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.  

Billing Coordinator

We are currently looking for a Billing Coordinator.  This position is responsible for the timely and accurate administration of to-be reimbursed medical related bills (Contract Recoveries) owed to Paradigm from our clients.  This customer-facing position includes reviewing underlying transactions, creating reimbursement requests and collecting outstanding amounts from our portfolio of clients.   Additionally, this position assists the Accounts Receivable Specialist with certain customer billings and will serve as the primary backup for the Accounts receivable Process.

This is a full time position and will work in our Walnut Creek Office.

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

The ideal candidate will have:

  • Education - High school diploma or equivalent.  Completion or enrollment in introductory college level accounting courses strongly recommended.  Active pursuit of Accounting or Insurance Administrative certifications or degree a strong plus.

  • Minimum two years billing experience in billing or related administrative responsibilities.  Collection experience required.

  • Experience with Workers Comp or other Property and Casualty insurance claims is highly preferred, but not required. 

  • Proven ability to handle multiple projects and meet deadlines.

  • Intermediate computer skills, using Microsoft Word and Excel and proficiency in Outlook.

  • Acute attention to detail.

  • Demonstrated ability to plan and organize projects.

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

  • Language Skills - Good oral and written communication skills and phone presence.  Ability to read, comprehend and author intermediate instructions, correspondence, memos, and other documentation (including desk procedures and policies).

  • Reasoning Ability - 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

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

Clinical Services Coordinator Supervisor

We are looking for a Clinical Services Coordinator Supervisor. This is a full time postion and will work in our Walnut Creek, CA office.

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

This position will hold accountability for training and supervision of new hire Clinical Services Coordinators (CSC) and Clinical Services Associates (CSA).   Supervisor will oversee development, implementation, and updating of CSC/CSA training programs and educational tools. Supervisor will also support the Director of Operations with the daily operational activities of the Clinical Services Coordinator (CSC) Team including, but not limited to, documentation and communication of processes and procedures, and participation in process improvement activities of operations.

 

 

Conference Call Coordinator

We’re looking for our next Conference Call Coordinator.  This person is someone who likes to be on the phone, works well in a team environment, has accuracy in his/her work, and likes to work in a fast paced team oriented environment.

This is a full time position and will work in our Walnut Creek Office.

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

This position is part of a team of individuals responsible for scheduling clinical conference calls for the Paradigm clinical team. This includes managing requests for conference calls, obtaining team member availability and coordinating that availability to schedule virtual clinical conferences within very specific timelines. This positon has some interface with external customers around coordination of their attendance at conference calls as well. Act as back up when necessary for the referral intake team as needed.

The ideal candidate will have a:

  • Minimum  of three to five years’ experience in administrative support service role with a demonstrated history of success

  • Able to work efficiently in a fast-moving demanding environment.

  • Intermediate to advanced computer skills, including extensive knowledge of various software packages, including Microsoft Word and Outlook

  • Excellent oral communication skills and phone presence.

  • Strong and demonstrable organizational skills

  • Strong telephone skills are essential in this role.

  • Ability to stay upbeat, attentive, and prioritize the competing needs of multiple customers internal and external.

  • Proven ability to manage multiple tasks and maintain organized documentation to support follow-up with multiple individuals.

 

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 of Clinical Services (Trauma)

We are looking for a Director of Clinical Services (DCS) to join the trauma team.  The DCS  functions as the general manager of the Paradigm Management Team working collaboratively with the Paradigm Medical Director, Network Manager, Director of Key Accounts,  as well as  medical consultants and the internal administrative team to develop outcome focused management plans  to ensure the successful achievement of the targeted outcomes and/or to establish maintenance plans in order to establish  the injured worker’s functional outcome  with a focus on achieving a high level of carrier/client satisfaction as well as achieving financial results.  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.

This is a 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.  

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.

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.