Careers

Paradigm offers a dynamic workplace that both challenges and rewards our employees. Each team member seeks to carry out our mission—to ensure the best results for people with complex medical needs—every day. Paradigm team members love what they do and know their work directly benefits those in need.

Paradigm is built on teamwork, dedication to helping others, and striving to offer the best possible case management solutions. We value each employee and offer a work environment where every person’s input is valued.

The company is headquartered in Walnut Creek, California, and only a short drive from San Francisco, Napa Valley and Lake Tahoe.

Open Positions

Thank you for your interest in working for Paradigm. We are constantly seeking qualified candidates for a range of career opportunities. All positions are subject to a pre-employment criminal background check. To apply for a position, please submit your information by either e-mailing jobsca@paradigmcorp.com or faxing (925) 676-0640 ATTN: Human Resources.

Associate Clinical Director

Paradigm is looking for the right candidate to fill an Associate Clinical Director opening.  This position is fulltime, benefited and can work from the candidates’ current location or in Walnut Creek, CA office.  Minimal travel required.

All Paradigm positions are subject to a pre- and post-employment background check.

The Associate Clinical Director, (ACD) functions as a member of the virtual team to assist with the development and management of Outcome Plan and Complex Large Loss Plan contracts.  The ACD works collaboratively with the designated Paradigm Management Teams to assist with contract development activities and to provide routine oversight of the clinical and financial performance of Paradigm contracts to ensure the successful achievement of the targeted clinical and financial outcomes.  Along with the Directors of Clinical Services, the Associate Clinical Director will focus on meeting established key performance indicators and timeframes in order to achieve a high level of carrier/client satisfaction.

The successful candidate will have:

  • Master’s or Bachelor’s degree in a healthcare related field.A professional degree in a healthcare related field with a Master’s degree in business or health services administration is preferable.

  • Minimum of five years of experience in clinical administration management, preferably with knowledge in medical/surgical and rehabilitative treatment settings.Experience with healthcare pricing, data analysis, budget development, and clinical management are critical.

  • Excellent oral and written communication skills; able to present to audiences of varying levels of expertise, difference in configuration Including size, level of expertise andclinical and educational backgrounds.

  • Advanced ability to analyze complex situations, collect data, establish facts, and draw valid and substantiated conclusions.

  • Ability to demonstrate effective leadership in the management of virtual trans disciplinary teams to meet the targeted contractual obligations.

Applicants should submit a resume and cover letter to jobsca@paradigmcorp.com

Associate Clinical Director (Trauma)

We are looking to fill two (2) Associate Clinical Director (ACD) positions.  The ACD functions as a member of the trauma team to assist with the development and management of Outcome Plan, Complex Large Loss Plan contracts and other products.  The ACD works collaboratively with the trauma Directors of Clinical Services and the designated Paradigm Management Teams to assist with contract development activities and to provide routine oversight of the clinical and financial performance of Paradigm contracts to ensure the successful achievement of the targeted clinical and financial outcomes.  Along with the Directors of Clinical Services, the Associate Clinical Director will focus on meeting established key performance indicators and timeframes in order to achieve a high level of carrier/client satisfaction. 

Master’s or bachelor’s degree in a healthcare/clinical related field required.  At least five years of experience in business, health services and/or insurance administration/management is preferable.

These are full time positions and can be based in Walnut Creek office or remotely.

All Paradigm positions are subject to a pre- and post-employment background check.  

Claims Examiner

We are currently looking for the right candidate to fill a Claims Examiner position.  This person will be someone who works with accuracy and likes a fast paced team environment. 

This position is fulltime, benefited and will work in our Walnut Creek, CA office. 

All Paradigm positions are subject to a pre- and post-employment background check.

This position holds accountability for accurate and timely processing and payment of considerably difficult bills to include pre-coding, data entry and adjudication of medical bills/claims.  Other administrative tasks are outlined in the full description. 

The ideal candidate will have:

  • AA Degree or equivalent college course work; successful completion of continuing education in insurance, medical terminology/coding, and/or accounting.

  • Five years of claims or bill review experience. 

  • Intermediate computer experience on Microsoft Word, Excel & Outlook required.

  • Typing speed of 60 WPM and 10-key experience

  • Knowledge of ICD-10; CPT; Revenue Code; RVS; U&C; Fee Schedule; RBRVS; DRG; HCPCS & other coding schemes preferred.

