IRIS Consultant JOB DESCRIPTION Job Summary Do you want a career where you build lasting relationships with the people you partner with? Do you want to make a difference in the lives of people with long-term health care needs? Then TMG wants to hear from you! We’re currently looking for someone with a social services or human services background to join our team. This is a remote position, where you will partner with people in your community who are enrolled in the Wisconsin IRIS Program and the TMG IRIS Consultant Agency. While your office will be home-based, you will have regularly scheduled visits with IRIS participants in their home and community. As an IRIS Consultant (IC), you will build relationships with the people you partner with and help them navigate and get the most out of the Wisconsin IRIS program – a Medicaid long-term care option for older adults and people with disabilities. You can learn more about the IRIS program on the Wisconsin Department of Health Services website here. Together, you will identify the long-term care goals of the people enrolled in IRIS, and find creative ways to achieve those goals. ICs play an important role in helping people of various backgrounds and abilities live the lives that they choose. In fact, people constantly tell us how supportive our ICs are and what a positive impact our ICs have had on their lives! Successful candidates for this position will be compassionate, genuine, resourceful partners with an eye for high quality work, and who are excited to work side-by side with people enrolled in IRIS. As an IC, you will connect people to the resources available in their community. You will also help them develop customized IRIS plans for achieving their goals related to employment, housing, health, safety, community membership, transportation, and lasting relationships. While you will have a routine for the work that you do, no two days are alike! TMG wants to find the best possible candidates, so we created this Realistic Job Preview to provide you with an inside look at the position and our organization. Find out more about the IRIS Consultant position by clicking on the link and then reviewing the job posting below. TMG is committed to maintaining a diverse and inclusive workforce and prioritizes helping staff have a good work/life balance. Even though the position is remote, you’ll have lots of support from your TMG team and coworkers across the organization. If this sounds like the job for you, apply today! KNOWLEDGE/SKILLS/ABILITIES - Required to meet in person with the IRIS participant a minimum of four times per year, with one required annual visit in the home of the participant. Because IRIS is a self-directed program, it is important for ICs to be available upon the request of the participant. - Responsible for providing program orientation to new participants. During this time, participants will learn their rights and responsibilities as someone enrolled in the IRIS program, including verifying legal documents, completing employee paperwork and the responsible use of public dollars. - Explore a broad view of the participant's life, including goals, important relationships, connections with the local community, interest in employment, awareness of the Self-Directed Personal Care option, and back-up support plans. - Assist participants in identifying personal outcomes and ensure those outcomes are being met on an ongoing basis, all while staying within the participant's IRIS budget and within the requirements of the IRIS program determined by the Department of Health Services (DHS). - Responsible for documenting all orientation and planning activities within the IRIS data system (WISITs) within 48 business hours of the visit with the participant. - Research community resources and natural supports that will fit the individual outcomes for each participant and share that information with them as it becomes available. - Responsible for documenting progress and changes as needed within the plan and the data system anytime a modification is requested by a participant. - Budget Amendment or One-Time Expense paperwork may be required depending upon factors associated with the participant and their individual IRIS budget. - Educate participants on how to read and interpret their monthly budget reports to ensure that participants operate within their budget. Being a liaison between the Fiscal Employer Agency and the IRIS Consultant Agency is also a large part of the position, which includes assisting participants with provider billing, seeking support brokers, tracking receipts, ensuring their workers are paid and mitigating areas of potential risk or conflicts of interest. - Responsible to develop engaged and trusting relationships with participants and communicate program changes and compliance effectively. - Responsible to maintain confidentiality and HIPPA compliance. - Work collaboratively with other IRIS Consultant Agency staff in order to ensure a successful implementation of participants' plans. - Attend in-person monthly team meetings with other ICs and their supervisor. In addition, weekly IC and IRIS Consultant Supervisor phone check-ins may occur, along with other duties as assigned. Required Qualifications • At least 2 years experience in health care, preferably in care coordination, and at least 1 year of experience serving target groups of the IRIS program (adults with intellectual/physical disabilities or older adults), or equivalent combination of relevant education and experience. • Bachelor’s degree in a social work, psychology, human services, counseling, nursing, special education, or a closely related field (or four years of commensurate experience if no degree). • Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements unless otherwise required by law. • Ability to develop positive and effective work relationships with coworkers, clients, participants, providers, regulatory agencies and vendors. • Ability to work independently with minimal supervision and demonstrate self-motivation. • Demonstrated knowledge of long-term care programs. • Familiarity with principles of self-determination. • Problem-solving and critical-thinking skills. • Excellent time-management and prioritization skills. • Ability to focus on multiple projects simultaneously and adapt to change. • Ability to develop and maintain professional relationships and work through challenging situations. • Comfortable working within a variety of settings with ability to adjust style as needed to work with diverse populations, various personalities, and personal situations. • Demonstrated knowledge of community resources. • Proactive and detail-oriented. • Excellent 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 #PJHS #HTF #LI-AC1 Same Posting Description for Internal and External Candidates

