Note: The job is a remote job and is open to candidates in USA. Paradigm is an accountable specialty care management organization focused on improving the lives of people with complex injuries and diagnoses. They are seeking a full-time, remote Worker's Compensation Bill Review Systems Analyst responsible for analyzing Bill Review operational processes to improve productivity, reliability, quality, and efficiency.
Responsibilities
- Serve as system configuration subject matter expert: understand, document, and be able to explain how the bill review system applies rules and settings to process bills
- Work closely with Bill Review leaders to implement any changes to bill review processes including editing of rules and configuration / reconfiguration of systems
- Perform data gathering, root cause analysis and performance trending in order to develop appropriate process control changes
- Prepare communication plans regarding process re-engineering for multiple stakeholders
- Inform respective teams on process improvement and re-engineering strategies
- Coordinate internal compliance auditing, monitoring and review activities in conjunction with the Clinical Bill Review department
- Provide testing and system support in relation to data reporting processes and requirements
- Update and maintain documentation on system configuration as changes are implemented
- Assist Project Managers and Program Managers in strategic projects and key initiatives
- Identify and resolve company, state/NCCI reporting, and/or client data issues, including with vendors as applicable
Skills
- 5+ years' experience in process/systems analysis, engineering, and/or process improvement including executing at least two major process creations or transformations
- 5+ year's experience generating and analyzing reports to monitor productivity, throughput, and/or other operational KPIs
- 3+ Years' experience working in bill/claims processing systems in the Workers Compensation industry across multiple jurisdictions
- Proven working experience in project and change management
- Excellent client-facing and internal communication skills
- Excellent written and verbal communication skills
- Solid organizational skills including attention to detail and multitasking skills
- Strong working knowledge of Microsoft Office and Visio
- Bachelor's Degree in appropriate field of study or equivalent work experience
Benefits
- Health and wellness– We want our people to be and stay healthy, so we offer PPO, HDHP, and HMO health insurance options with Cigna and Kaiser (CA employees only).
- Financial incentives – Paradigm’s financial benefits help prepare you for the future: competitive salaries, 401(k) matching contributions, employer-paid life and disability insurance, flexible spending and commuter accounts, and employer-matched HSA contributions.
- Vacation - We believe strongly that work-life balance is good for you and for our company. Our paid time off and personal holiday programs give you the flexibility you need to live your life to the fullest.
- Volunteer time– We want our employees to engage with and give back to their communities in meaningful ways. Full and part-time employees receive one paid day per calendar year.
- Learning and development:One of Paradigm’s core values is expertise, so we encourage our employees to continually learn and grow. We support this in a variety of ways, including our new Learning Excellence at Paradigm (LEAP) program.
Company Overview