Worker's Compensation - Provider Contract Lead

Paradigm • Tampa, FL

86d • $80,000 - $90,000 • Remote

About The Position

Paradigm is seeking a Provider Contract Lead to develop and implement provider network and contract strategies. The role identifies ambulatory surgery centers and specialists in geographic areas where resources should be concentrated to establish a sufficient network of participating providers and meet or exceed client needs. The position negotiates and maintains provider contracts, develops provider relationships, and supports the company’s customer-first service approach. The role may require up to 10% travel and is listed as remote.

Requirements

• Bachelor’s degree in a related field, such as Business Administration, or equivalent experience.
• 3 to 5 years of experience in Healthcare Administration, Network Development, Managed Care, and/or Provider Services.
• Specific vision abilities, including close vision, distance vision, color vision, peripheral vision, depth perception, and ability to adjust focus.
• Ability to maintain attendance to support required quality and quantity of work.
• Ability to maintain confidentiality and comply with HIPAA.
• Ability to establish and maintain positive, effective working relationships with coworkers, clients, members, providers, and customers.
• Strong interpretation and research skills, including the ability to identify problems, determine root causes, and resolve problems and issues promptly; analytical skills.
• Ability to organize, coordinate, and complete a high volume of work with minimal impact on quality.
• Exceptional interpersonal skills.
• Strong verbal and written communication skills.
• Knowledge of Excel and Word.
• Ability to travel up to 10%.

Responsibilities

• Execute provider contracts at reimbursement rates acceptable under client requirements and prevailing market ranges.
• Track contract negotiation and sales activity using company-provided software applications.
• Direct the preparation and negotiation of provider contracts and oversee negotiations in accordance with company templates and guidelines for ambulatory surgery centers, physicians, hospitals, and other healthcare providers.
• Oversee maintenance of provider contract information for the assigned territory.
• Work with legal and corporate teams as needed to modify contract templates and ensure compliance with contractual and regulatory requirements.
• Seek out and contact providers and create single case agreements to fill business gaps as needed.
• Develop provider relationships and provide feedback about deficiencies in response times, scheduling, or timely delivery of medical documentation.
• Perform additional duties as identified and directed by management.
• Maintain reliable and predictable attendance during scheduled work hours.
• Use AI tools to support day-to-day tasks, improve efficiency, and enhance output quality; adopt new technologies as trained and apply them according to established processes and guidelines.
• Develop a broad and deep understanding, where appropriate, of Paradigm’s organization, products, operations, and customers; collaborate to meet customer needs and expectations and take accountability for service quality.
• Comply with Paradigm information security requirements and policies, safeguard passwords, and report information security incidents according to policy SEC 10-12.

Benefits

• Health insurance options, including PPO, HDHP, and HMO plans through Cigna and Kaiser for California employees.
• 401(k) matching contributions.
• Employer-paid life and disability insurance.
• Flexible spending and commuter accounts.
• Employer-matched HSA contributions.
• Paid time off and personal holiday programs.
• One paid volunteer day per calendar year for full- and part-time employees.
• Learning and development support, including the Learning Excellence at Paradigm (LEAP) program.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level