Paradigm is a crypto-focused investment firm based in San Francisco.
Provider Contract Manager
Location
United States
Posted
3 days ago
Salary
$100K - $120K / year
Seniority
Lead
No structured requirement data.
Job Description
Provider Contract Manager
Paradigm
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.
Related Guides
Related Categories
Related Job Pages
More Manager Jobs
IT Manager, Epic Professional Billing
UnitedHealth GroupUnitedHealth Group is a healthcare and well-being company that’s dedicated to improving the health outcomes of millions around the world. We are comprised of
IT Manager, Epic Professional Billing Locations: Minneapolis or Washington, D.C. Requisition number: 2357532 Job category: Technology Overtime status: Exempt Travel: No Job Description: Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the industry and innovative technology empower us to help organizations reduce costs while improving risk management, quality and revenue growth. Ready to help us deliver results that improve lives? Join us to start Caring. Connecting. Growing together. You'll enjoy the flexibility to work remotely* from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week. Primary Responsibilities: - Lead day-to-day service delivery for Epic Professional Billing, including incidents, requests, enhancements, and project work - Serve as the main escalation point and partner with internal and client stakeholders to resolve issues and maintain strong performance - Manage, coach, and develop team members while supporting performance, staffing, and career growth - Collaborate with leadership and project teams on planning, prioritization, roadmaps, and best practices - Support client success by aligning resources, communicating operational updates, and driving continuous improvement - Participate in internal initiatives such as interviewing candidates and sharing best practices across teams - Support business development efforts through solution design and client engagement - Identify opportunities for optimization, application rationalization, and improved client outcomes - Provide status updates and reporting as needed You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: - Epic Certification in Professional Billing and/or Resolute Hospital Billing - 5+ years of experience supporting healthcare providers and/or organizations - 5+ years of experience leading and executing on complex IT managed services delivery - 5+ years of experience with end-to-end experiences delivering both software applications and technology platforms - 5+ years of experience successfully implementing and supporting highly scalable technology solutions for clients - 2+ years of technology leadership experience - 2+ years of direct leadership of team(s) - Experience working in fast paced, dynamic environment - Ability to collaborate with internal (IT) and external (operational) cross functional groups - Demonstrated success building relationships and accomplishing common goals for clients Preferred Qualifications: - Undergraduate degree in computer science, information assurance, MIS or related field or equivalent experience in healthcare IT - Experience with application delivery of EHR and integration with downstream systems - Experience in leading a team - Experience influencing, problem solving and negotiation skills - Solid written and verbal communication skills, with customer service focus *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $91,700 to $163,700 annually based on full-time employment. We comply with all minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
Role Description We are expanding our presence in Latin America and are looking for a strong Business Development manager to lead growth in the Mexican market. This role is ideal for a commercially driven professional with a strong understanding of the regional hotel market and a passion for building long-term partnerships in a dynamic, global startup environment. - Identify, approach, and onboard new hotel partners across Mexico and Caribbean hospitality market. - Manage the full sales cycle, including prospecting, discovery, presentations, negotiations, and closing new business. - Build and maintain strong, long-term relationships with hotel chains, hotel groups, and independent hotels. - Develop existing partnerships by identifying opportunities for account growth and long-term collaboration. - Conduct market research to identify new business opportunities, industry trends, and key stakeholders. - Prepare tailored commercial proposals, pricing, and business presentations. - Collaborate closely with the Onboarding, Support, Product, and Commercial teams to ensure successful implementation and partner success. - Represent HyperGuest at industry events, conferences, and customer meetings. - Own and consistently work towards achieving revenue and business development targets within the assigned territory. Qualifications - 3+ years of experience in Business Development, Sales, or Account Management within the travel, hospitality, or travel-tech industry. - Proven experience selling to hotel chains, hotel groups, or hospitality networks. - Strong understanding of the hotel distribution landscape and key industry players across Mexico and the Caribbean market. - Demonstrated ability to manage the complete sales cycle and develop long-term client relationships. - Excellent communication, presentation, negotiation, and relationship-building skills. - Strong organizational skills with the ability to manage multiple priorities independently. - Self-motivated, proactive, and comfortable working in a fast-paced, fully remote environment. - Goal-oriented with a strong commercial mindset. - Full professional proficiency in English and Spanish is required. Requirements - Experience working in Travel Tech, Hospitality Technology, SaaS, Channel Management, Connectivity, or Distribution solutions. - Experience working with international and cross-functional teams. - Familiarity with hotel connectivity platforms, OTAs, channel managers, or related travel technology solutions.
