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Pyramid Healthcare
Asheville, North Carolina

Medical Provider (Nurse Practitioner or Physician Assistant)

Nurse PractitionerContract Physician-Supervised State

Listed compensation

$80-$85/hr

The week · per this posting · weekdays assumed

Ask the employer about the work setting, call expectations, weekend coverage and time off.

Posted 8m ago · Verified live

Job Description

Pyramid Healthcare is dedicated to offering the highest quality of care to those we serve. A focus on client-focused care establishes our family of brands as respected leaders in addiction treatment, mental health recovery and eating disorder treatment modalities.

Pyramid Healthcare offers comprehensive behavioral healthcare defined by supportive environments that offer patients the strength they need to overcome life’s challenges. We offer behavioral healthcare services – psychiatry, addiction recovery, mental disorder treatment, etc. – that allow clients at all stages of recovery or rehabilitation to reclaim health and well-being.

  • Medical Provider – Nurse Practitioner (NP) or Physician Assistant (PA)
  • Location: Pyramid Healthcare Asheville Methadone Clinic – Asheville, NC
  • Compensation: $80–$85 per hour
  • Schedule: Part-Time | 20–25 Hours Per Week | Contract Position
  • Make a Meaningful Impact in Addiction Medicine & Recovery

Pyramid Healthcare's Asheville Methadone Clinic is seeking a qualified and compassionate Medical Provider (Nurse Practitioner or Physician Assistant) to join our clinical team in Asheville, NC.

This is an excellent opportunity for an experienced medical professional who is passionate about addiction medicine and providing quality care to individuals navigating substance use disorders. The ideal candidate will have experience in substance use disorder treatment, with a preference for providers who have previous experience working in a methadone clinic or other Medication-Assisted Treatment (MAT) setting.

This part-time contract opportunity offers competitive compensation, a flexible schedule of approximately 20–25 hours per week, and the opportunity to make a meaningful difference in the lives of individuals in recovery.

About Pyramid Healthcare

Pyramid Healthcare is a leading provider of behavioral health and substance use treatment services, operating more than 80 programs across multiple states. We are committed to providing comprehensive, compassionate care to individuals experiencing substance use disorders and co-occurring mental health conditions.

What You'll Do

  • Conduct comprehensive medical history and physical examinations for new admissions.
  • Review laboratory results, monitor blood levels, and manage sick call.
  • Provide medical evaluations and ongoing clinical oversight for patients receiving treatment.

Prepare patient discharges, including physician orders and prescriptions, when applicable and within prescriptive authority.

Collaborate with primary care physicians, psychiatrists, nursing staff, and other members of the clinical team to support comprehensive treatment planning.

  • Monitor patient health and medication needs throughout treatment.
  • Support medication cost-effectiveness following discharge and complete prior authorizations as needed.
  • Participate in and complete the peer review process.
  • Provide medical oversight and clinical support to adult residential and detox programs, as applicable.
  • Perform additional duties as assigned.

What We're Looking For

Required Qualifications

  • Active North Carolina medical provider license and credentials appropriate to the position (Nurse Practitioner or Physician Assistant).
  • Minimum of one year of experience in a substance use disorder treatment setting.
  • Knowledge of medical assessment, treatment planning, and patient care.
  • Strong communication, clinical judgment, and collaboration skills.
  • Commitment to ethical, patient-centered care.

Preferred Qualifications & Experience

  • Previous experience working in a methadone clinic or Medication-Assisted Treatment (MAT) program.
  • Clinical experience treating individuals with opioid use disorder and other substance use disorders.
  • Knowledge of methadone treatment, MAT protocols, and ongoing medication monitoring.
  • Direct training or specialized clinical experience in addiction medicine.
  • Experience working within a multidisciplinary behavioral health or addiction treatment environment.

Why Join Pyramid Healthcare?

  • Competitive compensation of $80–$85 per hour.
  • Part-time contract opportunity with approximately 20–25 hours per week.
  • Flexible scheduling.
  • Opportunity to focus on addiction medicine and patient-centered care.
  • Collaborative clinical team and supportive work environment.
  • Meaningful opportunity to positively impact individuals receiving substance use disorder treatment.

Ready to Make a Difference?

If you're a Nurse Practitioner or Physician Assistant with experience in substance use treatment and a passion for addiction medicine, we'd love to hear from you!

Previous experience in a methadone clinic or MAT setting is highly preferred. Apply today to join Pyramid Healthcare's Asheville Methadone Clinic and help support individuals on their path to recovery.

Pyramid CORE Values

We are committed and proud to live our CORE values and use them to inspire those around us. Our employees are expected to align with these values, behaviors, and standards.

We are held accountable for upholding these CORE Values: INTEGRITY is striving to be honest, transparent, and ethical when dealing with clients, staff, and the community. DEDICATION is demonstrating an unwavering commitment to always provide exceptional care and support to those we serve is needed daily.