  • Excellent organizational skills

  • Excellent oral communication skills and phone presence

  • Ability to effectively present information to providers as well as to employees of the organization.

  • Ability to define problems, collect data, establish facts, and draw valid conclusions.

  • Ability to interpret a variety of instructions and deal with abstract and concrete variables.

Claims Processor

This position hold accountability for accurate and timely processing and payment of considerably difficult bills to include pre-coding, data entry and adjudication of medical bills/claims.  Other administrative tasks outlined in full description. 

The ideal candidate will have a:

  • High School Diploma

  • Successful completion of continuing education in insurance, medical terminology/coding, and/or accounting preferred.

  • Two years customer service experience with minimum 2 years claims or bill review experience. 

  • Intermediate computer experience on Microsoft Word, Excel & Outlook required.

  • Typing speed of 60 WPM and 10-key experience

  • Knowledge of ICD-9; CPT; RVS;U & C; Fee Schedule; HCPCS & other coding schemes preferred.

  • Excellent organizational skills

  • Excellent oral communication skills and phone presence

  • Ability to effectively present information to providers as well as to employees of the organization.

Clinical Services Associate

Paradigm is looking for the right candidate to join our team and be the clinical team liaison who helps to keep an injured workers case moving forward and on track.

This position is full time, benefited and will work in our Walnut Creek office.

All Paradigm positions are subject to a pre- and post-employment background check.

This individual will provide support and backup to our Clinical Services Coordinator (CSC) team by:

  • taking and summarizing notes accurately from a conference call

  • handling administrative tasks such as tracking documents progress, tracking and routing reimbursement requests, looking up costs for financial budgets, initiating action plans for late reports and contracts

  • working daily in our proprietary database

  • collaborating with other internal departments to address and resolve specific patient/provider issues

  • taking on other administrative duties as requested

The ideal candidate will possess:

  • a Bachelor’s degree from an accredited educational institution, preferred

  • two to five years progressively responsible customer service experience., related experience in provider relations or health care preferred

  • a strong medical background preferred, including comprehensive understanding of medical terminology and health care principles and practices

  • the demonstrated ability to multi-task in a fast paced changing work environment

  • strong computer skills using including Microsoft Office, Outlook, Word and Excel

  • excellent oral communication skills and phone presence

  • the ability to read and comprehend instructions and to write correspondence and memos and utilize e-mail communication effectively

  • the ability to present information in one-on-one and small group situations

  • the ability to define problems, collect data, establish facts, and draw valid conclusions; interpret a variety of instructions and deal with abstract and concrete variables; demonstrated ability to analyze difficult situations, problems, and data; use good judgment and decision making

Clinical Services Coordinator

Do you want to make a difference? Can you be successful in a fast-paced team results-oriented medical management environment? Do provide exceptional customer service? We have an immediate need for a full time Clinical Services Coordinator in our Walnut Creek office.

Competitive salary and benefit package offered. This position is subject to pre and post-employment background checks.

The position holds accountability for the successful administrative partnership with the clinical and nursing staff in overall management contracts.  This includes tracking of all customer deliverables that meet targeted timelines and reflect and support patient management, facilitation of patient management team communications and general support of both the nursing and clinical staff to ensure proactive and well-conceived management plans.  In addition, the position holds an administrative accountability, in partnership with our nursing teams to reinforce their full understanding and support of the Paradigm process and direction. 

Qualified candidates will possess the following education and experience:

-Bachelor's degree, preferred

-Two plus year’s progressively responsible customer service experience.  Related experience in provider relations or heath care preferred 

- Strong medical background preferred, including comprehensive understanding of medical terminology and health care principles and practices

-Proven ability to work in a multi-tasking/fast paced environment

-Intermediate experience with Microsoft Office Outlook, Word, and Excel

-Exceptional communication skills and phone presence

-Ability to define problems, collect data, establish facts and draw valid conclusions

Applicants can apply by submitting a resume and cover letter to us at jobsca@paradigmcorp.com

Consulting (RN) Nurse Case Managers

We pride ourselves on the relationships built between our nurses and the injured workers.  Nationwide opportunities available.

Conduct on site assessments for catastrophically injured individuals, gather data and initiate case management process.  Establish relationships and maintains communications with patients, families, providers, Paradigm’s carrier clients and employers. Participate in all patient related conferences with the Paradigm Management Team and assist with development of Paradigm contract. Complete accurate and timely written reports in accordance with Paradigm documentation standards and Best Practices.

