The Quality Program Specialist ensures quality standards are met through audits, KPI reporting, and cross-functional collaboration. They are responsible for managing escalations, conducting root cause analysis, and driving continuous process improvement initiatives.
The Telephonic Case Manager provides remote medical case management services to injured individuals to facilitate their recovery and return to work. This role coordinates medical services, explores vocational options, and collaborates with all claim stakeholders including employers, attorneys, and medical providers.
The coordinator manages home health and IV therapy referrals by communicating with providers, insurance carriers, and injured workers to ensure timely service access. They are responsible for intake documentation, authorization letters, vendor coordination, and maintaining accurate demographic data.
The Director of Account Management is responsible for implementing and managing national accounts while fostering collaborative business partnerships. They will handle daily client interactions, analyze program performance, and drive account retention and expansion strategies.
The manager will lead a team in the strategy, configuration, and support of Salesforce-based applications to optimize customer issue and case management workflows. They are responsible for overseeing vendor relationships, release management, and ensuring platform stability while driving continuous process improvement.
The Data Engineer III will design, build, and maintain robust data pipelines and architectures to support data-driven decision-making. They will collaborate with cross-functional teams to ensure clean, reliable data is available for analytics while enforcing data governance and security standards.
Provide remote medical case management services to injured individuals to facilitate their recovery and return to work. Coordinate medical services and explore vocational options while collaborating with claimants, employers, attorneys, and medical providers.
The Clinical Navigator serves as a central coordination and clinical oversight resource for complex workers' compensation cases. They partner with stakeholders to remove barriers to care, evaluate treatment appropriateness, and ensure continuity of care.
The role involves designing, implementing, and supporting enterprise firewall and network infrastructure within a hybrid environment. Responsibilities include monitoring performance, managing security policies, and serving as a senior escalation point for complex network incidents.
Develops and implements provider network and contract strategies to ensure a sufficient network of participating providers. Oversees contract negotiations, maintains provider information, and manages relationships to ensure compliance and service quality.
The Sales Account Manager is responsible for owning the full sales cycle, from outbound prospecting and lead generation to conducting product demonstrations and closing deals. They must also document sales interactions, forecast revenue, and act as a product expert for prospective clients.
The Vocational Case Manager assists individuals with disabilities in overcoming barriers to re-enter the workforce through vocational assessments and rehabilitation planning. Responsibilities include coordinating with medical providers and employers to facilitate successful return-to-work outcomes and providing job-seeking coaching.
The Vocational Case Manager assists individuals with disabilities in overcoming barriers to re-enter the workforce through vocational assessments and rehabilitation planning. They coordinate with medical providers, employers, and insurance adjusters to facilitate successful return-to-work outcomes.
Establish relationships with orthopedic and pain management physician groups to secure network participation contracts at approved rates. Negotiate complex business relationships with MSOs, hospitals, and healthcare systems while maintaining provider documentation.
Lead the design and delivery of end-to-end Generative AI and agentic solutions while providing technical expertise for prototyping and implementation. Establish AI architecture standards and governance to ensure scalable, secure, and production-ready solutions within a regulated healthcare environment.
Manage day-to-day transactional accounting including accounts payable, bank monitoring, and expense report processing across multiple entities. Support the Senior Accountant and Controller with month-end close tasks, bank reconciliations, and payment dispute management.
The specialist is responsible for transitioning customer data from legacy systems to the platform using ETL processes. This includes writing scripts for data transformation, managing the migration queue, and providing technical support to clients.
The role involves being matched with various portfolio companies within Paradigm's investment network. The goal is to identify and fill product design positions at frontier technology companies.