COLLABORATION is a steadfast, team-focused approach; working together to achieve excellence. PASSION is genuine, compelling, and relentless desire to improve lives and support Pyramid Healthcare’s mission.

Total Rewards for Full-Time Positions

  • Medical, Dental, and Vision Insurance
  • Flexible Spending Accounts
  • Life Insurance
  • Paid Time Off
  • 401(k) with Company Match
  • Tuition Reimbursement
  • Employee Recognition Programs
  • Referral Bonus opportunities
  • And More!

Want to Know More?

To learn more about Pyramid Healthcare, and how you can achieve personal and professional growth, visit us at: bit. ly.

Pyramid Healthcare, Inc. is proud of its diverse workforce, and is an Equal Opportunity Employer.

Key Responsibilities

The Medical Provider will conduct comprehensive medical history and physical examinations for new admissions while providing ongoing clinical oversight for patients. They will collaborate with the multidisciplinary team to support treatment planning and manage medication needs throughout the recovery process.

Requirements

Candidates must hold an active North Carolina medical provider license as a Nurse Practitioner or Physician Assistant. A minimum of one year of experience in a substance use disorder treatment setting is required.

Qualifications

Experience
2+ years of experience

Key Skills

Opioid Use Disorder Treatment

Addiction Medicine — Nurse Practitioner Career Context

Pyramid Healthcare ranks #4 of 18 employers hiring contract/1099 Nurse Practitioner on WeekdayDoc by average advertised pay.

Of the 50 active Nurse Practitioner listings this role was benchmarked against, 28% are remote, 58% have no call, 68% require no weekends.

Nurse Practitioner by the numbers
MeasureThis jobMarket
Listed pay$166k–$177kNurse Practitioner median $133k (middle half $125k–$192k)15 comparable listings, Nov 2026
Cost-of-living adjusted pay~$182k in purchasing powerNorth Carolina index 94.3 (US = 100)BEA Regional Price Parities (2024)
All nurse practitioner listings in North Carolina424 active15,617 nationallylive on WeekdayDoc, Nov 2026
Work settingon-sitepeers: 28% remote · 58% no call · 68% no weekends50 benchmarked listings
Sign-on & loan repaymentnot statedNorth Carolina nurse practitioner listings (all specialties): 17% state a sign-on bonus (median $20k) · 11% offer loan repayment424 active listings, Nov 2026
Addiction Medicine NP hiring demand#19 of 19 specialtiespostings stay open a median 29 days · 3% state a sign-on bonusWeekdayDoc Hiring Index, October 2026 · 101 postings, 189 closed
New Addiction Medicine NP listings101 in the last 30 days83 the 30 days before (+22%)U.S., first seen on WeekdayDoc, Nov 2026
Nurse Practitioner pay trend (all specialties)+2.0% vs prior quarter—through Oct 2026
Pyramid Healthcare#4 of 18 for payTop Employers work-life index
Sources: WeekdayDoc live listing index, Top Employers work-life index, BEA Regional Price Parities (2024), WeekdayDoc Hiring Index; as of Nov 2026. Same values as the Weekday Verdict and Market Insights on this page. North Carolina figures use all nurse practitioners: too few North Carolina Addiction Medicine postings state pay.

Top contract/1099 Nurse Practitioner Jobs

37 matches · ranked by pay

Salary Distribution

37 jobs · 29 employers
11
<$145k
13
$145k-170k
6
$170k-195k
4
$195k-220k
3
$220k+

Annual compensation range

Benefits & Perks

33 jobs · 29 employers
401k / retirement match
94% this job
CME allowance
55%
Sign-on bonus
33%
Loan repayment
18%
Relocation assistance
9%

Share of similar jobs offering each benefit

#1

Psychiatric Nurse Practitioner (PMHNP)

LifeStance Health · Wellesley, Massachusetts

$200k-$257k
#2

Psychiatric Nurse Practitioner (PMHNP)

LifeStance Health · Beverly Hills, California

$200k-$250k
#3

Nurse Practitioner - Ute Mountain Ute Health Center - Towaoc, CO

$229k-$239k
#4

Clinic Director - Physician Assistant (PA-C) or Nurse Practitioner (NP)

$210k
+ 35 more · ranked by pay

Work-life snapshot

median 5.5this job 2.8
Better work-life than 20% of Addiction Medicine (NP) listings

Listing-based score, 0–10, across 194 comparable listings. Shaded area = the share scoring below this one.

Living in Asheville

Typical 3-bedroom home value
$451k
Typical market rent
$1,726/mo
Residents’ average commute
18 min
Metro price indexU.S. average = 100
96.5
State income tax
Up to 4.8%
Sources & methodology

Sources: Zillow home values (Sep 2026), Zillow market rents (Sep 2026), U.S. Census ACS 2024 five-year.

BEA 2024 · Asheville, NC metro prices. Housing figures are city-level.

City-level figures. Not a cost-of-living guarantee.