Senior Hospital Contracting Strategist

We need to output HTML fragment with sections for headings: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Only include sections that have real specific content. We must not repeat job title as heading. Must not include Job ID etc. Remove boilerplate: cookie/navigation/legal/EEO/equal-opportunity/scam-warning, duplicated lines, application instructions. Also remove "Application Deadline: 09-11-2026" maybe considered application instruction; we should drop it. Also remove "About Us" sections? Those are not required headings; they might be considered extra info but not part of required headings. We should preserve substantive information: role description, responsibilities, qualifications, etc. We need to map content to sections. Let's parse posting: - 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." That's about the role. - Then: "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 bullet-like list: "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" These are responsibilities. Then "Required Qualifications Use your skills to make an impact Bachelor's degree5 or more years of Hospital negotiation experience in MedicareLeading negotiations for hospital and health system agreements, including reimbursement, contract terms, amendments, renewals, and value based agreements5 or more years of progressive network management experience including hospital contracting and network administration in a healthcare companyExperienced 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 languageProficient in Microsoft Office: Word, Excel and PowerPoint" That's qualifications. Then "Preferred Qualifications Master's DegreeExperience with ACO/Risk ContractingExperience 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." We need sections: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. We have content for About the role (intro). Responsibilities (list). Requirements? Might be same as qualifications? The posting has "Required Qualifications" and "Preferred Qualifications". Could map Required Qualifications to Requirements section, and Preferred Qualifications to Qualifications? Or maybe Requirements = Required Qualifications, Qualifications = Preferred? But we also have Skills section maybe from Microsoft Office proficiency etc. Could treat Skills as separate. We need to avoid filler like "commensurate with experience". Not present. We need to include Pay section: we have pay range $78,400 - $107,800 per year plus bonus incentive plan. That's specific. Schedule: we have "Scheduled Weekly Hours 40" and "8am to 5pm EST". Also "Work at Home Requirements" etc. So schedule info present. Benefits: we have description of benefits. Thus we will create sections:

About the role

...

Responsibilities

• ... each responsibility as li

Requirements

• ... required qualifications

Qualifications

• ... preferred qualifications
maybe.

Skills

• Proficient in Microsoft Office: Word, Excel and PowerPoint
maybe also include other skills like financial analysis, negotiation etc but those are in responsibilities/qualifications. But we must not duplicate content. Could put Microsoft Office under Skills. We need to preserve all substantive information; do not invent or summarize away detail. So we need to include each piece exactly as in posting, but we can rephrase? The instruction: "Preserve ALL substantive information; do NOT invent or summarize away detail." Means we should not omit details, but we can reformat. Likely we can keep the same wording but maybe split into list items. We must not repeat job title as heading. Already not. We must not put Job ID etc. We must remove boilerplate: EEO, equal opportunity, etc. At end there is "Equal Opportunity Employer ..." we need to drop that. Also remove "Application Deadline: 09-11-2026". Also remove "About Us" sections (CarePlus Health Plans, About Humana). Those are not required headings but could be considered extra info; but instruction says remove cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate, duplicated lines, and application instructions. "About Us" is not explicitly listed but could be considered extra; but we might keep if it's substantive? However the instruction says "Prefer a few substantive sections over many thin ones." Might be okay to omit About Us as not required headings. But we must preserve ALL substantive information; does that include About Us? It's substantive about the company. But the instruction says we should only include sections when posting has real, specific content for it — never emit a heading followed by filler/placeholder text. It doesn't forbid adding extra sections beyond the listed headings? It says "Use

for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule)." It gives examples but not exclusive list. However likely they expect only those headings. The "About Us" might be considered extra but not in list; better to omit to follow instruction. Thus we will output only those sections with content. Now craft HTML. We need to ensure no markdown fences, just raw HTML. Let's extract details precisely. About the role paragraph: Combine first sentences: "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." We could keep as one paragraph. Responsibilities list items: - 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 Note: Some items are more like qualifications but we keep as responsibilities. Requirements (Required Qualifications) list: - 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 But note Microsoft Office also could be Skills; but we can keep under Requirements as it's listed there. However we also have a Skills section maybe for Microsoft Office. To avoid duplication, we could move Microsoft Office to Skills and remove from Requirements. But then we would be omitting that detail from Requirements, which is substantive. Better to keep it under Requirements and not have a separate Skills section unless we have other skills not covered. The instruction says we should include a section ONLY when the posting has real, specific content for it. If we have Microsoft Office under Requirements, we could still have Skills section maybe empty -> not allowed. So we should not create Skills section if we don't have distinct skills beyond those already captured. However the posting also mentions "Extensive managed care experience with demonstrated expertise..." which is more experience than skill. Could treat Skills as maybe "Managed care experience, financial analysis, complex negotiations, provider relationship management, leadership" but those are already in responsibilities. To avoid duplication, perhaps we omit Skills section entirely. But the instruction list includes Skills as an example heading; but we can omit if no specific content. Let's see if there is any explicit skill list besides Microsoft Office. The posting includes "Extensive managed care experience with demonstrated expertise in hospital contracting, reimbursement methodologies, financial analysis, complex negotiations, provider relationship management, and leadership". That's a skill set. Could be placed under Skills. However it's also under Responsibilities. Might be okay to duplicate? The instruction says preserve ALL substantive information; does not forbid duplication but better to avoid. However we could put that under Skills and keep responsibilities focused on duties. Let's decide. We have responsibilities list already includes many action items. The skill list could be separate. Let