Active RN license; valid driver’s license; CCM, CRRN or other approved certification and exceptional communication skills.

Must clear criminal background check.

Director Key Accounts

This position is accountable for meeting sales targets and achieving superior customer satisfaction that supports carrier/client retention and development. This includes providing leadership to the Paradigm Management Team (PMT) around carrier/client issues and requests, serving as primary communication contact, and managing the sales process for patient specific contracts in a proactive manner. Frequent nationwide business travel of about 60% required in this position. This role will focus on managing and expanding existing business, and supporting the penetration efforts of sales leads with new account development.

The position is full time and will work remote or from our Walnut Creek, CA office and is currently nationwide.  This position is subject to pre and post-employment background checks.

Bachelor’s degree from an accredited educational institution required. Three to five years progressively responsible customer service/account management experience. Three years related experience in sales, insurance or a health care environment. Strong medical background to include comprehensive understanding of medical terminology and health care principles and practices. Workers Compensation Claims experience highly desired. High degree of attention to detail required. Superior oral and written communication skills and phone presence. Ability to ready and comprehend instructions, correspondence, memos and medical/patient reports. Ability to write clear and persuasive correspondence and memos. Ability to present information in one-on-one and small group situations. Excellent analytical skills - demonstrated ability to independently identify, define and resolve problems, collect data, establish facts, and draw valid conclusions; ability to interpret a variety of instructions and deal with abstract and concrete variables; demonstrated ability to analyst difficult situations, problems, and data; use good judgment and decision making.

Director of Product Development

Paradigm is looking for a Director of Product Development to play a key role in creating the processes, tools and relationships necessary to enable the company’s expansion into new healthcare markets.  This is a full time position working in our Walnut Creek Office, with the potential to work virtually.  There will be some travel required for this position.

All Paradigm positions are subject to a pre- and post-employment background check.

Summary

Working closely with the VP of Product Development, the Director of Product Development will be responsible translating Paradigm’s new product and market initiatives into reality.   Success in this newly created position requires someone with a passion for tackling the challenges facing our current healthcare system and the ability to work simultaneously on multiple levels – to engage in strategic, big picture thinking; analytical, structured problem solving; and nuts and bolts operational design. 

 

Responsibilities:  (include but are not limited to)

  • Develop a deep understanding of the business drivers for the target market segments and monitor and refine critical market assumptions and implications for product development.
  • Assist in shaping a complex case management solution for the general healthcare market (commercial, Medicaid, Medicare).

  • Create processes, tools and financial models to support new offerings, working closely with internal and customer staff.
  • Prototype initial service offerings, including workflows, reports, communication approaches to test in pilot projects.
  • Manage pilot projects to test and evolve solution features and processes, from concept to implementation and measurement.
  • Develop and test methods of measuring and evaluating the value of new offerings, working closely with Paradigm’s internal and external analytics experts.

The successful candidate will have:

  • BA/BS in Liberal Arts, Business, Healthcare or other related field required.

  • MA/MS in Business, Healthcare or other related field preferred.

  • Passionate about the goal of improve the healthcare experience in the US.

  • 7+ years’ experience in product development/management, consulting or operations, with most or all of this experience in the commercial and/or government-sponsored health services sector. 

  • Demonstrated success developing and implementing new solutions in the health services sector, preferably with a focus on accountable care, alternative payment models, population health and/or complex and post-acute care.

  • Deep understanding of commercial and government-sponsored health insurance and delivery.

  • Intellectual curiosity and an ability to view old problems with a fresh perspective; an entrepreneurial mindset geared toward the creation, execution and continuous improvement of a new care management model. 

  • Demonstrated experience translating requirements into scalable process designs and prototypes, including workflows, job designs, communication and reporting tools, etc.

  • Ability to create actionable information from clinical and financial data.  Can conceive and work with new approaches to measuring value related to care management solutions.  Knowledge of health plan data and analytics structures, and experience with healthcare economics, value measurement and/or population analytics, strongly preferred.

  • Excellent project management skills including demonstrates success in guiding projects from concept to implementation and measurement.

  • Effective collaboration skills, including the ability to work with payer, provider and internal staff across organizational levels and settings.

  • Superior written and oral communication skills; able to tell a clear story with data and develop clean, effective presentations.

  • Strong capability using Microsoft Office (specifically: Word, PowerPoint and Excel). Skills with project management software and Visio are preferred.

