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.
Paradigm
20 Remote Job Openings at Paradigm
The Associate Director is responsible for developing and expanding provider referrals to meet sales targets while managing existing relationships and new prospects. They will collaborate across internal teams to align Go to Market, product, and operations strategies to improve patient outcomes and business growth.
The role is responsible for lifetime medical cost planning for injured workers and analyzing claims data to ensure product profitability. It involves creating analytical tools and collaborating with stakeholders to develop business questions for modeling.
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 analyst is responsible for optimizing Bill Review operational processes to improve productivity and quality while serving as the system administrator. Key duties include configuring system rules, performing root cause analysis, and coordinating compliance auditing.
Provide remote medical case management to injured individuals to facilitate their recovery and return to maximum function. Coordinate medical services and collaborate with claims examiners, employers, attorneys, and medical providers.
Coordinate and manage medical services for injured workers to support treatment plans and return-to-work outcomes. Analyze medical information and collaborate with providers, adjusters, and internal teams to ensure quality, compliant case management.
The Provider Contract Manager is responsible for growing the provider network through contract negotiation and maintaining strong professional relationships with healthcare providers. The role also involves managing and mentoring a team of contracting specialists while integrating AI-enabled tools into workflows.
Responsible for the accuracy of risk-based contract budgets and financial forecasts through collaboration with clinical and analytics teams. Manages provider rate negotiations and analyzes budget-to-actual expenditures to ensure financial stability of contracts.
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 Clinical Preceptor supports the development and integration of Network Managers and Business Contacts into the company's clinical practice. They serve as a subject matter expert, providing mentoring, training, and quality oversight for catastrophic case management.
Lead business analysis efforts to connect strategic goals with technology solutions by gathering requirements and designing functional specifications. Partner with cross-functional teams to support the full software development lifecycle from concept through implementation and operational support.
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.
The specialist will act as a client advocate, ensuring positive business outcomes by supporting existing customers via chat, email, and phone, and diagnosing/troubleshooting client issues. Responsibilities also include onboarding new customers through training calls and continuously acquiring expertise in MerusCase features.
As a Customer Support Specialist, you will support existing customers via email and phone, diagnose and troubleshoot client issues, and onboard new customers with training calls. You will also work with various stakeholders to understand evolving client needs and improve client retention.