Provider Relations Specialist

🔥 0 minutes ago

🐊 Florida, Illinois – Remote

🐊 Florida – Remote 🌽 Illinois – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 10%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Paradigm

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1991

☁️ SaaS

💰 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

• Serve as a day-to-day point of contact for providers regarding inquiries, documentation, and follow-up on active negotiations • Facilitate key provider relationships, including monthly reviews, QBRs, and annual stewardships with select providers • Support management of key vendor/partner relationships, including monthly reviews, QBRs, and annual stewardships • Support execution and tracking of single case agreements, letters of agreement, and other provider arrangements • Maintain accurate contract records and provider contact logs • Support preparation of documentation and materials for provider discussions • Assist in coordinating provider onboarding and education related to Paradigm programs and expectations • Help monitor vendor deliverables and escalate issues to the Director • Assist in data tracking and reporting related to vendor and partner performance • Compile and analyze data supporting provider engagement, payment strategy, and network optimization initiatives • Prepare summary reports or visualizations for internal and external stakeholders • Assist with identifying trends or provider issues based on contract and billing data

🎯 Requirements

• Excellent provider-facing and internal communication skills • 4+ years of experience in provider relations and contract development • Excellent written and verbal communication skills • Familiarity with reference-based pricing models, single case agreements, and facility contracting concepts • Solid organizational skills including attention to detail and multitasking skills • Strong working knowledge of Workers Compensation fee schedules, CMS methodology, medical coding and other standard billing practices • Strong organizational skills and ability to manage multiple priorities effectively • Some Commercial healthcare experience strongly preferred • Bachelor's Degree in appropriate field of study or equivalent work experience