Provider Relations Specialist

Paradigm

. Serve as a day-to-day point of contact for providers regarding inquiries, documentation, and follow-up on active negotiations .

Posted 9/22/2026full-timeRemote • United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in provider relations, contract development, and vendor management, with strong capabilities in data analysis and reporting. Proficient in communication and organizational skills to effectively manage provider interactions and optimize network performance.

Highest-signal resume keywords

Provider RelationsContract DevelopmentData AnalysisCommunication SkillsOrganizational Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Contract ManagementData TrackingMedical CodingBilling PracticesReference-Based Pricing ModelsSingle Case AgreementsFacility Contracting ConceptsWorkers Compensation Fee SchedulesCMS Methodology

Soft Skills

Attention to DetailMultitaskingVerbal CommunicationWritten Communication

Certifications & Qualifications

Bachelor's Degree

Industry Keywords

HealthcareProvider EngagementVendor ManagementNetwork OptimizationCommercial Healthcare

About the role

Key responsibilities & impact

Serve as a day-to-day point of contact for providers regarding inquiries, documentation, and follow-up on active negotiations
Facilitate key provider relationships, including monthly reviews, QBRs, and annual stewardships with select providers
Support management of key vendor/partner relationships, including monthly reviews, QBRs, and annual stewardships
Support execution and tracking of single case agreements, letters of agreement, and other provider arrangements
Maintain accurate contract records and provider contact logs
Support preparation of documentation and materials for provider discussions
Assist in coordinating provider onboarding and education related to Paradigm programs and expectations
Help monitor vendor deliverables and escalate issues to the Director
Assist in data tracking and reporting related to vendor and partner performance
Compile and analyze data supporting provider engagement, payment strategy, and network optimization initiatives
Prepare summary reports or visualizations for internal and external stakeholders
Assist with identifying trends or provider issues based on contract and billing data

Requirements

What you’ll need

Excellent provider-facing and internal communication skills
4+ years of experience in provider relations and contract development
Excellent written and verbal communication skills
Familiarity with reference-based pricing models, single case agreements, and facility contracting concepts
Solid organizational skills including attention to detail and multitasking skills
Strong working knowledge of Workers Compensation fee schedules, CMS methodology, medical coding and other standard billing practices
Strong organizational skills and ability to manage multiple priorities effectively
Some Commercial healthcare experience strongly preferred
Bachelor's Degree in appropriate field of study or equivalent work experience