supports to Operations and field staff in completing data entry and tracking within WISITS, SharePoint, and Power BI.
• Responds to incoming email requests from coworkers, providers, and partner agencies.
• Manages phone queues and assists with outgoing and incoming calls.
• Ensures assigned areas of primary responsibility operate at high levels of efficiency and in accordance with IRIS program requirements.
• Serves as a liaison to other IRIS partners or providers as needed.
• Establishes and maintains positive and effective work relationships with coworkers, clients, members, providers, and customers.
• Completes other duties as assigned.
• Strong customer service skills
• Excellent written and verbal communication skills
• Excellent organizational, prioritization, and time management skills
• Strong analytical and problem-solving 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 growembrace 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

Required Qualifications

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