Paradigm

Role Description We are seeking a full-time, remote IT Project Manager. This position is responsible for the planning, coordination, and delivery of assigned IT projects that support Paradigm’s business processes and operational objectives. Projects may vary in scope and complexity and may involve cross‑functional collaboration. The IT Project Manager is accountable for the successful delivery of projects within approved scope, schedule, budget, quality, and risk parameters. The role applies established project management practices, organizational standards, and available technologies to effectively plan, manage, and deliver projects. The IT Project Manager is expected to leverage approved tools and capabilities to improve efficiency, maintain high-quality project artifacts, support decision-making, and minimize administrative effort. Demonstrates a customer-first mindset through a commitment to delivering the best possible outcomes for our customers, including injured workers, payors, clients, providers, stakeholders, and internal teams. By fully leveraging Paradigm’s solutions, delivering consistently high‑quality service, and collaborating effectively with internal and external partners, we create an exceptional customer experience. Responsibilities - Plan, coordinate, execute, and monitor assigned IT projects in accordance with approved scope, schedule, budget, quality, and risk parameters. - Lead cross-functional project teams and coordinate resources across business and IT functions to achieve project objectives, often without direct supervisory authority. - Facilitate the definition of project objectives, scope, deliverables, and success criteria. - Develop and maintain project plans, schedules, estimates, and forecasts using established project management practices and approved tools and technologies. - Define and coordinate project tasks and resource requirements across IT and business teams. - Manage day-to-day project execution, including tracking progress, dependencies, risks, and issues. - Proactively identify project risks and issues, implement mitigation actions within authority, and escalate as appropriate. - Identify, manage, and communicate project dependencies and potential impacts across teams, initiatives, and business functions. - Manage and control project budgets and resource utilization. - Track project deliverables, milestones, and performance metrics using appropriate tools, dashboards, and reporting mechanisms. - Utilize approved productivity, automation, analytics, and AI-enabled capabilities to improve project planning, communication, reporting, analysis, and delivery effectiveness. - Review, validate, and exercise professional judgment over AI-generated content, recommendations, analyses, and project artifacts to ensure accuracy, completeness, compliance, and alignment with actual project conditions and organizational standards. - Support organizational adoption of approved AI capabilities by identifying and sharing effective practices, lessons learned, and opportunities to improve project delivery performance. - Direct and coordinate project team members to support timely and effective delivery. - Communicate project status, risks, issues, dependencies, decisions, and recommendations to stakeholders at all levels of the organization, including senior leadership. - Provide project information and analysis to support decision-making and escalation. - Implement approved project changes and interventions to achieve intended project outputs. - Execute and support change management activities related to project implementation, transition, and adoption within the project scope. - Conduct project evaluations and post‑implementation assessments to identify lessons learned and improvement opportunities. - Lead or support implementation planning and transition activities as assigned. - Ensure compliance with Paradigm project governance standards, methodologies, and controls. - Maintain required project documentation and artifacts in accordance with PMO standards. - Collaborate with Senior Project Managers and PMO leadership on escalations, dependencies, and continuous improvement initiatives. - Perform additional support functions as needed. - Utilizes AI tools to support day-to-day tasks, improve efficiency, and enhance output quality. Adopts new technologies as trained and applies them in alignment with established processes and guidelines. - Demonstrates a customer-first mindset by developing a broad and deep (where appropriate) understanding of Paradigm organization, products, operations, and customers. Prioritizes collaboration to meet customer needs and expectations and takes personal accountability for service quality. Qualifications - Minimum of 5–7 years of direct work experience in an IT project management or related delivery role. - Demonstrated knowledge of project management principles, methodologies, tools, and governance practices. - Experience managing project scope, schedules, budgets, risks, issues, dependencies, and stakeholder expectations. - Demonstrated ability to lead and influence cross-functional teams, stakeholders, and subject matter experts to achieve project objectives. - Demonstrated ability to manage competing priorities and adapt to changing business needs in a dynamic environment. - Proven experience in risk identification and issue management. - Working knowledge of change management concepts in a project environment. - Experience operating within established project governance frameworks. - Focus on achieving intended business outcomes while balancing project constraints, organizational priorities, and available resources. - Proficiency in Microsoft Project or comparable project planning tools. - Demonstrated ability to effectively leverage available technologies, automation, analytics, and AI-enabled capabilities to improve productivity, reduce administrative effort, and enhance project delivery performance. - Ability to effectively incorporate AI capabilities into day-to-day project management activities while applying critical thinking and professional judgment to validate outputs and recommendations. - Demonstrated ability to identify opportunities to improve delivery effectiveness through automation, AI-enabled workflows, and emerging technologies. - PMP or equivalent project management certification preferred. 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.

