Senior Hospital Contracting Strategist

We need to output HTML fragment with sections: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Only include sections that have real specific content. Must not repeat job title. Must not include Job ID etc. Must remove boilerplate like EEO, navigation, etc. Must preserve all substantive info. We need to parse the posting. Key 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." - Role description: "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" - 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" - 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" - Preferred Qualifications: "Master's Degree Experience with ACO/Risk Contracting Experience with Value Based Contracting" - 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: ... About Humana: ... Equal Opportunity Employer ..." We need to remove boilerplate: EEO, navigation, legal, etc. Also remove "Application Deadline", "About Us", "About CarePlus Health Plans", "About Humana", "Equal Opportunity Employer". Also remove "Work at Home Requirements" maybe keep as part of Schedule? Actually schedule includes hours and remote work details. The schedule: "8am to 5pm EST, Travel based on business needs", "Scheduled Weekly Hours 40". Also remote work requirements: internet speed, dedicated space, travel occasional. Could be part of Schedule or maybe a separate section? The instruction says include sections only when posting has real specific content. We have schedule info: hours, remote work expectations, travel. Could put under Schedule. Pay: we have pay range $78,400 - $107,800 per year, plus bonus incentive plan. Benefits: description of benefits: medical, dental, vision, 401(k), time off, disability, life insurance, etc. We need sections: About the role (maybe a brief summary), Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. We need to decide what goes where. "About the role": could be the introductory paragraph describing the role: "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." "Responsibilities": list of duties: lead negotiations, evaluate reimbursement methodologies, partner with various departments, communicate contract terms, analyze financial impact, maintain contracts, help identify and recruit providers. "Requirements": maybe the required qualifications (Bachelor's degree, 5+ years hospital negotiation experience in Medicare, etc.) Could be separate from Qualifications? The instruction includes both Requirements and Qualifications sections. We need to decide distribution. Usually Requirements = mandatory qualifications; Qualifications = preferred? But they also have Skills section. We could put Required Qualifications under Requirements, Preferred Qualifications under Qualifications, and Skills maybe under Skills (Microsoft Office proficiency). However they also have "Skills" as a separate heading. Could put Microsoft Office proficiency there. Let's parse: Required Qualifications (as per posting): - 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 (this seems duplicate of responsibilities) - 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 Preferred Qualifications: - Master's Degree - Experience with ACO/Risk Contracting - Experience with Value Based Contracting Skills: maybe we could list specific skills like negotiation, financial analysis, provider relationship management, etc. But we already have those in responsibilities. However we could still have a Skills section summarizing key competencies: 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 tracking, provider recruitment, Microsoft Office. But we must not invent or summarize away detail; we must preserve all substantive information. So we can list them as bullet points under Skills, but we must ensure we are not omitting any substantive info. It's okay to group similar items. We need to avoid filler like "commensurate with experience". Not present. Now schedule: we have "8am to 5pm EST, Travel based on business needs", "Scheduled Weekly Hours 40", remote work requirements (internet speed, dedicated space, occasional travel). So schedule section can include hours, remote work expectations, travel. Pay: pay range $78,400 - $107,800 per year, bonus incentive plan. Benefits: medical, dental, vision, 401(k), time off (PTO, company/personal holidays, paid parental/caregiver leave), short-term and long-term disability, life insurance, many other opportunities. We must not include boilerplate like "Application Deadline", "About Us", etc. Now produce HTML fragment with headings

for each section. Use

• for lists. Use

  for prose. We must not output markdown code fences. Let's craft. Structure:

  About the role

  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.

  Responsibilities

  • Lead negotiations for hospital and health system agreements, including reimbursement, contract terms, amendments, renewals, and value‑based agreements.
  • 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 identify and recruit providers based on network composition and needs.

  Requirements

  • Bachelor’s degree.
  • 5+ years of hospital negotiation experience in Medicare.
  • 5+ years of progressive network management experience including hospital contracting and network administration in a healthcare company.
  • Experience negotiating managed care contracts with hospital systems, including post‑acute, ancillary providers and physicians.
  • Ability to analyze, understand, and communicate the financial impact of contract terms, payment structures, and reimbursement rates to providers.
  • Ability to understand and interpret hospital contract language.
  • Proficiency in Microsoft Office: Word, Excel, and PowerPoint.

  Qualifications

  • Master’s degree (preferred).
  • Experience with ACO/risk contracting (preferred).
  • Experience with value‑based contracting (preferred).

  Skills

  • Hospital contracting and reimbursement methodologies.
  • Financial analysis and complex negotiations.
  • Provider relationship management and leadership.
  • Knowledge of Medicare Advantage, Medicaid, and value‑based contracting.
  • Familiarity with DRG, PD, Case Rates, POC, OP fee schedules, and alternative payment arrangements.
  • Cross‑functional collaboration with finance, legal, network management, claims, and operations.
  • Effective communication of contract terms and financial impact to providers.
  • Contract tracking and documentation.
  • Provider identification and recruitment based on network needs.

  Benefits

  • Medical, dental, and vision benefits.
  • 401(k) retirement savings plan.
  • Time off (paid time off, company and personal holidays, paid parental and caregiver leave).
  • Short‑term and long‑term disability