Role Description The Corporate Engagement Specialist (CES) will represent Colorado Technical University (CTU) at engagement events for the Center for Corporate Engagement (CCE) and speak to the entire range of CTU and CCE programs. - Represent CTU as requested at onsite and virtual events including but not limited to conferences, education fairs, and webinars. - Support Corporate Engagement Specialist Director and Corporate Engagement Account Managers to drive student growth in designated accounts. - Track success of marketing opportunities and adjust quarterly in order to drive effectiveness. - Participate in and promote business skills webinars and workshops offered by CCE Marketing for designed accounts. - Identify additional marketing and/or product opportunities for assigned accounts and oversee their implementation. - Build and grow strong relationships with client points of contact for assigned engagement events. - Drive and maintain high levels of customer service. - Proactively assess, clarify, and cater to client needs. - Diligently maintain Salesforce database and share information across internal teams. - Business travel up to 80%. - Other duties as assigned. Qualifications - 3+ years of experience in Sales or Marketing. - Strong knowledge and understanding of digital marketing. - Bachelor degree in Business, marketing, or other related discipline; or equivalent experience. - Salesforce.com experience (preferred). - Experience working for a higher education institution in a B2B capacity (preferred). - Experience working with Fortune 500 companies on behalf of a college, university, or other educational institution (preferred). - Understanding of university operations including student enrollment, marketing, and recruiting (preferred). Requirements - Proven track record of success in delivering corporate account growth. - Knowledge of variety of industries/corporate marketplace. - Effective networking and negotiation skills. - Effective communication skills. - Excellent presentation skills. - Excellent desktop computer skills. - High level of initiative and energy with demonstrated ability to generate results. - Instinct for revenue-generating opportunities. - Strong passion for Career Education Corporation and the Higher Education industry, including our mission, products/programs, values and success. - Ability to work a flexible schedule, including nights and occasional weekends.

Role Description The Corporate Engagement Specialist (CES) will represent Colorado Technical University (CTU) at engagement events for the Center for Corporate Engagement (CCE) and speak to the entire range of CTU and CCE programs. - Represent CTU as requested at onsite and virtual events including but not limited to conferences, education fairs, and webinars. - Support Corporate Engagement Specialist Director and Corporate Engagement Account Managers to drive student growth in designated accounts. - Track success of marketing opportunities and adjust quarterly in order to drive effectiveness. - Participate in and promote business skills webinars and workshops offered by CCE Marketing for designated accounts. - Identify additional marketing and/or product opportunities for assigned accounts and oversee their implementation. - Build and grow strong relationships with client points of contact for assigned engagement events. - Drive and maintain high levels of customer service. - Proactively assess, clarify, and cater to client needs. - Diligently maintain Salesforce database and share information across internal teams. - Business travel up to 80%. - Other duties as assigned. Qualifications - 3+ years of experience in Sales or Marketing. - Strong knowledge and understanding of digital marketing. - Bachelor degree in Business, marketing, or other related discipline; or equivalent experience. - Salesforce.com experience (preferred). - Experience working for a higher education institution in a B2B capacity (preferred). - Experience working with Fortune 500 companies on behalf of a college, university, or other educational institution (preferred). - Understanding of university operations including student enrollment, marketing, and recruiting (preferred). Requirements - Proven track record of success in delivering corporate account growth. - Knowledge of variety of industries/corporate marketplace. - Effective networking and negotiation skills. - Effective communication skills. - Excellent presentation skills. - Excellent desktop computer skills. - High level of initiative and energy with demonstrated ability to generate results. - Instinct for revenue-generating opportunities. - Strong passion for Career Education Corporation and the Higher Education industry, including our mission, products/programs, values and success. - Ability to work a flexible schedule, including nights and occasional weekends.

Role Description We are seeking a detail-oriented and knowledgeable Independent Review Specialist to support our IDR/IIDR case review processes on a contingent basis. In this role, you will complete independent dispute resolution reviews in accordance with contractual requirements while ensuring compliance with Centers for Medicare & Medicaid Services (CMS) and URAC Independent Review Organization (IRO) standards. This position plays a critical role in delivering high-quality, timely, and compliant case reviews in a fast-paced healthcare environment. Candidates need to be available on an as-needed basis up to 10 hours per week. Key Responsibilities - Complete IDR/IIDR case reviews in accordance with contract requirements and deadlines - Manage assigned deliverables, ensuring accuracy, quality, and timeliness - Develop and monitor timelines and work plans for assigned cases - Perform accurate and timely data entry into CMS systems and internal databases - Process and manage all incoming and outgoing Conflict of Interest (COI) case reviews - Ensure secure handling and transmission of sensitive case information - Maintain compliance with all applicable regulations, including HIPAA, FISMA, URAC, and CMS standards - Proactively identify and resolve issues that may impact timelines or deliverables - Communicate effectively with internal teams and stakeholders - Perform other duties as assigned Qualifications - Experience in long-term care, assisted living, ICF/IID facilities, or related healthcare settings - Knowledge of state and federal regulations governing healthcare facilities and services - Experience with utilization review, case management, or healthcare review processes preferred - Background in nursing, social work, life safety codes, or CMS surveyor training is highly desirable - Strong analytical, problem-solving, and organizational skills - Ability to manage multiple priorities and meet deadlines Requirements - Bachelor’s degree or equivalent experience in utilization review, case management, or healthcare field required - Nursing or related licensure preferred but not required - Relevant healthcare, utilization review, or case management experience preferred Skills & Competencies - Strong written and verbal communication skills - Ability to clearly present complex or technical information - Skilled at drafting concise, accurate documentation - Proficiency in Microsoft Office (Word, Excel, Outlook) - Working knowledge of PowerPoint, Access, and Visio preferred - Ability to analyze complex cases and apply sound judgment - Strong attention to detail and accuracy - Effective problem-solving and decision-making skills Benefits - This is a fully remote opportunity. Company Description iMPROve Health is Michigan’s Medicare-designated Quality Improvement Organization, dedicated to improving healthcare across the continuum of care using evidence-based, data-driven strategies. We provide medical consulting and review services, along with data analysis, to federal agencies, state Medicaid programs, public health organizations, healthcare facilities, private health plans, and other third-party payers.