Nira Medical

1 month ago

Contract Management & Revenue Integrity Specialist

✓ Verified Job

Canonical indexed version, validated from employer's careers page.

Source: Company careers pageValidated by: Fursa AI

Last checked: 3 hours agoStatus: Live

Job Summary

Lead payer contracting and pricing initiatives to protect revenue, manage payer negotiations, and ensure accurate rate reflection across professional services, drugs, and ancillary lines. Collaborate with Revenue Cycle, Operations, Finance, and clinical teams to resolve payment discrepancies, generate actionable reports, and support strategic contracting decisions.

Location: United States

Workplace: Remote

Employment Type: Full time

Job Function: Finance & Accounting

Key Responsibilities

•Lead all new payer contract negotiations, managing the end-to-end process from initial outreach through execution, ensuring terms align with organizational goals and market benchmarks.
•Establish and maintain fee schedules and contracted rates for professional services, drug/pharmacy, and ancillary services. Own rate-setting decisions in collaboration with Finance and clinical leadership.
•Maintain, update, and audit all payer allowable tables within Athena and any other relevant systems. Coordinate quarterly or monthly allowable schedule pulls based on payer requirements and internal cadence needs.
•Identify, track, and resolve payment variances resulting from a mismatched allowable between contracted rates and actual payer remittances. Partner with billing and RCM teams to correct discrepancies and prevent recurrence.
•Serve as the primary point of contact for payer inquiries and projects related to contract pricing. Facilitate timely resolution of payer-initiated issues and proactively surface risks to leadership.

Pay and Benefits

Perks:Remote Work

Key Requirements

•Associate’s degree in healthcare administration, business, finance, or a related field; or equivalent relevant experience in payer contracting or revenue integrity
•Minimum 3–5 years of experience in payer contracting, allowable management, or revenue integrity roles
•Strong understanding of fee schedule structures, payer reimbursement methodologies, and contract terms across professional, drug/pharmacy, and ancillary service lines
•Demonstrated experience managing allowable tables and rate configurations within Athena EHR or similar practice management systems
•Proficiency in identifying and resolving payment variances and mismatch allowable

Experience:3-5 yearsHealthcare

Education:Associate's

Skills:NegotiationCommunicationAnalyticalProblem-solvingAttention to detail

Languages:English

Tech Stack:Athena EHR

Company Brief

Nira Medical

Nira Medical is a national neurology practice platform that partners with independent clinics to expand access to neurological care, infusion services, and clinical research, and to build real-world data resources for conditions like multiple sclerosis.

Industry: Healthcare Providers

Company Size: Medium (51 to 250 employees)

Headquarters: New York, United States

Website LinkedIn Glassdoor

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Nira Medical

1 month ago

Contract Management & Revenue Integrity Specialist

✓ Verified Job

Canonical indexed version, validated from employer's careers page.

Source: Company careers pageValidated by: Fursa AI

Last checked: 3 hours agoStatus: Live

Job Summary

Location: United States

Workplace: Remote

Employment Type: Full time

Job Function: Finance & Accounting

Key Responsibilities

•Lead all new payer contract negotiations, managing the end-to-end process from initial outreach through execution, ensuring terms align with organizational goals and market benchmarks.
•Establish and maintain fee schedules and contracted rates for professional services, drug/pharmacy, and ancillary services. Own rate-setting decisions in collaboration with Finance and clinical leadership.
•Maintain, update, and audit all payer allowable tables within Athena and any other relevant systems. Coordinate quarterly or monthly allowable schedule pulls based on payer requirements and internal cadence needs.
•Identify, track, and resolve payment variances resulting from a mismatched allowable between contracted rates and actual payer remittances. Partner with billing and RCM teams to correct discrepancies and prevent recurrence.
•Serve as the primary point of contact for payer inquiries and projects related to contract pricing. Facilitate timely resolution of payer-initiated issues and proactively surface risks to leadership.

Pay and Benefits

Perks:Remote Work

Key Requirements

•Associate’s degree in healthcare administration, business, finance, or a related field; or equivalent relevant experience in payer contracting or revenue integrity
•Minimum 3–5 years of experience in payer contracting, allowable management, or revenue integrity roles
•Strong understanding of fee schedule structures, payer reimbursement methodologies, and contract terms across professional, drug/pharmacy, and ancillary service lines
•Demonstrated experience managing allowable tables and rate configurations within Athena EHR or similar practice management systems
•Proficiency in identifying and resolving payment variances and mismatch allowable

Experience:3-5 yearsHealthcare

Education:Associate's

Skills:NegotiationCommunicationAnalyticalProblem-solvingAttention to detail

Languages:English

Tech Stack:Athena EHR

Company Brief

Nira Medical

Industry: Healthcare Providers

Company Size: Medium (51 to 250 employees)

Headquarters: New York, United States

Website LinkedIn Glassdoor