Role Description The Provider Contract Manager will grow and enhance Paradigm’s Provider Network by negotiating contracts, amendments, establishing and maintaining relationships with providers to secure network participation contracts at company approved jurisdictional margins. The job role requires actively managing a team that involves mentoring/coaching the team, monitoring their progress that includes achieving their goals and assisting with their contracting initiatives. Duties and Responsibilities: - Monitor provider network performance and growth. - Focus on growth, efficiency and performance of underdeveloped network segments/geographic locations by product line as assigned. - 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 and related activities, including: - Utilize proprietary company information/programs as well as approved non-company systems/programs to identify provider prospects. - Recruit and contract with Providers. - Foster and maintain productive professional relationships with Paradigm providers. - Communicate with and provide timely responses to provider inquiries in a manner that demonstrates the Paradigm way. - Maintain a thorough understanding of Paradigm’s service offerings and pricing thresholds. - Participate in the development of marketing and outreach materials in collaboration with departmental instruction/needs. - Document outreach efforts, review results, and modify approach as needed to achieve departmental recruitment objectives in the appropriate contact management system. - Support ongoing process improvement activities related to provider recruitment and onboarding. - Prepare written reports, correspondence, presentations, orientation materials, and other documentation. - Perform research and analysis related to Provider network requirements and to identify opportunities for network expansion, including: - Conduct market research to identify gaps in the provider network, opportunities for network expansion and trends. - Maintain knowledge of Paradigm Providers through direct dialogue. - Research competitors and utilize available data to monitor hospital and health system network, including service offerings and rates. - Facilitate the contracting process with Providers in collaboration with the SVP of Network Development. - Perform additional duties as identified and directed by management. - Leads adoption of AI-enabled tools within the team, ensuring effective integration into workflows. - Demonstrates a customer-first mindset by reinforcing expectations of all employees as drivers of customer excellence. - Responsible for complying with Paradigm Information Security requirements and policies. Qualifications - 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 the 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. - Inside sales experience a plus. - Bilingual (English/Spanish) a plus. - Workers’ Compensation knowledge required. - Group Health knowledge required. Benefits - Health and wellness: PPO, HDHP, and HMO health insurance options with Cigna and Kaiser (CA employees only). - Financial incentives: competitive salaries, 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 for work-life balance. - Volunteer time: one paid day per calendar year for community engagement. - Learning and development: support for continual learning through the Learning Excellence at Paradigm (LEAP) program.

Role Description The LPN Clinical Coordinator plays a critical role in coordinating and managing medical and healthcare-related services for injured workers, partnering closely with patients, employers, providers, adjusters, and internal teams to support appropriate treatment plans and timely return-to-work outcomes. This role requires strong clinical judgment, organization, and communication skills, along with the ability to independently analyze medical information and collaborate across disciplines to drive quality, compliant case management. This is a full-time, fully remote position, offering the opportunity to make a meaningful impact while working from home. The schedule for this role is Monday through Friday, 11:00 AM – 7:30 PM Eastern Time. Ideal candidates bring a nursing background, experience in workers’ compensation or related clinical settings, and a commitment to service excellence, ethical practice, and continuous improvement. - Support the Mission, Values and Vision of Paradigm, promoting positive public relations and demonstrating service excellence, respect for customers, coworkers, and management. - Consistently maintain a high level of ethical and professional standards, continuously striving to improve healthcare services. - Provide appropriate follow-up with supervisor, co-workers, case managers, and providers regarding updates, reported complaints, and concerns. - Collaborate effectively with all departments through interdepartmental referrals and communication. - Support and participate in common teamwork to achieve departmental and organizational goals, cooperating and working together with team as well as other internal and external partners. - Actively participate in the QA process and departmental improvement efforts, identifying clinical areas for improvement. - Plan and complete job duties, organizing individual caseload to meet jurisdictional and Best Practice Standards for timeliness, notification, and documentation requirements. - Independently approach problem resolution by appropriate use of research and resources. - Research, review, analyze and prepare medical information, document pertinent information in the case file notes, apply evidence-based established guidelines to support case management interventions and facilitate the case management process, collaborating