Operations Coordinator

Paradigm Specialty Care Management

Paradigm is an accountable specialty care management organization focused on improving the lives of people with complex injuries and diagnoses. The company has been a pioneer in value-based care since 1991 and has an exceptional track record of generating the very best outcomes for patients, payers, and providers. Deep clinical expertise is the foundation for every part of Paradigm's business: risk-based clinical solutions, case management, specialty networks, home health, shared decision support, and payment integrity programs.

We're proud to be recognizedagain! For the fourth year in a row, we've been certified by Great Place to Work, and for the third consecutive year, we've earned a spot on Fortune's Best Workplaces in Health Care list. These honors reflect our unwavering commitment to fostering a positive, inclusive, and employee-centric culture where people thrive.

This position is responsible for providing administrative system support across all risk solutions products and executing key operational processes to ensure the smooth operation of all systems. The role involves a variety of administrative tasks that support patient management, system and database management, client structure setup, and facilitation of communications within the patient management team. Additionally, this position will provide general support to Clinical Solutions personnel. It will also serve as an extra layer of support for implementing quality initiatives and maintaining quality assurance across all administrative functions.

Duties and Responsibilities:

• Assisting with the execution of follow-up tasks derived from quality review audits or functions.
• Providing technical assistance to production and quality staff regarding systems support for all contracts across risk products.
• Ensuring data integrity through various cleanup projects related to injured worker contracts and clients.
• Tracking all customer deliverables to ensure timely submissions that meet the company's Standards of Performance. Initiate appropriate action plans for late reports, contracts, or necessary task updates.
• Participating in the report review process as required by established workflow procedures.
• Collaborating with other internal departments (Budgeting and Data Analytics, Bill Review, and Accounting) to address and resolve specific patient/provider issues that may require data updates.
• Participating in company projects that require representation from the Clinical Solutions Delivery teams, as requested by management. Engage and facilitate discussions with internal and external personnel regarding assigned administrative tasks.
• Performing other administrative duties as requested, including uploading records into ECL, documenting and archiving patient notes, researching patient-specific issues, and tracking deliverables as needed.
• Tracking of all customer deliverables to ensure timely submission that meet company Standards of Performance. Initiate appropriate action plans for late reports or contracts and Tasking updates when necessary.
• Participate in the report review process as required by established workflow procedures.
• Participate in company projects requiring representation from the Clinical Solutions Delivery teams, as requested by management.
• Responsible for complying with Paradigm IT security requirement and policies.
• Responsible for safeguarding Paradigm or Paradigm related IT passwords.
• Responsible for notifying Paradigm of any IT security incidents per policy 16.0 Information Security Incident Management.

Qualification Requirements:

• Education: Bachelor's degree from an accredited educational institution preferred.
• Experience: Two to five years progressively responsible customer service experience.
• Related experience in provider relations or health care preferred.
• Strong medical background preferred, including comprehensive understanding of medical terminology and health care principles and practices.
• Demonstrated ability to multi-task in a fast-paced work environment. Experience with various computer applications including Microsoft Office, Outlook, WORD and Excel.
• Language: Excellent oral communication skills and phone presence.
• Ability to read and comprehend instructions, correspondence, memos, and medical/patient reports.
• Ability to write correspondence and memos and utilize e-mail communication effectively.
• Ability to present information in one-on-one and small group situations.
• Reasoning Ability: Excellent analytical skills -- ability to define problems, collect data, establish facts, and draw valid conclusions; ability to interpret a variety of instructions and deal with abstract and concrete variables; demonstrated ability to analyze difficult situations, problems, and data; use good judgment and decision making.
• Any combination of education/experience and knowledge that demonstrates the ability to perform the functions of the position will be accepted.

Paradigm Benefits:

• Health and wellness We want our people to be and stay healthy, so we offer PPO, HDHP, and HMO health insurance options with Cigna and Kaiser (CA employees only).
• Financial incentives Paradigm's financial benefits help prepare you for the future: competitive salaries, 401(k) matching contributions, employer-paid life and disability insurance, flexible spending and commuter accounts, and employer-matched HSA contributions.
• Vacation - We believe strongly that work-life balance is good for you and for our company. Our paid time off and personal holiday programs give you the flexibility you need to live your life to the fullest.
• Volunteer time We want our employees to engage with and give back to their communities in meaningful ways. Full and part-time employees receive one paid day per calendar year.
• Learning and development: One of Paradigm's core values is expertise, so we encourage our employees to continually learn and grow. We support this in a variety of ways, including our new Learning Excellence at Paradigm (LEAP) program.

Paradigm believes that fostering a diverse and inclusive workplace is central to our mission of helping more people and transforming lives. We're striving to build a culture that better reflects the society we live in and empowers our team to deliver the highest levels of compassion and care to those we serve. For us, achieving this goal requires a workforce that respectfully embraces differences and commits to positive change, creating an environment where everyone is able to bring their whole self to work.

Paradigm complies with federal and state disability laws and makes reasonable accommodations for applicants and employees with disabilities. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please 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, and basis of disability or any other federal, state or local protected class.

As a contractor with the State of Wisconsin, Paradigm complies with Wisconsin Contract Compliance Law (16.765). Poster link: Contract Compliance Law Poster