Contract Management & Revenue Integrity Specialist

About the Company

Nira Medical is a national partnership of physician-led, patient-centered independent practices committed to driving the future of neurological care. Founded by neurologists, Nira supports practices with cutting-edge technology, clinical research opportunities, and a collaborative care network.

Responsibilities

• Lead new payer contract negotiations from initial outreach through execution
• Establish and maintain fee schedules and contracted rates for professional, drug, and ancillary services
• Maintain and audit payer allowable tables within Athena and other relevant systems
• Identify and resolve payment variances resulting from mismatched allowables
• Serve as the primary point of contact for payer inquiries regarding contract pricing
• Generate reporting on contract performance, allowable schedules, and out-of-network activity
• Conduct out-of-network analyses to evaluate financial exposure
• Manage all system updates within Athena related to contracts and payer configurations

Requirements

• Associate's degree in healthcare administration, business, finance, or related field
• 3–5 years of experience in payer contracting, allowable management, or revenue integrity
• Strong understanding of fee schedule structures and payer reimbursement methodologies
• Experience managing allowable tables and rate configurations within Athena EHR or similar systems
• Proficiency in resolving payment variances and mismatch allowables
• Experience with out-of-network analysis and no-go reporting frameworks
• Strong negotiation and communication skills

Preferred Qualifications

• Experience working in a multi-specialty, multi-location healthcare organization
• Athena EHR experience
• Experience with MSO structures