Provider Contract Manager

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🔥 27 minutes ago

🐊 Florida, Illinois, +1 more states – Remote

🐊 Florida – Remote 🌽 Illinois – Remote 🤠 Texas – Remote

⏰ Full Time

🟠 Senior

🔴 Lead

👔 Manager

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Paradigm

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1991

☁️ SaaS

🔥 Funding within the last year

💰 Private equity on 2025-08

SaaS

Paradigm is a company whose publicly accessible web application returned only the message: "Loading application... Your web browser must have JavaScript enabled in order for this application to display correctly. " No additional information about its products, services, or market focus was available from the provided content. Based on the presence of a web application but lacking further details, no definitive product, sector, or clientele can be determined from the supplied input.

📋 Description

• Grow and enhance Paradigm’s Provider Network by negotiating contracts • Actively manage a team that involves mentoring/coaching the team • Monitor provider network performance and growth • Focus on growth, efficiency and performance of underdeveloped network segments/geographic locations • Directly manage, provide leadership and mentoring to any direct reports • Maintain accurate and up-to-date provider data in organization’s System • Assist with the enforcement of departmental quality assurance processes and procedures • Conduct regular reviews and audits of the provider network to ensure accurate data • Conduct and coordinate provider recruitment efforts • Utilize proprietary company information/programs to identify provider prospects • Recruit and contract with Provider’s • Foster and maintain productive professional relationships with Paradigm providers • Prepare written reports, correspondence, presentations, orientation materials, and other documentation • Perform research and analysis related to Provider network requirements • Conduct market research to identify gaps in the provider network • Facilitate the contracting process with Providers

🎯 Requirements

• Minimum of 7-10 years of contracting experience in the healthcare industry, specific to provider contracting of physicians, surgical facilities and ancillary services. • Minimum of 4-5 years of supervisory experience in managing a team of individuals that perform physician, surgical facility and ancillary services contracting. • Knowledgeable in interpreting and assessing CPT, HCP, DRG and Revenue codes. • Experience with Medicare fee schedules, Work Comp fee schedules, UCR and Billed Charge reimbursement methodologies. • College degree preferred. High school diploma or equivalent acceptable with commensurate experience. • Exceptional communication and telephone skills required, as well as a great deal of patience, understanding and tact. • Possess a high level of self-confidence and persistence; maintain an assertive approach in dealing with providers. • Must possess excellent organizational skills and ability to multi-task effectively. • Demonstrate ability to prioritize heavy workload independently with minimal supervision. • Proficient computer and internet skills; familiarity with Microsoft applications required. • Will develop in-depth knowledge of department and company internal workflows, including but not limited to individual jurisdictional statutes, procedures, and negotiating protocols. • Inside sales experience a plus. • Bilingual (English/Spanish) a plus. • Workers’ Compensation knowledge required. • Group Health knowledge required.

🏖️ Benefits

• Complying with Paradigm Information Security requirements and policies • Safeguarding Paradigm or Paradigm related passwords • Notifying Paradigm of any Information Security incidents per policy SEC 10-12 Information Security Incident Management