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.

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.

Qualifications

• 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.
• Commercial healthcare experience is strongly preferred.