{"id":1623853,"url":"https://alion.io/job/paradigm-workers-compensation-provider-contract-lead","title":"Worker's Compensation - Provider Contract Lead","company":{"id":1845499,"name":"Paradigm®","domain":"paradigm.com","url":"https://alion.io/company/paradigm-3","size_band":"501-1000","is_staffing_agency":false,"employer_type":"direct","is_intermediary":false,"listed_via":null,"ats_vendor":"Dayforce","truth_index":null},"role":"HR","role_family":"HR","seniority":"lead","employment_type":"contractor","work_mode":"remote","remote_scope":"stated_countries","remote_scope_basis":"board_field","remote_working_hours":null,"hiring_geo_confidence":"structured","locations":["Tampa, United States","Chicago, United States","Atlanta, United States","Houston, United States"],"countries":["US"],"hiring_countries":["US"],"hiring_countries_total":1,"salary":null,"salary_estimate":{"min_usd":107000,"max_usd":200000,"period":"year","method":"role_seniority_country_remote_cell","sample_n":87},"experience_years_min":3,"visa_sponsorship":false,"relocation_package":false,"has_equity":false,"technologies":[{"name":"HIPAA","optional":false},{"name":"Incident Management","optional":false}],"status":"live","first_seen_at":"2026-07-30T07:00:00Z","employer_posted_date":"2026-10-01","last_verified_at":"2026-10-24T10:18:18Z","board_verified":true,"closed_at":null,"days_open":86,"trust":{"level":"ok","repost_count":null,"flags":[],"days_open":86},"description":"Develops and implements provider network and contract strategies, identifying the ambulatory surgery centers and specialists in geographic locations in which to concentrate resources for purposes of establishing a sufficient network of participating providers to serve and exceed the needs of our clients.\n\nDUTIES AND RESPONSIBILITIES:\nExecutes provider contracts for acceptable reimbursement rates as determined by client requirements and prevailing market ranges.\nMaintain a system to track contract negotiation and sales activity on an ongoing basis through company provided software applications.\nDirects the preparation and negotiations of provider contracts and oversees negotiation of contracts in concert with established company templates and guidelines with ambulatory surgery centers, physicians, hospitals, and other health care providers as needed.\nOversees the maintenance of all Provider contract information for given territory. Works with legal and corporate on an as needed basis to modify contract templates to ensure compliance with all contractual and/or regulatory requirements.\nSeeks, contacts and creates single case agreements (SCA) to fulfill GAP’s as needed by the business. \nDevelops relationships with providers and offers feedback if there are deficiencies in their response time, scheduling time and/or providing medical documentation in a timely manner.\nPerform additional duties as identified and directed by management.\nMaintain reliable and predictable attendance during scheduled work hours.\nUtilizes AI tools to support day-to-day tasks, improve efficiency, and enhance output quality. Adopts new technologies as trained and applies them in alignment with established processes and guidelines.\nDemonstrates a customer-first mindset by developing a broad and deep (where appropriate) understanding of Paradigm organization, products, operations, and customers. Prioritizes collaboration to meet customer needs and expectations and takes personal accountability for service quality.\nResponsible for complying with Paradigm Information Security requirements and policies, for safeguarding Paradigm or Paradigm related passwords, and for notifying Paradigm of any Information Security incidents per policy SEC 10-12 Information Security Incident Management.\nQUALIFICATION REQUIREMENTS:\nBachelor’s Degree in a related field (Business Administration, etc.,) or equivalent experience. \n3 to 5 years of experience in Healthcare Administration, Network Development, Managed Care, and/or Provider Services.\nSpecific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus.\nAbility to maintain attendance to support required quality and quantity of work.\nMaintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA).\nAbility to establish and maintain positive and effective work relationships with coworkers, clients, members, providers and customers.\nSuperior interpretation and research skills to readily identify problems, get to the root cause and achieve prompt resolution to problems and issues including analytical skills \nAbility to organize, coordinate, and accomplish a high volume of work with minimum impact on quality\nExceptional interpersonal relations skills. \nSuperior verbal and written communication skills. \nKnowledge of Excel and Word. \nThis position may require up to 10% travel.","description_format":"text","description_chars":3465,"description_truncated":false,"requirements":{"experience_years_min":3,"management_years_min":null,"team_size_min":null,"manages_managers":false,"education":null,"security_clearance":false,"languages":[]},"benefits":["Health insurance"],"hiring_locations":[{"name":"United States","iso":"US","kind":"country"}],"hiring_excludes":[],"relocation_offered":false,"industries":["Consumer Electronics","Manufacturing","Headphones & Audio"],"lifecycle":[{"event":"open","at":"2026-10-01T20:55:06Z"}],"visa":[],"liveness":{"score":24,"band":"cold","label":"Long shot","p_open":1,"p_active":0.678,"p_room":0.36,"age_days":85,"expected_fill_days":43,"reasons":["conf:0","win:tail","crowd:"],"computed_at":"2026-10-24T06:02:35Z"},"pay":null,"html_url":"https://alion.io/job/paradigm-workers-compensation-provider-contract-lead","json_url":"https://alion.io/job/paradigm-workers-compensation-provider-contract-lead.json","meta":{"generated_at":"2026-10-24T12:28:13Z","cache_seconds":300,"methodology":"https://alion.io/methodology","terms":"https://alion.io/terms","contact":"https://alion.io/contact","api":"https://alion.io/developers","about":"Alion is a live layer of people, companies and AI agents: who they are, whether they are real and active right now, what they do and how to work with them, readable by people and by agents and paid per call.","catalog":"https://alion.io/catalog.json","usage":{"tier":"crawler_verified","counted_by":"address","units_charged":1,"used_today":17884,"day_limit":null,"remaining_today":null,"minute_limit":300,"resets_at":"2026-10-25T00:00:00Z"}},"offers":[{"id":"company.slices","title":"One company in depth, by slice","status":"live","price":{"credits":0.02,"usd":0.002,"plus_per_slice":{"credits":0.05,"usd":0.005}},"unit":"per company, plus each slice with data","note":"the employer in depth","call":{"mcp_tool":"get_company","arguments":{"id":1845499},"rest":"https://alion.io/mcp/rest/get_company?id=1845499"},"human":"https://alion.io/catalog?offer=company.slices&for=job%2Fparadigm-workers-compensation-provider-contract-lead"},{"id":"market.stats","title":"A market slice: pay, demand and time to fill","status":"live","price":{"credits":1,"usd":0.1},"unit":"per slice","note":"pay, demand and time to fill for this role and place","call":{"mcp_tool":"market_stats"},"human":"https://alion.io/catalog?offer=market.stats&for=job%2Fparadigm-workers-compensation-provider-contract-lead"},{"id":"job.search","title":"Open jobs by role, technology, place, pay and visa","status":"live","price":{"credits":0.02,"usd":0.002},"unit":"per posting in a list","note":"similar open postings","call":{"mcp_tool":"search_jobs"},"human":"https://alion.io/catalog?offer=job.search&for=job%2Fparadigm-workers-compensation-provider-contract-lead"},{"id":"company.verify","title":"Is this company real and active right now","status":"pilot","price":null,"unit":"per company","request":{"url":"https://alion.io/catalog/request","method":"POST","body":"{\"offer\": \"company.verify\", \"for\": \"job/paradigm-workers-compensation-provider-contract-lead\", \"note\": \"what you need it for\"}"},"human":"https://alion.io/catalog?offer=company.verify&for=job%2Fparadigm-workers-compensation-provider-contract-lead"}]}