Quality Program Specialist

Req Number: Req #1863 Paradigm is an accountable specialty care management organization focused on improving the lives of people with complex injuries and diagnoses. Paradigm is seeking a full-time Quality Program Specialist in the Tampa, FL area. The position would be mostly remote, but will require periodic trips to the office for meetings, trainings, and other onsite activities. Responsibilities Quality Assurance and Input Management Perform quality audits on processes. Triage issues to appropriate teams based on complexity and urgency. Ensure consistent and accurate documentation and process execution. Escalation and Problem Solving Manage and track escalated issues, ensuring timely resolution and stakeholder communication. Collaborate with internal departments (Referral Management, Network Development, Network Billing, Account Management, Network Services, IT) to resolve complex problems. Act as a liaison between internal teams and external parties when needed. Root Cause Analysis and Continuous Improvement Conduct monthly root cause analysis of recurring issues and escalations. Identify patterns and trends to inform management. Recommend and support implementation of corrective actions and preventive measures. Reporting and Documentation Develop and maintain reports for KPIs, audit results, and process metrics. Present findings to management and contribute to continuous improvement. Maintain documentation of audit procedures, training materials, and process workflows. Maintain reliable attendance during scheduled work hours. Comply with Paradigm Information Security requirements and policies, safeguarding related passwords and reporting any information security incidents per policy SEC 10-12. Demonstrate a customer‑first mindset, developing a deep understanding of Paradigm organization, products, operations, and customers, prioritizing collaboration to meet customer needs and expectations, and taking personal accountability for service quality. Utilize AI tools to support day‑to‑day tasks, improve efficiency, and enhance output quality; adopt new technologies as trained and apply them in alignment with established processes and guidelines. Qualifications Bachelor's degree or equivalent work experience. 24 years of experience in process improvement, operations analysis, or quality improvement. Strong analytical and problem‑solving skills. Proficiency in MS Office, especially Excel (pivot tables, charts, formulas). Excellent written and verbal communication skills. Ability to work independently and manage multiple priorities. Preferred: Experience in healthcare, workers' compensation, or bill review operations. Familiarity with quality management tools (root cause analysis, PDCA, Pareto charts). Certification in Six Sigma, Lean, or ASQ. Benefits Health and Wellness - PPO, HDHP, and HMO health insurance options with Cigna and Kaiser (CA employees only). Financial Incentives - Competitive salary, 401(k) matching contributions, employer‑paid life and disability insurance, flexible spending and commuter accounts, and employer‑matched HSA contributions. Vacation - Paid time off and personal holiday programs offering flexibility to balance work and life. Volunteer Time - Full and part‑time employees receive one paid day per calendar year. Learning and Development - Support for continual learning and growth, including the LEAP program. Paradigm believes that fostering a diverse and inclusive workplace is central to our mission of helping more people and transforming lives. We are committed to building a culture that reflects society, empowers our team, and allows everyone to bring their whole selves to work. We comply with federal and state disability laws and provide reasonable accommodations for applicants and employees with disabilities. For assistance, contact Leave Management at View email address on click.appcast.io. We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, or basis of disability or any other federally, state, or local protected class. #J-18808-Ljbffr Paradigm