objectively with case managers, adjusters, and internal departments for case resolution. - Utilize appropriate desktop resources to perform the case management process. - Identify any concerns within the department and bring to the attention of the Clinical Nursing Supervisor and if needed, the Vice President of Operations. - Identify quality assurance and risk management issues and bring to the attention of the appropriate management. - Precept new staff within the department as requested. Assist with on-call duties on assigned weeknights or weekends and is compensated accordingly. - Demonstrate a customer-first mindset by developing a broad and deep (where appropriate) understanding of Paradigm organization, products, operations, and customers. - Prioritize collaboration to meet customer needs and expectations and take personal accountability for service quality. - Maintain reliable and predictable attendance during scheduled work hours. Qualifications - Education/Training: Current LPN state licensure in good standing with the State Board of Nursing. - Experience: Previous Work Comp Case Management experience with at least three (3) years hospital/clinical experience in Orthopedics, Neurology, Occupational Health, Med/Surg or other comparable clinical discipline. - Knowledgeable of injured worker’s rights and ability to ensure an atmosphere which promotes the privacy, dignity, and well-being of injured workers. - Maintain confidentiality of all data, including injured workers’ Protected Health Information (PHI), employee, and operations data. - Skills: Excellent verbal and written communication, cooperation, service excellence, and effective conflict resolution skills; able to promptly address concerns with tact and provide appropriate follow-up; proficient reading, writing, grammar, and mathematics skills; strong knowledge of medical terminology; excellent organizational, prioritization, and multi-tasking skills; excellent computer skills (e.g., Outlook, Teams, to be trained on proprietary software). - Comply with all regulatory requirements, current laws and policies which protect workers from harassment and all illegal and discriminatory behavior. - Complete requirements for required training, demonstrate acceptable attendance, and appropriate personal appearance. Requirements - Equipment/Machinery Used: Standard office equipment including phones, scanners, fax, laptop/PC, copiers, various computer programs, etc. Benefits - Health and wellness – PPO, HDHP, and HMO health insurance options with Cigna and Kaiser (CA employees only). - Financial incentives – Competitive salaries, 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 for work-life balance. - Volunteer time – One paid day per calendar year for community engagement. - Learning and development – Support for continual learning and growth, including the Learning Excellence at Paradigm (LEAP) program.

Role Description We are seeking a full-time, remote Clinical Budgeting Specialist. This position is responsible for the accuracy of risk-based contract budgets and subsequent forecasts. This will be accomplished by working in collaboration with multiple teams including Clinical Operations, Provider Contracting, Bill Review, Analytics, and senior management. Demonstrates a customer-first mindset through a commitment to delivering the best possible outcomes for our customers, including injured workers, payors, clients, providers, stakeholders, and internal teams. By fully leveraging Paradigm’s solutions, delivering consistently high-quality service, and collaborating effectively with internal and external partners, we create an exceptional customer experience. Responsibilities: - Serve as a resource for Paradigm Clinical Management staff as it relates to financial liability for all provider services and other Contract-related costs. - Partner with Director Clinical Solutions to manage the development of all new Contract budgets, including participation in clinical conferences. - Research and document patient driven costs and provider rates that drive budget development and management. - Utilize web driven and other electronic resources to identify potential costs, including use of CPT codes in the company’s electronic claims adjudication system. - Complete all Provider Rate Negotiation (PRN) requests to include accurate documentation of known or estimated financial liability in the system. - Develop relationships with providers, including preferred provider organizations (PPOs), hospitals and specialty providers, ancillary services providers, and physicians. - Maintain current knowledge of regulatory, industry and contractual factors to ensure the accurate estimation of Paradigm’s liability on each Contract. - Collaborate with other internal departments (Contracting, Bill Review, Accounting) to address and resolve specific patient/provider issues. - Analyze contract budget to actual (frequency based on contract parameters) to evaluate the clinical requirements and clinical management requirements for both acute and chronic cases. - Develop action plans in collaboration with the PMT to manage the budget expenditures in order to keep the Contract on track financially. - Collaborate with the clinical team including the Director of Clinical Solutions to determine the current and future medical/financial course and its impact to the financial forecast. - Complete detailed review of clinical progress reports for key significant financial events and/or clinical confinements as well as a comprehensive review of paid claims. - Update each forecast with findings/changes to include; update and confirmation of known/future service dates and expense using reference data and/or direct contract with the