Paradigm is an accountable specialty care management organization focused on improving the lives of people with complex injuries and diagnoses. The company has been a pioneer in value-based care since 1991 and has an exceptional track record of generating the very best outcomes for patients, payers, and providers. Deep clinical expertise is the foundation for every part of Paradigm’s business: risk-based clinical solutions, case management, specialty networks, home health, shared decision support, and payment integrity programs.

Paradigm is in search of a Quality Audit Associate. This role will involve providing administrative assistance to the SPU Managers and Supervisors.

The Quality Audit Associate is responsible for learning and adhering to account guidelines; using account guidelines to complete case billing audits; researching and investigating short pays, non-pays, and documents appropriately in the collections application; performing internal audits; and running queries with customer specific data.

Qualifications:

High school diploma or equivalent required; post-secondary education preferred.
Excellent computer skills, especially with data entry.
Intermediate to advanced Microsoft Outlook and Excel skills.
Strong interpersonal communication skills, both verbal and written.
Strong attention to detail.
Organizational skills and ability to multitask and prioritize.
Ability to exercise sound judgment and maintain confidentiality.

Paradigm Benefits:

Health and wellness: We want our people to be and stay healthy, so we offer a wide variety of value-added HMO, PPO, and HDHP health insurance options with both Cigna and Kaiser Health.
Financial incentives: Paradigm’s financial benefits also help prepare you for the future: competitive pay, flexible spending, paid life insurance, employer HSA, and 401(k) with company match.
Vacation: We believe strongly that work-life balance is good for you and for our company. We offer paid time off, paid holidays and a floating holiday.
Learning and development: One of Paradigm’s core values is expertise, so we encourage our employees to continually learn and grow.

Paradigm believes that fostering a diverse and inclusive workplace is central to our mission of helping more people and transforming lives. We’re striving to build a culture that better reflects the society we live in and empowers our team to deliver the highest levels of compassion and care to those we serve. For us, achieving this goal requires a workforce that respectfully embraces differences and commits to positive change, creating an environment where everyone is able to bring their whole self to work.

We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.

Paradigm Corp

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Quality Audit Associate