Provider Relations Specialist

Paradigm•Dallas, TX

27d•Remote

About The Position

Paradigm is seeking a full-time, fully remote Provider Relations Specialist to join our team. In this pivotal role, you will leverage your 4+ years of experience in provider relations and contract development to support our provider network strategy, maintain strong relationships, and contribute to cost-effective care solutions.

Requirements

Minimum of 4 years' experience in provider relations and contract development.
Excellent provider-facing and internal communication skills.
Strong written and verbal communication abilities.
Familiarity with reference-based pricing models, single case agreements, and facility contracting concepts.
Solid organizational skills, attention to detail, and ability to multitask.
Working knowledge of Workers Compensation fee schedules, CMS methodology, medical coding, and standard billing practices.
Ability to manage multiple priorities effectively.
Bachelor's Degree in a relevant field or equivalent work experience.

Nice To Haves

Commercial healthcare experience is strongly preferred.

Responsibilities

Serve as the primary point of contact for providers, managing inquiries, documentation, and negotiation follow-up.
Facilitate key provider relationships through monthly reviews, quarterly business reviews (QBRs), and annual stewardship meetings.
Support management of vendor and partner relationships, participating in regular reviews and stewardship activities.
Execute and track single case agreements (SCAs), letters of agreement (LOAs), and other provider arrangements.
Maintain accurate contract records and provider contact logs; prepare documentation for provider discussions.
Coordinate provider onboarding and education related to Paradigm programs and expectations.
Monitor vendor deliverables and escalate issues as needed.
Assist in data tracking and reporting related to vendor and partner performance.
Compile and analyze data to support provider engagement, payment strategy, and network optimization initiatives.
Prepare summary reports or visualizations for internal and external stakeholders.
Identify trends or provider issues based on contract and billing data.