Molina Healthcare · 3 months ago
IRIS Operations Specialist (Onsite role Fitchburg, WI, Administrative/Call Que)
5117 West Terrace Drive #100, Madison, WI, 53718, US
Full-time
Onsite
Entry Level
1+ years expMolina Healthcare is a company focused on providing quality healthcare services, and they are seeking an IRIS Operations Specialist to support the Wisconsin IRIS program operations. The role involves administrative support including referrals, enrollment, eligibility, and service authorization, as well as providing consultation and training to field staff.
Health CareHospitalMedical
Responsibilities
Supports 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 consultation, training, and support to field staff
Provides support to field staff completing data entry and tracking within Wisconsin IT system, SharePoint, and Power BI programs
Processes incoming email requests and assists with outgoing and incoming calls
Participates in team discussions, assists with projects, and engages in problem-solving and overall process development and implementation
Follows directions to meet established protocols and deadlines
Provides technical support and customer service
Researches and provides assistance on inquiries received from staff, program participants, partner agencies, vendors, etc
Assists with projects as requested by leadership
Qualification
Required
At least 1 year of applicable administrative and/or health care experience, preferably serving the target groups of the IRIS program (adults with physical or 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
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
Ability to analyze data, draw appropriate conclusions and implement 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
Data entry experience
Strong verbal and written communication skills
Basic Microsoft Office suite/applicable software program(s) proficiency
Benefits
Competitive benefits and compensation package
Company
Molina Healthcare
Molina Healthcare is a healthcare company that specializes in government-sponsored healthcare programs for families and individuals.
10001+ employees
H1B Sponsorship
Molina Healthcare has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (56)
2024 (45)
2023 (43)
2022 (31)
2021 (35)
2020 (55)
Funding
Current Stage
Public CompanyTotal Funding
$2.35B2025-11-17Post Ipo Debt· $850M
2024-11-13Post Ipo Debt· $750M
2021-11-16Post Ipo Debt· $750M
Leadership Team
Dave Reynolds
Executive Vice President, Health Plans & Medicaid Chief Operating Officer
Debbie Simkins
Vice President, Office of the CIO
Recent News
2026-01-03
Company data provided by crunchbase