Description
Location: Tampa, FL, USA• United States
Req Number: Req #1585
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.
We're proud to be recognized—again! For the fourth year in a row, we've been certified by Great Place to Work®, and for the third consecutive year, we've earned a spot on Fortune's Best Workplaces in Health Care™ list. These honors reflect our unwavering commitment to fostering a positive, inclusive, and employee-centric culture where people thrive.
Watch this short video for a brief introduction to Paradigm.
Join Paradigm as our Director of Medical Bill Review and lead transformative strategies that enhance provider engagement and operational excellence. As a leader within our Networks and Operations team, you'll drive innovation, oversee enterprise-wide bill review operations, and collaborate cross-functionally to deliver measurable outcomes in cost containment, provider satisfaction, and regulatory compliance.
Qualifications and Experience:
- Education: Master's degree or equivalent experience required.
- Experience:
- Minimum of 10 years in bill review management, including at least 5 years in senior leadership roles.
- At least 3 years of hands-on medical bill processing and analysis.
- Minimum of 1 year of customer service experience.
- Proven experience developing and implementing workflows, policies, procedures, and training programs.
- Technical Knowledge:
- Strong understanding of medical terminology and coding.
- Working knowledge of CPT, ICD-9 & 10, RBRVS, and other coding methodologies.
- Core Competencies:
- Strategic thinking, financial acumen, and executive presence.
- Excellent organizational, communication, and stakeholder management skills.
- Advanced problem-solving and analytical abilities.
Paradigm Benefits:
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.
Paradigm complies with federal and state disability laws and makes reasonable accommodations for applicants and employees with disabilities. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact Leave Management at leave.management@paradigmcorp.com.
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.
Other details
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