providers, true-up of forecast for completed services to paid claims, adjustment for future services based on changes in the clinical course of treatment. - Work with the contracting department to request negotiations on interim services and escalate issues related to outstanding confinement bills variations in paid claims estimates. - Work with the Risk Analytics Team to determine trends and identify improvements that can be made to enhance the accuracy and ease of budget development and/or forecasting. - Participate as required in Paradigm internal staff development programs. - Utilizes AI tools to support day-to-day tasks, improve efficiency, and enhance output quality. - Demonstrates a customer-first mindset by developing a broad and deep understanding of Paradigm organization, products, operations, and customers. Qualifications - Education - Bachelor’s Degree in health care administration, business, finance or a related field from an accredited college or university or equivalent experience and education. - Experience – A minimum or combination of five years of experience with demonstrated success in health care or related field. - Medical coding certification preferred. - Medical billing in workers compensation industry preferred. - Prior experience reviewing medical documentation and assigning CPT codes to determine workers’ compensation fee schedule reimbursement. - Must maintain current understanding of state regulations and their impact on medical care and reimbursement in the workers’ compensation care market. - Strong medical background to include comprehensive understanding of medical terminology and health care principles and practices. - Demonstrated ability to multi-task in a fast-paced work environment, assess importance of activities, and adjust priorities when appropriate. - Experience with various computer applications including Microsoft Office, Outlook, Word and Excel. - Language Skills - Excellent oral and written communication skills; able to make presentations to audiences of varying levels, size, nature and backgrounds. - Reasoning Ability - Demonstrated ability to analyze difficult situations, problems and data and develop feasible and effective solutions. - Any combination of education, experience and knowledge that demonstrate the ability to perform the functions of the position will be accepted. Benefits - Health and wellness – PPO, HDHP, and HMO health insurance options with Cigna and Kaiser (CA employees only). - Financial incentives – competitive salaries, 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 for work-life balance. - Volunteer time – one paid day per calendar year for community engagement. - Learning and development – support for continual learning and growth through programs like Learning Excellence at Paradigm (LEAP).

Role Description We are seeking a Vocational Case Manager (VCM) to cover the Boston and Springfield areas, including Cambridge, Rockport, Concord as well as other areas in Massachusetts. This individual will assist individuals with the job/career related effects of physical, psychological, or cognitive disabilities which may have resulted from work related accidents or injuries. This position is 100% remote and requires some travel in the area. - Schedule appointments and meet with client (injured worker), family, insurance adjuster, medical providers, employer, attorney, vendors, and potential future employers as needed and determined. - Assist and coordinate with return to work planning which may include completing job descriptions or job analysis, assessing job modifications, and identifying suitable gainful employment opportunities. - Coordinate with treatment providers to identify physical capabilities and return to work readiness. - May monitor return to work progress to ensure successful return to work outcome. - Complete Vocational Assessments by gathering and analyzing medical, social, economic, education, employment history, work capabilities, transferable skills, and labor market information. - Develop knowledge of current job market to identify alternative placements. - Complete vocational testing, score testing and interpret results. - Develop Rehabilitation Plan/Case Management Plan specific to client for success in overcoming barriers and re-entry to the workforce. - Complete Labor market surveys. - Provide job-seeking skill training and coaching including resume development and interview training. - Provide job development and job placement services. - May provide loss of earning | wage loss opinions. - May provide expert testimony. - May identify and place client in transitional work opportunities. - Provide ongoing support and counseling to the client. - Maintain required timely communication and updates to all required parties involved with the client providing progress, status, barriers, and action plans. - Complete forms according to jurisdictional and/or industry requirements and follows. - Required to prepare organized reports within a specified timeframe, per account guidelines documenting activities, efforts, and progress. - Document all case activity in files. - Complete ongoing educational requirements as required by certifying bodies. - Attend staff meetings and or team calls. Qualifications - Bachelor’s degree (B.S., B.A.) required in Rehabilitation Counseling or related field with course work in rehabilitation philosophy, rehabilitation history, rehabilitation ethics, medical aspects of disability, psychological aspects of disability, job placement, occupational information, counseling theory, personal and vocation adjustment, work evaluation (minimum of 24 credit hours). - Master’s degree in Rehabilitation Counseling or advanced preferred or as required