Quality Program Specialist

About the role

The Quality Program Specialist plays a crucial role in ensuring quality standards are met and maintained across various processes within Paradigm. This position focuses on quality assurance, root cause analysis, and continuous improvement initiatives.

Responsibilities

• Perform quality audits on processes and ensure consistent and accurate documentation.
• Triage issues to appropriate teams based on complexity and urgency.
• Manage and track escalated issues, ensuring timely resolution and stakeholder communication.
• Collaborate with internal departments to resolve complex problems.
• Lead monthly reporting of Key Performance Indicators (KPIs), document findings, and contribute to continuous process improvement initiatives.
• Conduct monthly root cause analysis of recurring issues and escalations.
• Identify patterns and trends to inform management and recommend corrective actions and preventive measures.
• Develop and maintain reports for KPIs, audit results, and process metrics.
• Present findings to management and contribute to continuous improvement.
• Maintain documentation of audit, procedures, training materials, and process workflows.
• Ensure reliable and predictable attendance during scheduled work hours.
• Comply with Paradigm Information Security requirements and policies.
• Demonstrate a customer-first mindset and prioritize collaboration to meet customer needs and expectations.
• Utilize AI tools to support day-to-day tasks, improve efficiency, and enhance output quality.
• Adeptly adopt new technologies as trained and apply them in alignment with established processes and guidelines.

Qualifications

• Bachelor’s degree or equivalent work experience.
• 2–4 years of experience in process improvement, operations analysis, or quality improvement.
• Strong analytical and problem-solving skills.
• Proficiency in MS Office, especially Excel (pivot tables, charts, formulas).
• Excellent written and verbal communication skills.
• Ability to work independently and manage multiple priorities.
• Prior experience in healthcare, workers’ compensation, or bill review operations is preferred.
• Familiarity with quality management tools (e.g., root cause analysis, PDCA, Pareto charts) is preferred.
• Preferred certifications in Six Sigma, Lean, or ASQ.

Benefits

• Health and wellness benefits, including PPO, HDHP, and HMO health insurance options with Cigna and Kaiser (CA employees only).
• Financial incentives, including competitive salaries, 401(k) matching contributions, employer-paid life and disability insurance, flexible spending and commuter accounts, and employer-matched HSA contributions.
• Vacation and personal holiday programs to support work-life balance.
• Volunteer time to engage with and give back to communities in meaningful ways.
• Learning and development opportunities through the LEAP program.
• Commitment to diversity and inclusion, fostering a culture that respects differences and promotes positive change.