Senior Hospital Contracting Strategist
for sections like About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Use - for any list of duties/requirements/benefits, and
for prose. Do NOT repeat job title as heading. Do NOT put Job ID/requisition numbers as headings. Preserve all substantive info. Remove boilerplate: cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate, duplicated lines, application instructions. Include a section ONLY when posting has real specific content for it. Avoid filler like "commensurate with experience". Pay and Schedule sections only if posting actually states them. The posting includes "Scheduled Weekly Hours 40" and "8am to 5pm EST, Travel based on business needs". Also "Work at Home Requirements" etc. Also "Pay Range" $78,400 - $107,800 per year. Also "Description Of Benefits". So we need sections: About the role (maybe a summary), Responsibilities, Requirements (maybe required qualifications), Qualifications (maybe preferred?), Skills, Benefits, Pay, Schedule. Need to decide which sections have content.
Let's parse content:
- Intro: "Become a part of our caring community The Senior Hospital Contracting Strategist / Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital and other provider contracts and agreements for an organization that provides health insurance. You will report to the Director, Provider Contracting. As the Senior Hospital Contracting Strategist/ Senior Provider Contracting Professional you will Lead negotiations for hospital and health system agreements, including reimbursement, contract terms, amendments, renewals, and value based agreements"
That's about role and responsibilities.
Then list of responsibilities: "Extensive managed care experience with demonstrated expertise in hospital contracting, reimbursement methodologies, financial analysis, complex negotiations, provider relationship management, and leadership Experience with Medicare Advantage, Medicaid, and value based-contracting Evaluate reimbursement methodologies, including DRG, PD, Case Rates, POC, OP fee schedules, and alternative payment arrangements Partner with Finance, Medical Economics, Legal, Network Management, Claims, Configuration, and Operations to ensure contracts are financially sound and operationally executable Communicate contract terms, payment structures, and reimbursement rates to providers Analyze financial impact of contracts and terms Maintain contracts and documentation within a tracking system Help with identifying and recruiting providers based on network composition and needs"
That's responsibilities.
Then "Required Qualifications Use your skills to make an impact Bachelor's degree 5 or more years of Hospital negotiation experience in Medicare Leading negotiations for hospital and health system agreements, including reimbursement, contract terms, amendments, renewals, and value based agreements 5 or more years of progressive network management experience including hospital contracting and network administration in a healthcare company Experienced in negotiating managed care contracts with Hospital systems inclusive of post acute, ancillary providers and physicians. Analyze, understand and communicate financial impact of contract terms, payment structures and reimbursement rates to providers. Understand and interpret Hospital contract language Proficient in Microsoft Office: Word, Excel and PowerPoint"
That's required qualifications.
Then "Preferred Qualifications Master's Degree Experience with ACO/Risk Contracting Experience with Value Based Contracting"
Then "Additional Information 8am to 5pm EST, Travel based on business needs Work at Home Requirements: To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $78,400 - $107,800 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. Description Of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 09-11-2026 About Us About CarePlus Health Plans: CarePlus Health Plans is a recognized leader in healthcare delivery that has been offering Medicare Advantage health plans in Florida over 23 years. CarePlus strives to help people with Medicare, or both Medicare and Medicaid, achieve their best possible health and wellness through plans with benefits and services they care about. As a wholly owned subsidiary of Humana, CarePlus currently serves Medicare beneficiaries throughout 21 Florida counties. About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com. Equal Opportunity Employer ..."
We need to remove boilerplate: Application Deadline, About Us, Equal Opportunity Employer, etc. Also remove duplicated lines. Also remove "Application Instructions" (none). Also remove "cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate". So we keep substantive info: role description, responsibilities, required qualifications, preferred qualifications, schedule (8am-5pm EST, travel, work from home requirements, scheduled weekly hours 40), pay range, benefits description.
We need to decide sections: About the role (maybe a brief summary), Responsibilities (list), Requirements (maybe required qualifications), Qualifications (maybe preferred?), Skills (maybe Microsoft Office proficiency?), Benefits, Pay, Schedule.
But we must not create sections with filler. So we need to ensure each section has real content.
Let's extract:
About the role: The first paragraph: "Become a part of our caring community The Senior Hospital Contracting Strategist / Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital and other provider contracts and agreements for an organization that provides health insurance. You will report to the Director, Provider Contracting." That's substantive.
Responsibilities: The bullet list after that: "Lead negotiations for hospital and health system agreements, including reimbursement, contract terms, amendments, renewals, and value based agreements Extensive managed care experience with demonstrated expertise in hospital contracting, reimbursement methodologies, financial analysis, complex negotiations, provider relationship management, and leadership Experience with Medicare Advantage, Medicaid, and value based-contracting Evaluate reimbursement methodologies, including DRG, PD, Case Rates, POC, OP fee schedules, and alternative payment arrangements Partner with Finance, Medical Economics, Legal, Network Management, Claims, Configuration, and Operations to ensure contracts are financially sound and operationally executable Communicate contract terms, payment structures, and reimbursement rates to providers Analyze financial impact of contracts and terms Maintain contracts and documentation within a tracking system Help with identifying and recruiting providers based on network composition and needs"
We can turn each sentence into
- .