by state law. - CRC, CCM, or CDMS certification required. - Valid driver’s license and good driving history. - Experience in providing Vocational Rehabilitation Services. - Knowledge of Managed Care or Workers’ Compensation preferred. - Knowledgeable of state and local regulations. - Effective multi-tasking skills in a high-volume, fast-paced, team-oriented environment. - Knowledge of principles, methods, and procedures for diagnosis, treatment and rehabilitation of physical and mental injury or illness, and for career counseling and guidance. - Ability to interface professionally with claims staff, clients, employers, attorneys, physicians and their representatives, and advisors and coworkers. - Excellent communication skills, both verbal and written. - Problem solving skills. - Completion of transferable skills analysis and application to current labor market. - Vocational testing instruments, process and analysis. - Labor Market resources. - Occupational Information resources (i.e. O*Net, GOE, etc.). - Ability to meet designated deadlines. - Computer proficiency and technical aptitude with the ability to utilize MS Office including Excel, and Word. - Strong interpersonal, time management and organizational skills. - Ability to work both independently and within a team environment. Benefits - Health and wellness – PPO, HDHP, and HMO health insurance options with Cigna and Kaiser (CA employees only). - Financial incentives - competitive salaries, 5% premium bonus paid over productivity requirements, premium pay for catastrophic files, cell phone and internet reimbursement, mileage reimbursement (federal rate), 401(k) matching contributions, employer-paid life and disability insurance, flexible spending, and employer-matched HSA contributions. - Vacation - paid time off, paid holidays, and a personal holiday. - Volunteer Time - one paid day per calendar year for community engagement. - Learning and development - support for continual learning and growth, including an 8-12 week new hire onboarding program.

Role Description We are seeking a full-time, remote Bill Review Process Analyst. The Bill Review Process Analyst is responsible for analyzing Bill Review operational processes to identify and implement changes to improve performance on key performance indicators including productivity, reliability, quality, and efficiency. The schedule for this position is Monday - Friday, 8 AM to 5 PM Central Time. This position may require travel 1-2 times per year. Responsibilities include (but are not limited to): - Data and System Support - Identify and resolve data issues for clients and vendors - Provide system testing and support for data reporting processes - Document and communicate solutions for system and customer-specific requirements - Compliance and Bill Review Coordination - Coordinate internal audits and reviews with the Clinical Bill Review team - Collaborate with Bill Review leaders to implement process and system changes - Process Improvement and Analysis - Lead and support process improvement initiatives focused on efficiency, quality, and cost savings - Analyze current processes and metrics to recommend and implement improvements - Project and Change Management - Manage re-engineering and strategic projects, including UAT and stakeholder communication - Assist project and program managers with key initiatives and maintain process documentation - Leadership and Security Compliance - Develop leadership skills and contribute to team strategy - Ensure compliance with information security policies and report incidents as required Qualifications - Bachelor's Degree in appropriate field of study or equivalent work experience - Knowledge of process assessment and optimization techniques - Proven working experience in project management and change management environment - Excellent client-facing and internal technical communication skills - Excellent written and verbal communication skills - Solid organizational skills including attention to detail and multitasking skills - Strong working knowledge of Microsoft Office and Visio - Highly Preferred: experience working in claims processing systems, ideally in the Workers Compensation industry Requirements - Process mapping and documentation: experience with Visio, BPMN - Data analysis and reporting: experience using Excel, Tableau, Power BI - Process improvement methodologies such as Lean, Six Sigma - Bill review process expertise: deep understanding of bill review workflows; ability to translate operational knowledge into process improvements - Claims processing and medical billing: claims adjudication, medical billing coding (CPT, ICD-10, HCPCS) and regulatory requirements (work comp, PPOs) - Healthcare regulations and compliance: experience with HIPAA, HITECH, Medicare/Medicaid - Vendor management: manage relationships with external vendors and tech partners - Stakeholder engagement: collaborate with bill review teams, SMEs, and leadership to understand workflows and drive change Benefits - Health and wellness – We offer PPO, HDHP, and HMO health insurance options with Cigna and Kaiser (CA employees only). - Financial incentives – Competitive salaries, 401(k) matching contributions, employer-paid life and disability insurance, flexible spending and commuter accounts, and employer-matched HSA contributions. - Vacation - Our paid time off and personal holiday programs give you the flexibility you need to live your life to the fullest. - Volunteer time – Full and part-time employees receive one paid day per calendar year to engage with and give back to their communities. - Learning and development – We support continual learning and growth through our Learning Excellence at Paradigm (LEAP) program.

