Job Closed
This listing is no longer active.
Paradigm is a crypto-focused investment firm based in San Francisco.
Provider Contract Administrator
Location
United States
Posted
61 days ago
Salary
$24 - $30 / hour
Seniority
Mid Level
No structured requirement data.
Job Description
Provider Contract Administrator
Paradigm
Role Description To establish relationships with providers to secure single-case agreements and permanent contracts at company approved jurisdictional margins. This may include delivering care coordination services on behalf of Paradigm’s clients. Duties and Responsibilities - 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 No. 16.0 Information Security Incident Management. - 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. - Calls physician and post-acute care provider prospects to explain company services and solicit/negotiate with them to accept referral via single case agreements with option for further referrals – deploying tactful negotiation skills. - This may include coordinating specifics types of post-acute care services with support from a post-acute care subject matter expert to ensure appropriate provider placement based upon the patient/injured worker’s health status. - Prepare single patient contract and submit to physician/provider. - Schedule initial appointment for most referrals. For post-acute care referrals ensuring the client’s case management points of contact are engaged with the provider and (where appropriate) ensuring a Paradigm Care Coordination team member is utilized to facilitate the flow of clinical information while the injured worker being treated. - Follow up with provider to ensure single case agreement has been signed and returned. - Follow up with provider regarding full participation. - Prepare, submit, negotiate and secure participation agreement as applicable. - 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. 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. - Call center experience a plus. - Bilingual (English/Spanish) a plus. - Workers compensation knowledge a plus. 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.
Related Guides
Related Categories
Related Job Pages
More Administration Jobs
Adjunct Faculty – Public Administration, Online
GCUChanging the lives of at-risk youth through education, sport, kitchens & community development in Heideveld, Cape Town.
• Facilitate weekly main discussion forums to engage students in the online classroom • Adhere to weekly grading requirements, deadlines, and timeframes • Respond to students’ questions and emails within the established timeframes • Provide a positive example to students by supporting the University’s Doctrinal Statement, Ethical Position Statement, and Mission of Grand Canyon University
• Performs general administrative tasks such as handling the mail, typing, and maintenance of filling systems • Responsible for processing copayment requests for patients, pharmacies and/or physicians for programs offering copay assistance or concierge payments • Liaise with Program managers to ensure copayment KPIs are met • Liaise with ISI Accounting to ensure proper payment timeframes and accurate payments • Liaise with 3rd party payment administrator to ensure accurate electronic payment processing • Establishes and maintains office files, makes appointments and arranges meeting rooms • Compiles information from various sources and utilizes the information for generating reports • Audits and maintains various reports specific to business location by checking for errors • Updates and maintains pertinent business information via computer or department files • Assists with various scheduled and unscheduled projects occurring in the department • Drafts and types correspondence and/or presentations to be sent to internal and external contacts • Responsible for managing multiple projects for many departments within a business segment or across multiple business segments
Hubspot Expert
WOW Remote TeamsGlobalize Your Team | Hire Top Remote Professionals outside the U.S | Nearshore Same Time Zone
Role Description This is a remote position. Our client is looking for a HubSpot / RevOps Specialist to help optimize and scale their revenue operations through automation, reporting, CRM management, and process improvement. This role is ideal for someone who enjoys building efficient systems, maintaining clean and reliable data, and creating automations that improve collaboration between sales and marketing teams. The HubSpot / RevOps Specialist will play a key role in managing HubSpot infrastructure, supporting marketing initiatives, improving reporting capabilities, and ensuring operational excellence across the customer journey. - Build, maintain, and optimize HubSpot workflows, automations, and operational processes. - Configure and manage HubSpot CRM, including pipelines, lifecycle stages, custom properties, permissions, and lead routing. - Create dashboards, reports, and performance tracking systems for sales and marketing teams. - Monitor CRM data quality and implement best practices for data governance and hygiene. - Develop and support email automation campaigns, nurture sequences, and lead engagement workflows. - Analyze funnel performance, conversion metrics, attribution data, and operational KPIs. - Improve alignment between sales and marketing through process optimization and reporting. - Support integrations between HubSpot and third-party platforms. - Troubleshoot automation issues, sync errors, and workflow inconsistencies. - Assist with forecasting support through accurate reporting and CRM visibility. - Maintain documentation and ensure operational processes remain scalable and efficient. - Identify opportunities to automate repetitive tasks and improve overall business performance. Qualifications - Experience in HubSpot administration, RevOps, Marketing Operations, CRM Operations, or related roles. - Knowledge of Revenue Operations principles and funnel management. - Experience with Zapier, Make.com, or similar automation platforms. - Familiarity with HubSpot Operations Hub. - Experience working with Google Analytics and business reporting tools. - Advanced proficiency with Excel and/or Google Sheets. - Experience building reporting environments using Looker Studio is highly preferred. - Familiarity with project management platforms such as Asana, Monday.com, or ClickUp. - Understanding of APIs, integrations, and troubleshooting sync issues is a plus. - Strong analytical mindset with attention to detail. Requirements - Strong hands-on experience with HubSpot CRM administration and management. - Experience building workflows, automations, and lifecycle management processes. - Knowledge of lead scoring, segmentation, lists, forms, and lead capture systems. - Experience configuring and optimizing sales pipelines. - Strong understanding of reporting dashboards and attribution reporting. - Experience supporting sales and marketing operations. - Ability to analyze data and provide actionable insights. - Experience working with CRM data cleanup and governance initiatives. - Understanding of integrations and automation platforms. - Excellent organizational and problem-solving skills. - Strong written and verbal English communication skills. Benefits - Full-Time position. - 100% remote opportunity. - Competitive USD compensation. - Exposure to cross-functional sales and marketing operations.
Middleware Administrator
Experis/Manpower GroupEn Experis somos especialistas en servicios profesionales y gestión de proyectos IT orientados a tres áreas clave: Business Transformation, Cloud & Infrastructure, Enterprise Applications. Combinamos tecnología, talento y formación para ofrecer soluciones end-to-end a clientes de todo el país. Contamos con más de 1.800 profesionales IT en España y presencia en 54 países.
Role Description En Experis, consultora especializada en IT y tecnología, seguimos creciendo y buscamos incorporar un/a Administrador/a Middleware para un proyecto estable y de largo recorrido, con modalidad 100% remota en España. Si te apasionan los entornos críticos, la nube y la automatización, ¡queremos conocerte! Qualifications - Diplomado/a, Ingeniero/a Técnico/a o Grado en Ingeniería, Informática o Ciencias - Titulación de Ciclo Formativo de Grado Superior en Informática Requirements - Experiencia mínima de 4 años en: - Administración, operación y monitorización de sistemas en entornos cloud, híbridos y multinube - Proyectos de instalación, configuración, administración, soporte y operación de plataformas web - Gestión de capa web y capa de lógica de negocio - Gestión de certificados SSL y reglas de seguridad de aplicaciones - Experiencia demostrable en: - Apache Tomcat - Oracle WebLogic - JBoss - Experiencia en NGINX App Protect y seguridad WAF - Experiencia en Ansible - Conocimiento y aplicación de metodologías DevOps y/o Agile (Scrum) Benefits - Contrato indefinido - Trabajo 100% remoto para solo residentes en España - Jornada completa - Proyecto estable en entorno tecnológico avanzado - Desarrollo profesional en una compañía líder en servicios IT - Buen ambiente de trabajo y colaboración con equipos multidisciplinares