Requirements (Required Qualifications): list: Bachelor's degree, 5+ years Hospital negotiation experience in Medicare, Leading negotiations for hospital and health system agreements..., 5+ years progressive network management experience..., Experienced in negotiating managed care contracts..., Analyze, understand and communicate financial impact..., Understand and interpret Hospital contract language, Proficient in Microsoft Office: Word, Excel and PowerPoint.
Preferred Qualifications: Master's Degree, Experience with ACO/Risk Contracting, Experience with Value Based Contracting.
Skills: Could be Microsoft Office proficiency (already in required). Could also include negotiation, financial analysis, etc. But we might combine skills into responsibilities or qualifications. The instruction says use
for section headings like Skills. If we have content for Skills, we can include. But we might not need separate Skills if content is covered elsewhere. However we could create Skills section listing: Hospital contracting, reimbursement methodologies, financial analysis, complex negotiations, provider relationship management, leadership, Medicare Advantage, Medicaid, value-based contracting, DRG, PD, Case Rates, POC, OP fee schedules, alternative payment arrangements, cross-functional partnership, communication, financial impact analysis, contract maintenance, provider recruitment, Microsoft Office (Word, Excel, PowerPoint). That's substantive.
But we must avoid duplication. Might be okay.
Benefits: The description: medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
Pay: $78,400 - $107,800 per year, plus bonus incentive plan.
Schedule: "8am to 5pm EST, Travel based on business needs", "Work at Home Requirements" (internet speed, dedicated space), "Travel: occasional travel to Humana's offices for training or meetings may be required.", "Scheduled Weekly Hours 40". So schedule section can include those.
We must not include filler like "commensurate with experience". Not present.
We must not include Application Deadline, About Us, Equal Opportunity Employer.
Now produce HTML fragment: only the HTML, no /, no markdown.
We'll structure:
About the role
...
Responsibilities
- ...
...
Required Qualifications
- ...
...
Preferred Qualifications
- ...
...
Skills
- ...
...
Benefits
- ...
...
Pay
$78,400 - $107,800 per year base salary, eligible for bonus incentive plan based on company and/or individual performance.
Schedule
- Standard hours: 8am to 5pm EST
- Scheduled weekly hours: 40
- Travel: occasional travel to Humana's offices for training or meetings may be required
- Work‑from‑home requirements: minimum 25 Mbps download / 10 Mbps upload internet speed (wired, cable, or DSL suggested); dedicated workspace free of interruptions to protect PHI/HIPAA information
Check for any duplicated content: Ensure we didn't repeat same bullet.
Now verify we didn't include boilerplate: We omitted Application Deadline, About Us, Equal Opportunity Employer.
Check for any mention of "cookie/navigation/legal/EEO/equal-opportunity/scam-warning" - none.
Now ensure we used for section headings, - for lists,
for prose.
We used
for About the
for prose. Do NOT repeat job title as heading. Do NOT put Job ID/requisition numbers as headings. Preserve all substantive info. Remove boilerplate: cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate, duplicated lines, application instructions. Include a section ONLY when posting has real specific content for it. Avoid filler like "commensurate with experience". Pay and Schedule sections only if posting actually states them. The posting includes "Scheduled Weekly Hours 40" and "8am to 5pm EST, Travel based on business needs". Also "Work at Home Requirements" etc. Also "Pay Range" $78,400 - $107,800 per year. Also "Description Of Benefits". So we need sections: About the role (maybe a summary), Responsibilities, Requirements (maybe required qualifications), Qualifications (maybe preferred?), Skills, Benefits, Pay, Schedule. Need to decide which sections have content. Let's parse content: - Intro: "Become a part of our caring community The Senior Hospital Contracting Strategist / Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital and other provider contracts and agreements for an organization that provides health insurance. You will report to the Director, Provider Contracting. As the Senior Hospital Contracting Strategist/ Senior Provider Contracting Professional you will Lead negotiations for hospital and health system agreements, including reimbursement, contract terms, amendments, renewals, and value based agreements" That's about role and responsibilities. Then list of responsibilities: "Extensive managed care experience with demonstrated expertise in hospital contracting, reimbursement methodologies, financial analysis, complex negotiations, provider relationship management, and leadership Experience with Medicare Advantage, Medicaid, and value based-contracting Evaluate reimbursement methodologies, including DRG, PD, Case Rates, POC, OP fee schedules, and alternative payment arrangements Partner with Finance, Medical Economics, Legal, Network Management, Claims, Configuration, and Operations to ensure contracts are financially sound and operationally executable Communicate contract terms, payment structures, and reimbursement rates to providers Analyze financial impact of contracts and terms Maintain contracts and documentation within a tracking system Help with identifying and recruiting providers based on network composition and needs" That's responsibilities. Then "Required Qualifications Use your skills to make an impact Bachelor's degree 5 or more years of Hospital negotiation experience in Medicare Leading negotiations for hospital and health system agreements, including reimbursement, contract terms, amendments, renewals, and value based agreements 5 or more years of progressive