Role Description The primary responsibility is to establish relationships with orthopedic and pain management physician groups to secure network participation contracts at company approved jurisdictional threshold rates and margins. Duties and Responsibilities - Utilize proprietary company information/programs as well as non-company systems/programs to identify physician prospects. - Gather and submit provider/physician demographics/web address and submit for entry into company programs. - Utilize proprietary company programs/tools to identify optimal reimbursement range. - Call orthopedic and pain management physician groups to explain company services and solicit/negotiate with them to become participating network providers – deploying tactful negotiation skills. - Schedule and perform meetings with C-Level suite executives to discuss advantages of establishing a business relationship with Paradigm. - Minimum of 7-10 years of experience with recruiting and contracting physician groups and ambulatory surgery center (ASC) facilities. - The ability to think and work strategically as an individual to pursue arrangements with medical providers that would enhance the quality of the Paradigm network. - Prior experience with performing an analysis of network adequacy, access, reimbursement methodologies and geographic coverage. - Familiar with Medicare part B, CPT, HCPC, Revenue and DRG codes. - Negotiate competitive work comp industry provider rates that encompass complex business relationships with Managed Service Organizations (MSOs), hospitals, healthcare systems in order to prepare, and submit network participation contracts as well as other paperwork to physicians and other types of providers. - Follow up with providers regarding full participation and secure participation agreements. - Update proprietary programs daily- documenting efforts. - Act as a resource to answer any general provider contracting questions. - Perform data-analysis as requested by management. - Assist management in training new associates. - Perform additional duties as identified and directed by management. - Maintain reliable and predictable attendance during scheduled work hours. - Responsible for complying with Paradigm Information Security requirements and policies, for safeguarding Paradigm or Paradigm related passwords, and for notifying Paradigm of any Information Security incidents per policy SEC 10-12 Information Security Incident Management. - Utilizes AI tools to support day-to-day tasks, improve efficiency, and enhance output quality. Adopts new technologies as trained and applies them in alignment with established processes and guidelines. Qualifications - 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 the 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 a plus. - Medical industry knowledge a plus. 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.

Role Description The Benefit Manager is responsible for overseeing the design, administration, and compliance of Paradigm’s health and welfare benefit programs as well as Paradigm’s retirement plan. The Benefit Manager partners closely with internal stakeholders, external vendors, and cross‑functional teams to optimize the employee benefits experience. This role also carries supervisory responsibilities, providing leadership, guidance, and performance development to team members involved in benefits administration. - This position is a remote work opportunity. Duties and Responsibilities - Oversee employee benefit communications, including open enrollment materials and benefit updates, to ensure information is accurate, timely, compliant, and easy for employees to understand. - Prepare and deliver benefit presentations and training as needed to support business needs. - Develop and manage relationships with the organization’s insurance broker and benefit carriers, serving as the primary point of contact to support plan administration and issue resolution. - Support benefit renewals and strategic planning activities by gathering and analyzing plan data, coordinating renewal timelines, preparing materials and reports, and assisting with vendor discussions and recommendations. - Oversee internal open enrollment activities, including system testing, employee communications, and post‑enrollment auditing, to ensure accurate elections, timely execution, and a smooth employee experience. - Ensure benefit plan compliance with applicable federal, state, and local regulations, including oversight and completion of annual ACA reporting, Section 125 non‑discrimination testing, and other required filings and compliance activities. - Support administration of the company’s retirement plan, including assisting with annual non‑discrimination testing, audit preparation, and coordination with vendors and internal stakeholders to ensure timely and accurate completion. - Support wellness planning initiatives through collaboration with internal stakeholders and vendors. - Demonstrate a strong understanding of the organization’s HRIS and how it supports the benefits function, including eligibility rules, enrollments, life events, vendor integrations, payroll deductions, and reporting. Partner with HRIS, Payroll, and vendors to ensure data accuracy and operational efficiency. - Perform other duties as assigned to support the Total Rewards Team and broader organizational needs. - Responsible for complying with Paradigm Information Security requirements and policies, for safeguarding Paradigm or Paradigm related passwords, and for notifying Paradigm of any Information Security incidents