Clinical Network Regulatory Specialist
ParadigmFlorida, United States
Posted March 25, 2026
26 - 34 USD
Full Time
About the Company
Paradigm is a specialty care management organization dedicated to improving outcomes for individuals with complex injuries and diagnoses. With nearly 35 years of experience, the company pioneers value-based care in workersâ compensation and healthcare markets, delivering risk-based clinical solutions, case management, specialty networks, home health, shared decision support, and payment-integrity programs. Its portfolio includes catastrophic care management, MSK care management, behavioral health clinical management, surgical implant cost management, complex recovery management, and more, enabling cost savings while elevating care quality across the continuum. Paradigmâs data-driven, patient-centric approach and proven track record make it a leader for employers, payers, and providers seeking measurable improvements in outcomes and spend.
Job Description
Paradigm is seeking a full-time, remote Clinical Network Regulatory Specialist to provide support for the Paradigm Clinical Resource Operations business unit to ensure efficient and compliant business processes.
Requirements
- Interpreting regulatory requirements and advising leaders on compliant documentation, processes, and workflows
- Managing state and client reporting requirements, ensuring accurate data validation, trend analysis, and identification of compliance risks
- Administering clinical compliance communications by triaging regulatory, licensing, and credentialing inquiries and tracking actions through resolution
Benefits
- Health and wellnessâ PPO, HDHP, and HMO health insurance options with Cigna and Kaiser (CA employees only)
- Financial incentives â competitive salaries, 401(k) matching contributions, employer-paid life and disability insurance, flexible spending and commuter accounts, and employer-matched HSA contributions
- Vacation â paid time off and personal holiday programs
- Volunteer timeâ one paid day per calendar year
- Learning and development: support for continually learning and growing through the Learning Excellence at Paradigm (LEAP) program