network management experience including hospital contracting and network administration in a healthcare company Experienced in negotiating managed care contracts with Hospital systems inclusive of post acute, ancillary providers and physicians. Analyze, understand and communicate financial impact of contract terms, payment structures and reimbursement rates to providers. Understand and interpret Hospital contract language Proficient in Microsoft Office: Word, Excel and PowerPoint" That's required qualifications. Then "Preferred Qualifications Master's Degree Experience with ACO/Risk Contracting Experience with Value Based Contracting" Then "Additional Information 8am to 5pm EST, Travel based on business needs Work at Home Requirements: To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $78,400 - $107,800 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. Description Of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 09-11-2026 About Us About CarePlus Health Plans: CarePlus Health Plans is a recognized leader in healthcare delivery that has been offering Medicare Advantage health plans in Florida over 23 years. CarePlus strives to help people with Medicare, or both Medicare and Medicaid, achieve their best possible health and wellness through plans with benefits and services they care about. As a wholly owned subsidiary of Humana, CarePlus currently serves Medicare beneficiaries throughout 21 Florida counties. About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com. Equal Opportunity Employer ..." We need to remove boilerplate: Application Deadline, About Us, Equal Opportunity Employer, etc. Also remove duplicated lines. Also remove "Application Instructions" (none). Also remove "cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate". So we keep substantive info: role description, responsibilities, required qualifications, preferred qualifications, schedule (8am-5pm EST, travel, work from home requirements, scheduled weekly hours 40), pay range, benefits description. We need to decide sections: About the role (maybe a brief summary), Responsibilities (list), Requirements (maybe required qualifications), Qualifications (maybe preferred?), Skills (maybe Microsoft Office proficiency?), Benefits, Pay, Schedule. But we must not create sections with filler. So we need to ensure each section has real content. Let's extract: About the role: The first paragraph: "Become a part of our caring community The Senior Hospital Contracting Strategist / Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital and other provider contracts and agreements for an organization that provides health insurance. You will report to the Director, Provider Contracting." That's substantive. Responsibilities: The bullet list after that: "Lead negotiations for hospital and health system agreements, including reimbursement, contract terms, amendments, renewals, and value based agreements Extensive managed care experience with demonstrated expertise in hospital contracting, reimbursement methodologies, financial analysis, complex negotiations, provider relationship management, and leadership Experience with Medicare Advantage, Medicaid, and value based-contracting Evaluate reimbursement methodologies, including DRG, PD, Case Rates, POC, OP fee schedules, and alternative payment arrangements Partner with Finance, Medical Economics, Legal, Network Management, Claims, Configuration, and Operations to ensure contracts are financially sound and operationally executable Communicate contract terms, payment structures, and reimbursement rates to providers Analyze financial impact of contracts and terms Maintain contracts and documentation within a tracking system Help with identifying and recruiting providers based on network composition and needs" We can turn each sentence into
for section headings like Skills. If we have content for Skills, we can include. But we might not need separate Skills if content is covered elsewhere. However we could create Skills section listing: Hospital contracting, reimbursement methodologies, financial analysis, complex negotiations, provider relationship management, leadership, Medicare Advantage, Medicaid, value-based contracting, DRG, PD, Case Rates, POC, OP fee schedules, alternative payment arrangements, cross-functional partnership, communication, financial impact analysis, contract maintenance, provider recruitment, Microsoft Office (Word, Excel, PowerPoint). That's substantive.
But we must avoid duplication. Might be okay.
Benefits: The description: medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
Pay: $78,400 - $107,800 per year, plus bonus incentive plan.
Schedule: "8am to 5pm EST, Travel based on business needs", "Work at Home Requirements" (internet speed, dedicated space), "Travel: occasional travel to Humana's offices for training or meetings may be required.", "Scheduled Weekly Hours 40". So schedule section can include those.
We must not include filler like "commensurate with experience". Not present.
We must not include Application Deadline, About Us, Equal Opportunity Employer.
Now produce HTML fragment: only the HTML, no /, no markdown.
We'll structure:
About the role
...
Responsibilities
- ... ...
Required Qualifications
- ... ...
Preferred Qualifications
- ... ...
Skills
- ... ...
Benefits
- ... ...
Pay
$78,400 - $107,800 per year base salary, eligible for bonus incentive plan based on company and/or individual performance.
Schedule
- Standard hours: 8am to 5pm EST
- Scheduled weekly hours: 40
- Travel: occasional travel to Humana's offices for training or meetings may be required
- Work‑from‑home requirements: minimum 25 Mbps download / 10 Mbps upload internet speed (wired, cable, or DSL suggested); dedicated workspace free of interruptions to protect PHI/HIPAA information
for section headings, - for lists,
for prose.
We used
for About the
for prose. We used
for About the