If you’re the person who keeps providers credentialed, enrolled, and revenue-ready while everyone else is moving fast, this role is built for your kind of operational discipline.
About Nira Medical
Nira Medical is a national partnership of physician-led, patient-centered independent practices focused on advancing neurological care. They support practices with technology, clinical research opportunities, and a collaborative care network designed to expand access to life-changing treatments.
Schedule
- Full-time
- Remote
What You’ll Do
- Manage end-to-end provider credentialing and enrollment across Medicare, Medicaid, and commercial payers
- Maintain credentialing databases, track expirations/renewals, and keep audit-ready documentation organized and current
- Maintain CAQH and manage NPI and PECOS updates, including payer portal applications and follow-ups to prevent delays
- Support payer contracting and rate management, including renewal tracking, rate verification, and contract load requests
- Assist with contract analysis and payer participation needs for new locations, acquisitions, and service expansions
- Ensure compliance with payer and regulatory requirements, supporting reporting and audit needs
- Serve as liaison between providers, payers, and internal teams to resolve credentialing/contracting issues impacting revenue
- Partner with RCM, Operations, Billing, and Corporate Development to support onboarding, payer setup, and revenue continuity
- Handle facility and operational updates with payers (address changes, NPI/TIN linkages, Pay-To/Billing updates, adding locations to contracts)
What You Need
- Associate’s or bachelor’s degree in healthcare administration, business, or related field, or equivalent experience
- 4+ years of experience in provider credentialing, payer enrollment, or payer contracting
- 3+ years of experience in revenue cycle management, healthcare regulations, and/or compliance standards
- Strong knowledge of credentialing requirements, fee schedules, and contract structures
- Strong problem-solving skills with ability to work independently
- Excellent relationship management skills and comfort collaborating cross-functionally
- Adaptability in a fast-paced, scaling healthcare/RCM environment
- Multi-specialty practice or MSO experience (preferred)
- CPCS certification and Athena EHR experience (plus)
Benefits
- Not listed in the posting
If you’re ready to own the credentialing/contracting engine that keeps providers paid and operations smooth, this is a solid match.
Happy Hunting,
~Two Chicks…