per policy SEC 10-12 Information Security Incident Management. Supervisory Responsibilities - Mentor, train, and supervise team members directly and indirectly, review their work and provide effective constructive feedback to achieve their best performance and goal attainment. - Set the tone for a strong Enterprise culture and high employee engagement. - Ensure all team members understand, are trained in, and comply with Paradigm’s security requirements and policies. - Ensure all team members have the minimum level of IT system access required to effectively complete their Paradigm responsibilities. Qualifications - Bachelor’s degree in HR or related field. - Five or more years’ experience in benefits administration. - Prior supervisory or lead experience. - Extensive knowledge of employee benefits and applicable laws. - Excellent organizational and time management skills. - Proficient with Microsoft Office Suite or similar software. Benefits - Health and wellness – We offer PPO, HDHP, and HMO health insurance options with Cigna and Kaiser (CA employees only). - Financial incentives – Competitive salaries, 401(k) matching contributions, employer-paid life and disability insurance, flexible spending and commuter accounts, and employer-matched HSA contributions. - Vacation - Our paid time off and personal holiday programs give you the flexibility you need to live your life to the fullest. - Volunteer time – Full and part-time employees receive one paid day per calendar year to engage with and give back to their communities. - Learning and development – We support continual learning and growth through our Learning Excellence at Paradigm (LEAP) program.

Role Description This position is accountable for operational document administration, overseeing the production, editing, tracking, and coordination of clinical patient contracts and reports (documents). The Document Administrator must maintain high standards of quality, accuracy, and timeliness through structured quality control processes and the strategic use of AI-supported tools (like Microsoft Copilot) to enhance workflow efficiency, writing consistency, and adherence to Paradigm’s clinical and organizational standards. This is a remote position with hours generally aligned to standard business hours, Monday through Friday, 8:00 am to 5:00 pm, with occasional flexibility, as required. - Complete tasks or access data in a number of Paradigm internal systems including EDDG, Tasking, ARCH, Twistle, Client Instructions, and FirstScript. - Utilize the EDDG workflow and supporting tools (including team meetings, acute bulletin, and team reports) to track documents, prioritize workload, and consistently meet productivity standards and turnaround timelines. - Create documents using approved templates and forms, performing detailed administrative quality assurance to ensure accuracy, completeness, clarity, and adherence to the documentation standards. - Conduct critical reviews for spelling, grammar, punctuation, structure, logic, consistency, and appropriateness, leveraging Microsoft Copilot and/or other AI tools to support writing quality, standardization, and efficiency while applying professional judgment. - Upon completion of document review and quality assurance, submit the finalized documents to the appropriate customer individuals or Paradigm’s Director of Key Accounts (DKA) in accordance with the established guidelines and EDDG workflow timeframes. - Diagnose and resolve issues that arise with business operations across various applications, including EDDG, Tasking, ARCH, Twistle, Client Instructions, and FirstScript. - Assist in the development and implementation of quality assurance processes. - Monitor products and services for compliance with quality standards. - Work closely with various departments to strengthen quality initiatives. - Identify, communicate, and collaborate with the team to resolve all obstacles impacting document quality, timeliness, and/or compliance with the guidelines. - Support Document Administrators (DAs) and cross-functional team members, as needed, to achieve quality and timeliness targets, maintain customer standards, and reduce document processing backlogs. - Adhere to the production, quality assurance, and document standards, including any required customer-specific modifications. - Collaborate with the cross-functional teams to support continuous process improvement initiatives and workflow optimization. - Maintain a customer-focused approach in all interactions with cross-functional teams. - Assist in the development, maintenance, and refinement of the procedures, job aids, and instructions related to the DA responsibilities. - Participate as an engaged team member with an understanding of the roles and responsibilities of the Director of Clinical Solutions (DCS), Clinical Services Associate (CSA II), Operations Coordinator (OC), and DKA. - Ensure that the documents comply with file creation, naming, tagging, and version control standards, with final documents accurately saved in the Paradigm Enterprise Content Library (ECL). - Participate in the testing and validation of new databases, systems, workflows, and process improvements, as requested. - Maintain reliable and predictable attendance during scheduled work hours. - 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 - High school diploma or equivalent education required. - Strong organizational and prioritization skills, with the ability to manage multiple deadlines and competing priorities. - Three (3+) years of experience in proofreading, editing, and/or