Quality Audit Associate

About Paradigm

Paradigm is a specialized care management organization dedicated to enhancing the well-being of individuals with complex injuries and health conditions. Established in 1991, Paradigm has pioneered value-based care, delivering outstanding outcomes for patients, payers, and healthcare providers. The company's expertise spans risk-based clinical solutions, case management, specialty networks, home health, shared decision support, and payment integrity programs.

Paradigm has been repeatedly honored, holding Great Place to Work® certification for four consecutive years and ranking on Fortune's Best Workplaces in Health Care™ list for three straight years. These accolades underscore Paradigm's commitment to creating a supportive, inclusive, and employee-focused work environment.

Role Overview

We are seeking a remote Quality Audit Associate to support SPU Managers and Supervisors with administrative tasks. This position's work hours are Monday through Friday, 8 AM to 5 PM. The associate's duties include mastering and applying account guidelines, completing case billing audits, investigating short pays and non-pays with proper documentation in the collections system, conducting internal audits, and generating customer-specific data queries.

Qualifications

• High school diploma or equivalent mandatory; higher education preferred.
• Proficient computer skills with an emphasis on accurate data entry.
• Solid intermediate to advanced skills in Microsoft Outlook and Excel.
• Effective verbal and written communication abilities.
• Meticulous attention to detail.
• Strong organizational capabilities, adept at multitasking and prioritizing.
• Sound judgment and adherence to confidentiality practices.

Benefits

• Health and wellness benefits including PPO, HDHP, and HMO options via Cigna and Kaiser (for California employees).
• Competitive pay structures and comprehensive financial benefits such as 401(k) matching, life and disability insurance paid by employer, flexible spending and commuter accounts, and employer contributions to HSA.
• Generous paid time off and personal holiday policies to support work-life balance.
• One paid volunteer day annually for both part-time and full-time employees.
• Commitment to continuous learning supported by the Learning Excellence at Paradigm (LEAP) program.

Diversity and Inclusion

Paradigm is devoted to fostering a diverse, inclusive workplace integral to its mission of transforming lives through compassionate care. The company promotes an environment that embraces diversity, supports positive change, and welcomes employees to bring their authentic selves to work.

Accessibility and Equal Employment

Paradigm complies with federal and state disability laws, providing reasonable accommodations during application, interviewing, job performance, and benefits access. The company is an Equal Opportunity Employer, prohibiting discrimination based on race, color, sex, age, national origin, religion, sexual orientation, gender identity, veteran status, disability, or other protected classes.

Compliance

As a State of Wisconsin contractor, Paradigm adheres to Wisconsin Contract Compliance Law (16.765).