Operations Coordinator

About the role

This position is responsible for providing administrative system support across all risk solutions products and executing key operational processes to ensure the smooth operation of all systems. The role involves a variety of administrative tasks that support patient management, system and database management, client structure setup, and facilitation of communications within the patient management team. Additionally, this position will provide general support to Clinical Solutions personnel and serve as an extra layer of support for implementing quality initiatives and maintaining quality assurance across all administrative functions.

Responsibilities

• Assist with the execution of follow-up tasks derived from quality review audits or functions.
• Provide technical assistance to production and quality staff regarding systems support for all contracts across risk products.
• Ensure data integrity through various cleanup projects related to injured worker contracts and clients.
• Track all customer deliverables to ensure timely submissions that meet the company’s Standards of Performance. Initiate appropriate action plans for late reports, contracts, or necessary task updates.
• Participate in the report review process as required by established workflow procedures.
• Collaborate with other internal departments (Budgeting and Data Analytics, Bill Review, and Accounting) to address and resolve specific patient/provider issues that may require data updates.
• Participate in company projects that require representation from the Clinical Solutions Delivery teams, as requested by management. Engage and facilitate discussions with internal and external personnel regarding assigned administrative tasks.
• Perform other administrative duties as requested, including uploading records into ECL, documenting and archiving patient notes, researching patient-specific issues, and tracking deliverables as needed.
• Comply with Paradigm IT security requirements and policies.
• Safeguard Paradigm or Paradigm-related IT passwords.
• Notify Paradigm of any IT security incidents per policy 16.0 Information Security Incident Management.

Requirements

• 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.
• Strong medical background preferred, including comprehensive understanding of medical terminology and health care principles and practices.
• Demonstrated ability to multi-task in a fast-paced work environment.
• Experience with various computer applications including Microsoft Office, Outlook, Word, and Excel.
• Excellent oral communication skills and phone presence.
• Ability to read and comprehend instructions, correspondence, memos, and medical/patient reports.
• Ability to write correspondence and memos and utilize e-mail communication effectively.
• Ability to present information in one-on-one and small group situations.
• Excellent analytical skills — 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; demonstrated ability to analyze difficult situations, problems, and data; use good judgment and decision making.
• Any combination of education/experience and knowledge that demonstrates the ability to perform the functions of the position will be accepted.

Benefits

• Health and wellness: PPO, HDHP, and HMO health insurance options with Cigna and Kaiser (CA employees only).
• Financial incentives: Competitive salaries, 401(k) matching contributions, employer-paid life and disability insurance, flexible spending and commuter accounts, and employer-matched HSA contributions.
• Vacation: Paid time off and personal holiday programs.
• Volunteer time: One paid day per calendar year for full and part-time employees to engage with and give back to their communities.
• Learning and development: Support for continual learning and growth, including the Learning Excellence at Paradigm (LEAP) program.