Ground every answer in facts on this page and the original listing. We never invent Glassdoor-style reviews or salaries that are not in our data.
Be ready to explain consulting-style problem framing, how you handle incomplete provider or member data, and examples of process improvement under compliance constraints. Ask how IRIS is used at Molina and how specialists partner with operations and IT.
Strong fit if you want remote work at a large government-program insurer and enjoy specialist consulting over pure clinical care. Weaker fit if you need on-site team energy, a clear city base, or published pay bands—none are in this listing’s data.
As Specialist, IRIS Consulting at Molina, expect days centered on internal consulting support for IRIS-related workflows: clarifying requirements with business and clinical ops stakeholders, documenting processes and handoffs, tracking issues, and helping teams adopt consistent practices so government-program operations stay accurate and auditable. Remote work means heavy calendar time, tickets, and written status.
No occupation profile or cert list was provided. Useful adjacent skills for this title include healthcare operations literacy (Medicaid/Medicare basics), structured documentation, stakeholder facilitation, and comfort with case/issue systems—learn on the job rather than buying unlisted credentials.
It is a managed-care company focused on Medicaid, Medicare, and similar government-backed coverage.
Yes—the listing flags remote work with a USA location scope.
Start with Wikipedia’s Molina Healthcare page and cross-check recent news on compliance and community programs.
Website: molinahealthcare.com
Molina Healthcare, Inc. is an American managed care company headquartered in Long Beach, California. The company provides health insurance to individuals through government programs such as Medicaid and Medicare.
Public cache only — not an employee review.
Build meaningful, lasting partnerships while supporting people with long-term care needs as a Specialist, IRIS Consulting at Molina Healthcare. This is a full-time, remote role serving participants enrolled in the Wisconsin IRIS Program through the TMG IRIS Consultant Agency. About the Role As a remote IRIS Consultant based in your home community, you will guide older adults and people with disabilities through the Wisconsin IRIS program — a self-directed Medicaid long-term care option. Although your workspace is home-based, you will travel for scheduled in-person visits with participants in their homes and communities. Together with each participant, you will set long-term care goals and discover creative paths to reach them. No two days look exactly alike. Key Responsibilities Meet face-to-face with each IRIS participant at least four times annually, including one required visit in the participant's home, and remain responsive to requests in this self-directed program. Deliver program orientation covering participant rights, responsibilities, legal document verification, employee paperwork, and the appropriate use of public funds. Explore each participant's broader life — goals, relationships, community ties, employment interests, the Self-Directed Personal Care option, and back-up support plans. Help identify personal outcomes and track progress while staying within IRIS budgets and Department of Health Services (DHS) requirements. Document orientation and planning activities in the IRIS data system (WISITs) within 48 business hours of each visit, and update plans whenever changes are requested. Research community resources and natural supports, prepare budget amendment or one-time expense paperwork as needed, and coach participants on reading monthly budget reports. Serve as a liaison with the Fiscal Employer Agency on billing, support brokers, receipt tracking, worker payment, and conflict-of-interest concerns. Maintain confidentiality and HIPAA compliance, collaborate with agency colleagues, and attend monthly in-person team meetings plus periodic supervisor check-ins. Qualifications Minimum two years in health care, ideally care coordination, plus at least one year serving IRIS target groups (adults with intellectual or physical disabilities or older adults), or an equivalent mix of education and experience. Bachelor's degree in social work, psychology, human services, counseling, nursing, special education, or a related field — or four years of comparable experience.…
Generated for personal interview prep · 2026-07-17 UTC · getajob.ai