Operations Coordinator

About Paradigm

Paradigm is a specialty care management organization committed to enhancing lives of individuals with complex injuries and diagnoses. Established in 1991, the company has led value-based care initiatives, delivering superior results for patients, payers, and providers with expertise spanning clinical solutions, case management, specialty networks, home health, shared decision support, and payment integrity programs.

Paradigm is recognized as a Great Place to Work® for four consecutive years and is featured on Fortune's Best Workplaces in Health Care™ for three years running, underscoring its dedication to an inclusive, positive, and employee-focused work environment.

Role Overview

The Operations Coordinator role entails providing administrative and technical support across all risk solution offerings, ensuring seamless functioning of systems and processes. Tasks involve patient management assistance, system and database oversight, client setup, and communication facilitation within the patient management team. The position also supports the Clinical Solutions staff and quality assurance initiatives.

Key Duties and Responsibilities

• Assist in completing follow-up actions identified from quality audit reviews.
• Offer system support and technical help to production and quality teams across risk contracts.
• Maintain data accuracy through cleanup projects related to injured worker contracts and associated client data.
• Monitor customer deliverables, ensuring timely submissions in line with company Standards of Performance, and initiate corrective measures for delays.
• Participate in report review procedures as outlined by established workflows.
• Coordinate with internal departments such as Budgeting, Data Analytics, Bill Review, and Accounting to resolve patient/provider data issues.
• Represent Clinical Solutions Delivery teams in company projects, and liaise with internal and external stakeholders on administrative tasks.
• Perform additional administrative duties including uploading records into ECL, archiving patient notes, researching patient-specific concerns, and tracking deliverables.
• Adhere to Paradigm IT security policies, safeguard passwords, and report security incidents as per company protocol.

Qualifications

• Bachelor's degree preferred from an accredited institution.
• Two to five years of progressively responsible experience in customer service.
• Experience in healthcare or provider relations is advantageous.
• Strong medical knowledge, including medical terminology and healthcare principles, is preferred.
• Proven ability to multitask efficiently in a dynamic environment and familiarity with Microsoft Office Suite (Word, Excel, Outlook).
• Excellent oral communication and telephone etiquette.
• Ability to comprehend written instructions, correspondence, memos, and medical/patient documents.
• Effective written communication skills, including email correspondence and memo writing.
• Capability to present information clearly in individual and small group settings.
• Strong analytical skills to identify problems, evaluate data, draw conclusions, and employ sound decision-making.
• Flexibility to combine education and experience to meet the role requirements.

Perks and Benefits

• Comprehensive health and wellness plans with options including PPO, HDHP, and HMO coverage (Kaiser available for California employees).
• Competitive salary package with financial benefits like 401(k) matching, employer-paid life and disability insurance, flexible spending, commuter accounts, and Health Savings Account contributions.
• Generous paid time off and personal holidays to support work-life balance.
• One paid volunteer day annually to encourage community engagement.
• Learning and development opportunities via the Learning Excellence at Paradigm (LEAP) program to foster continuous growth.

Diversity and Inclusion

Paradigm is devoted to cultivating a diverse and inclusive culture that reflects society and empowers employees to deliver compassionate care. The company complies with relevant disability laws and provides reasonable accommodations for applicants and employees. Paradigm is an Equal Opportunity Employer prohibiting discrimination on various federally and locally protected grounds.