Senior Manager, Business Process Office, Global Regulatory Affairs
Takeda PharmaceuticalsTakeda Pharmaceuticals is a global biopharmaceutical company engaged primarily in the research, development, manufacture, and marketing of pharmaceutical produc
Title: Senior Manager, Business Process Office, Global Regulatory Affairs (GRA) Location: MA, United States Job Description: Job ID R0181262Category Corporate FunctionsSubcategory Project/Process Management,Project/Process ManagementBusiness Unit Research & DevelopmentJob Type Full time By clicking the “Apply” button, I understand that my employment application process with Takeda will commence and that the information I provide in my application will be processed in line with Takeda’s Privacy Notice( opens in new window) and Terms of Use( opens in new window). I further attest that all information I submit in my employment application is true to the best of my knowledge. Job Description About the role: At Takeda, we are a forward-looking, world-class R&D organization that unlocks innovation and delivers transformative therapies to patients. By focusing R&D efforts on four therapeutic areas and other targeted investments, we push the boundaries of what is possible in order to bring life-changing therapies to patients worldwide. The Senior Manager, Global Regulatory Affairs (GRA) Business Process Office (BPO) is a key contributor who supports continuous improvement, process optimization, and operational excellence efforts across the GRA organization. This role works closely with GRA leadership, process owners, and cross-functional stakeholders to support the assessment, design, implementation, and monitoring of efficient, compliant, regulatory processes. The Senior Manager applies established continuous improvement and change management methodologies to help improve ways of working across Global Regulatory Affairs. The role supports business decision making by providing data, analysis, and practical recommendations that contribute to advancing GRA’s operational effectiveness, compliance with Regulatory requirements and internal company standards, and alignment with business priorities. How you will contribute: - Supports the planning and execution of continuous improvement and process optimization activities - Contributes to cross-functional team efforts to support successful project through effective project planning, coordination, and execution - Supports the coordination and monitoring of Regulatory operational support provided by internal and/or external resources - Contributes to the identification and tracking of project risks, issues, and budget considerations Business Process Owner Network (BPON) Leadership - Support the execution of standardized documentation, governance artifacts, and performance measures, under the guidance of process owners and function leadership. - Assist process owners with current-state assessments to identify inefficiencies, risks, and variability, and support the development of future‑state process improvements that are scalable and compliant. - Provide subject matter expertise related to process design, operational execution, and regulatory excellence. - Support learning and awareness of continuous improvement principles and methodologies among stakeholders. - Support application of continuous improvement methodologies into day-to-day operations. Continuous Improvement Leadership - Apply Lean, Six Sigma, and continuous improvement methodologies (e.g., DMAIC, value stream mapping, root cause analysis) to identify improvement opportunities across Regulatory processes. - Contribute to cross‑functional process improvement initiatives, under the direction of senior function leaders. - Help ensure initiatives have clearly defined scope, deliverables, timelines, and success metrics. - Support change management activities to promote adoption of new or improved processes, tools, and ways of working. Governance, Metrics & Reporting - Assist process owners in defining and tracking key process performance indicators (KPIs) to monitor effectiveness, efficiency, and compliance. - Prepare and maintain clear, data-driven reporting on improvement initiatives, risks, and progress. - Support alignment with GRA governance models, quality standards, and regulatory expectations. Minimum Requirements/Qualifications: - Bachelor’s degree in Life Sciences, Business Administration, or related field (Advanced degree preferred) - 5+ years of experience in pharmaceutical and/or biotech industry - 3+ years of experience in Regulatory Affairs or drug development project management - Knowledge of Lean, Six Sigma, and continuous improvement methodologies - Knowledge of the ways KPIs and metrics can be leveraged as tools for monitoring performance and driving continuous improvement - Prior experience supporting regulatory operations, business process management, or continuous improvement within a regulated industry (pharmaceuticals, biotech, medical devices, or similar). - Demonstrated experience leading complex, cross‑functional