administrative document quality review. - Advanced proficiency in using Microsoft Word; working knowledge of Microsoft Excel, Outlook, and Teams; and experience with using Microsoft Copilot to support document review, writing quality, and workflow efficiency. Prior experience with AI preferred. - Excellent writing skills, including grammar, punctuation, and clarity, with the ability to produce concise, high-quality documentation. - Strong attention to detail and commitment to accuracy, with the ability to maintain consistency and adhere to established documentation and quality standards; familiarity with medical or clinical terminology is a plus but not required. - Ongoing willingness to learn and adapt to new word processing tools, database systems, and evolving technology constancy, including AI. - Ability to understand, interpret, and follow detailed written and verbal instructions. - Proficient in speaking, reading, writing, and understanding English, the primary language used in the workplace. - Strong collaboration and communication skills, with the ability to work effectively and professionally across cross-functional teams, while independently managing assigned work. - Maintain confidentiality of all data, including ensuring protection of the patient’s rights, Protected Health Information (PHI), and employee and operations data. Benefits - Health and wellness – PPO, HDHP, and HMO health insurance options with Cigna and Kaiser (CA employees only). - Financial incentives – Competitive salaries, 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 for work-life balance. - Volunteer time – One paid day per calendar year for community engagement. - Learning and development – Support for continual learning through the Learning Excellence at Paradigm (LEAP) program.

Role Description We are seeking a fully remote, full-time, LPN Post Acute Referral Care Coordinator. This position is responsible for providing staffing for post-acute injured workers, identifying appropriate healthcare facilities for injured workers, and coordinating post-acute care services. Serve as point of contact for providers, adjusters, case managers, and injured workers. Hours: Monday – Friday, 10a – 6:30p ET Responsibilities: - Process referrals for injured workers for the Post-Acute Care Department including obtaining all clinical information needed from hospitals, physicians, case managers, etc. - Provide staffing for Post-Acute Care referrals. - Ensure appropriate communication is delivered on a consistent basis with clients regarding progress of their injured workers. - Accurately address questions and inquiries from Adjusters, Case Managers, Providers, and Injured Workers in a timely, professional manner. - Obtain and review orders received. - Collaborate with client case managers and insurance carriers case managers to assist in placing injured workers in appropriate facilities for care. - Identify and contact providers both in network and out of network. - Follow up with healthcare facilities and providers to monitor progress and regularly obtain medical notes as needed. - Coordinate discharges with applicable facilities. Facilitate any other services the injured worker may need post discharge. - Positively support the mission, values, and vision of Paradigm through effective communication with internal and external customers, serve as a positive role model, demonstrate excellent customer service, and comply with all applicable regulatory requirements and Quality Assurance initiatives. - Consistently maintain a high level of ethical and professional standards. - Provide appropriate follow up with supervisor, co-workers, case managers, and providers regarding updates, reported complaints, and concerns. - Identify any concerns within the department and bring to the attention of the Director of Post-Acute Care. - Collaborate effectively with all departments through interdepartmental referrals and communication. - Support and participate in common teamwork to achieve departmental and organizational goals, cooperate, and work together with team as well as other internal and external partners. - Actively participate in the QA process and departmental improvement efforts. Qualifications - Education/Training: Current LPN state license in good standing with the State Board of Nursing. - Experience: Minimum of one (1) year of nursing experience. - Knowledgeable of injured worker’s rights and ability to ensure an atmosphere which promotes the privacy, dignity, and well-being of injured workers. Maintain confidentiality of all data, including injured workers’ Protected Health Information (PHI), employee, and operations data. - Skills: - Excellent verbal and written communication, cooperation, service excellence, and effective conflict resolution skills. - Able to promptly address concerns with tact and provide appropriate follow up. - Service Excellence; proficient reading, writing, grammar, and mathematics skills. - Strong knowledge of medical terminology. - Excellent organizational, prioritization, and multi-tasking skills. - Excellent computer skills (e.g., Outlook, Teams, to be trained on proprietary software). Benefits - Health and wellness – PPO, HDHP, and HMO health insurance options with Cigna and Kaiser (CA employees only). - Financial incentives – Competitive salaries, 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 for work-life balance. - Volunteer time – One paid day per calendar year for community engagement. - Learning and development – Support for continual learning through the Learning Excellence at Paradigm (LEAP) program.