Role Description As a Clinical Scientist, you will support the Study Medical Manager in the planning, execution, analysis, and reporting of clinical studies from study start-up through study close-out. You will contribute to protocol development, medical data review, study documentation, and cross-functional collaboration to ensure high-quality clinical trial delivery in compliance with regulatory requirements. - Support and represent the Study Medical Manager throughout the clinical study lifecycle. - Contribute to the development and review of key clinical documents, including protocols, protocol amendments, informed consent forms (ICFs), CRFs, and medical data validation plans. - Perform medical review of patient data, listings, narratives, CIOMs, and clinical cases. - Collaborate closely with Clinical Operations, Pharmacovigilance, Biostatistics, and Data Management teams to support data review and consistency checks. - Review study-related documentation and contribute to interim analyses, Clinical Study Reports (CSRs), publications, and statistical outputs. - Support the preparation and management of study committees, investigator meetings, and study training activities. - Maintain medical and scientific documentation within the Trial Master File (TMF). - Draft responses to medical questions from Health Authorities, Ethics Committees, investigators, and study teams. - Develop medical review guidelines and support outsourced medical review activities when applicable. - Contribute to audit and inspection readiness activities and support responses to findings. Qualifications - Advanced degree in Medicine (MD), Pharmacy (PharmD), Life Sciences, or related scientific discipline. - Strong experience as a Clinical Scientist, Medical Scientist, Clinical Research Physician, or similar role. - Experience supporting clinical studies in Immunology & Inflammation and/or Oncology. - Strong understanding of clinical development, study design, and clinical trial conduct. - Knowledge of ICH-GCP, regulatory requirements, and clinical research processes. - Experience reviewing clinical data, patient profiles, narratives, and safety information. - Familiarity with Clinical Study Reports (CSRs), protocols, and TMF documentation. - Strong cross-functional collaboration and communication skills. - Fluent English, written and spoken. Benefits - We are a young and ambitious healthcare company, bringing together 900 Excelyates, driven by the goal of becoming the leading mid-sized CRO in Europe, while offering the best employee experience. - Our "one-stop provider" service model—combining full-service, functional service provider, and consulting—allows you to grow through diverse and stimulating projects. - By collaborating with leading experts, you will contribute to the development of scientific, operational, and human knowledge, all in service of improving the patient journey. - Excelling with kindness means evolving in an environment that values ​​your natural talents, encourages boldness, pushes boundaries, and cultivates your potential, so that you can fully contribute to our shared mission.

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).

• Maintains responsibility for all assigned duties within a clinical study, this may include: Act as the study lead for multiple studies, clinical programs, and/or large/complex studies with responsibility for all biostatistics related activities. • Support the review and development of clinical programs; may contribute to complex methods and analysis sections of protocols as well as support the review of design; able to provide feedback regarding issues or improvements to initial proposed designs. • May involve oversight of the statistical programming activities. • Ensuring that work is performed on time. • Ensuring all content created/reviewed is appropriate, valid, and relevant to the study and of high quality. • Provide review and oversight to statistical output created by other members of the biostatistics department • Review protocols, synopses, and other statistical documents for a study and provide feedback and consult. • Research, or otherwise support, trial design and consultative activities • Review relevant content from other functional areas (e.g., Case Report Forms) on behalf of the biostatistics team • Write summaries of findings and results to be included as part of study reports such as for interim analyses or the final CSR. • Writing or reviewing some, or all, of the Statistical Analysis Plan and corresponding output shells • Providing relevant specifications/guidance for complex and/or pivotal outputs • Works with other study team members (both internal and external) to represent the needs and input of the statistical components of the study • Reviewing output (TLFs, SDTM and ADaM datasets, SDTM and ADaM specifications) developed by statistical programmers and/or other statisticians for quality, validity, and appropriateness • Provides mentoring and support to more junior statisticians • Represent the function in internal and external meetings for assigned studies. • Represent the function in audits of study activity. • Represent the function in bid defenses and other sales related activities.