continuous improvement or process transformation initiatives. - Demonstrated ability to collaborate effectively in cross-functional, matrixed environments. - Familiarity with regulatory systems, compliance frameworks, and quality control - Strong analytical, problem‑solving, communication, and stakeholder engagement skills. Preferred - Lean Six Sigma certification (Green Belt or equivalent). - Experience working within a Business Process Office, Center of Excellence, or PMO‑like structure. - Familiarity with regulatory systems, data, and digital tools that support process optimization. More about us: At Takeda, we are transforming patient care through the development of novel specialty pharmaceuticals and best in class patient support programs. Takeda is a patient-focused company that will inspire and empower you to grow through life-changing work. Certified as a Global Top Employer, Takeda offers stimulating careers, encourages innovation, and strives for excellence in everything we do. We foster an inclusive, collaborative workplace, in which our teams are united by an unwavering commitment to deliver Better Health and a Brighter Future to people around the world. This position is currently classified as "remote" following Takeda's Hybrid and Remote Work policy. #LI-Remote #LI-AA1 Takeda Compensation and Benefits Summary We understand compensation is an important factor as you consider the next step in your career. We are committed to equitable pay for all employees, and we strive to be more transparent with our pay practices. For Location: Massachusetts - Virtual U.S. Base Salary Range: $137,000.00 - $215,270.00 The estimated salary range reflects an anticipated range for this position. The actual base salary offered may depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job. The actual base salary offered will be in accordance with state or local minimum wage requirements for the job location. U.S. based employees may be eligible for short-term and/ or long-term incentives. U.S. based employees may be eligible to participate in medical, dental, vision insurance, a 401(k) plan and company match, short-term and long-term disability coverage, basic life insurance, a tuition reimbursement program, paid volunteer time off, company holidays, and well-being benefits, among others. U.S. based employees are also eligible to receive, per calendar year, up to 80 hours of sick time, and new hires are eligible to accrue up to 120 hours of paid vacation. EEO Statement Takeda is proud in its commitment to creating a diverse workforce and providing equal employment opportunities to all employees and applicants for employment without regard to race, color, religion, sex, sexual orientation, gender identity, gender expression, parental status, national origin, age, disability, citizenship status, genetic information or characteristics, marital status, status as a Vietnam era veteran, special disabled veteran, or other protected veteran in accordance with applicable federal, state and local laws, and any other characteristic protected by law. Locations Massachusetts - Virtual Worker Type Employee Worker Sub-Type Regular Time Type Full time Job Exempt YesIt is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability. #LI-Remote
• Do you want to sustainably improve care for people with Hepatitis C and actively contribute to achieving the WHO elimination targets by 2030? • As an HCV Elimination Specialist you will drive innovative care projects and strategic networks. • Together with physicians, hospitals, addiction support services, pharmacies, patient organizations and other partners, you will develop sustainable solutions to identify previously unreached patient groups, link them to care, and close existing gaps in service. • You will act independently of product-related objectives and play a key role in shaping regional elimination strategies within the German healthcare system. • Cross-regional conception, organization and implementation of strategic projects to advance Hepatitis C elimination • Building and expanding networks between hospitals, office-based physicians and other stakeholders who play a key role in caring for people with Hepatitis C • Strategic development and management of regional care networks with relevant stakeholders along the HCV care pathway, i.e. actively advising physicians, health organizations, pharmacies, medical assistants (MFA) and patient organizations • Initiation and implementation of innovative “Test & Treat” projects to identify and connect previously unreached patient groups • Close collaboration and alignment across the entire in-field team as well as with relevant functions of the brand team • Promoting and fostering open communication and continuous exchange of experience and ideas • Proactive communication with the Regional Manager / District Manager • Shared responsibility for achieving regional targets and implementing the brand strategy • Professional reporting on the success of your strategic and operational plans