 

Document Administrator / Proofreader

Paradigm is looking for a Document Administrator/Proofreader.  This position is fulltime benefited and will work in the Walnut Creek office. 

All Paradigm positions are subject to a pre- and post employement background check.

This position holds accountability for operational document administration including:  effectively producing, editing, tracking, managing, and coordinating the reviews of all clinical patient contracts and reports to meet established Paradigm quality standards including timeliness, writing quality, and conforming to Paradigm’s intended ideologies.

QUALIFICATION REQUIREMENTS: 

  • High school diploma or equivalent education.

  • Proven ability to handle multiple projects and meet deadlines.

  • Three years or greater experience in proofreading. 

  • Excellent skills in grammar, punctuation, and spelling, and the ability to express ideas concisely and cogently.

  • Acute attention to detail.

  • Intermediate to advanced computer skills, including intermediate to advanced level knowledge of Microsoft Word, and proficiency in Excel and Outlook.

  • Must demonstrate an ongoing willingness to learn new word processing and database management programs.

  • Strong interpersonal skills.

  • Ability to understand and follow written and verbal instructions.

  • Commitment to excellence and high standards.

  • Ability to work independently and as a member of various teams and committees.

  • Demonstrated ability to plan and organize projects.

  • Must be able to speak, read, write, and understand the primary language(s) used in the workplace:  English.

  • Ability to communicate professionally and effectively in person, on the phone, electronically, or through other means to individuals and groups.

  • Medical transcription/terminology experience desired and/or demonstrated ability to learn medical terminology.

Network Development Specialist

Are you a dynamic, outgoing, professional with experience in growth, development and training of medical and clinical specialists?   Do you have strong verbal and written communication skills?  Are you an enthusiastic self-starter with worker’s compensation experience? If you’re the right person for this opportunity, you will have previous experience with recruitment, onboarding, training and development of licensed medical professionals engaged in the case management of catastrophic injuries and chronic pain conditions. If you’re looking for a challenging, rewarding career, Paradigm Management Services has an open position for a Network Development Specialist.

This is a full time positions and can be based in our Walnut Creek, CA office or remotely.

All Paradigm positions are subject to a pre- and post-employment background check.  

This position holds accountability for supporting the growth, development and training of the clinical networks composed of nurses, physicians and other clinical consultants.

Qualified Candidate must possess:

  • Licensed Registered Nurse (RN) with active, unrestricted licensure (preferred) or Bachelor’s degree in Health related field (required).

  • Minimum 7 years’ experience in the management of catastrophically injured individuals and chronic pain conditions, knowledge of case management services provided for catastrophically injured individuals with CCM certification preferred.

  • Awareness of jurisdictional regulations impacting patient care management, confidentiality and return to work.

  • Previous coaching/mentoring and skill development experience

  • Intermediate computer skills including knowledge of the Internet, MS work, MS Outlook, MS Excel and other tools utilized for distance learning and webinar presentations.

  • Ability to maintain and work independently from a home office with periodic business air travel.

Essential Responsibilities include the following:

  • Leads the recruitment, application and interviewing process with new case management nurses and companies and physicians.

  • Present candidates to internal credentialing committee for review.

  • Manage the initial orientation training, and contribute to web-based and regional ongoing training and development for Network Managers (NWM), Medical Directors (PMD), Medical Specialists (MSC) and Clinical Specialists (CS).

  • In conjunction with other departments and team members to deliver clinical and procedural training.

  • Directs precepting for new network managers, medical directors, medical specialists and clinical specialists and develops supportive materials.

RN Field Case Manager in Chicago Area

This position performs onsite field case management functions of assessment, planning, implementation and facilitation while working with an internal interdisciplinary team and working collaboratively with treatment providers.  Candidate must be able to travel 65% of the time to regional destinations in order to carry out the onsite case management function.

All Paradigm positions are subject to a pre-employment criminal background check.

Position Requirements:

  • Two plus years’ experience in catastrophic injury/illness case management to include onsite case management experience, with preference for experience in the Worker’s Compensation arena.
  • Candidates will have case management or clinical experience with management of acquired brain injury, spinal cord injury, multiple trauma (including amputation), burns and chronic pain syndromes.
  • Demonstrated leadership skills with effective written and oral communication skills, strong self-initiative and interpersonal skills.
  • Bachelor's degree from an accredited school of nursing preferred.
  • Current Illinois Registered Nurse License required.
  • Current drivers license
  • Must possess intermediate computer skills in Microsoft Outlook, Word and Excel.