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ATTENTION JOB SEEKERS AND MOLINA APPLICANTS: FRAUD ALERT

Be aware that third parties posing as Molina Healthcare may be soliciting money from job seekers and extending offers to candidates who have not interviewed. Molina does not engage in these type of practices. If you have received an offer and have not been engaging with Molina Healthcare in an interview process, reach out to erc@molinahealthcare.com to validate the legitimacy of your offer. Please note that Molina has reported this activity to the appropriate law enforcement agencies for further investigation. If you feel you’ve been victimized, please report it to local law enforcement.

Senior IRIS Operations Specialist (Must reside in WI)

Molina Healthcare Kenosha, Wisconsin; Racine, Wisconsin; Madison, Wisconsin; Green Bay, Wisconsin; Milwaukee, Wisconsin Job ID 2033988
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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

• 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.
• 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.
• Responds to incoming email requests from coworkers, providers and partner agencies.
• Manages phone queues and assists with outgoing and incoming calls.
• Analyzes data and workflows, offers suggestions for improvement and/or changes to management and assists with the implementation of changes.
• Manages projects and engages in problem-solving and overall process development and implementation within identified areas of primary responsibility and subject matter expertise.
• 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, participants, providers and customers.

Required Qualifications

• 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.
• Bachelor’s degree in a related field or commensurate experience.
• Strong customer service skills.
• Excellent organizational, prioritization, and time-management skills.
• Analytical and problem-solving skills.
• Ability to adhere to Health Insurance Portability and Accountability Act (HIPAA) regulations and maintain strictest confidentiality.
• Ability to focus on multiple priorities simultaneously.
• Resourceful, proactive, and detail-oriented, and ability to learn and incorporate new tasks quickly.
• Ability to work both collaboratively and independently, including ability to function as a strong partner on project teams.
• Ability to seek out opportunities to learn and grow, embrace challenges and learn from them.
• Demonstrated flexibility in the work environment, and willingness and ability to adapt to changing organizational needs.
• Data entry experience.
• Strong verbal and written communication skills.
• 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.

About Us

Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

Job Type Full Time Posting Date 10/01/2025

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