Senior Hospital Contracting Strategist

We need to output HTML fragment with sections: headings

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. Remove boilerplate, navigation, legal, EEO, equal-opportunity, scam-warning, duplicated lines, application instructions. Include a section only when posting has real specific content for it. Avoid filler like "commensurate with experience", "not specified", "N/A", "varies", "TBD". Prefer few substantive sections. We need to extract substantive content: The posting includes: - 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 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" - 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 (duplicate) - 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: details about internet speed, dedicated space, etc. - Travel: occasional travel to Humana's offices for training or meetings may be required. - Scheduled Weekly Hours 40 - Pay Range: $78,400 - $107,800 per year, plus bonus incentive plan. - Description Of Benefits: medical, dental, vision, 401(k), time off, disability, life insurance, etc. - Application Deadline: 09-11-2026 (but we should remove application instructions? The instruction says remove application instructions. The deadline might be considered application instruction? Probably remove it. The instruction: "Remove cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate, duplicated lines, and application instructions." So we should remove Application Deadline line. - About Us sections: About CarePlus Health Plans, About Humana. Might be considered boilerplate? It's not EEO but it's about company. The instruction says remove boilerplate, but not explicitly about "About Us". However, it's likely considered boilerplate. The instruction: "Remove cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate, duplicated lines, and application instructions." It doesn't say remove About Us. But we might keep it if it's substantive? However, the instruction says "Prefer a few substantive sections over many thin ones." The About Us might be considered not essential to the job. Could be removed. Safer to remove it as it's not directly about the role. The instruction says preserve ALL substantive information; do NOT invent or summarize away detail. The About Us is substantive about the company but not about the job. Might be considered boilerplate? I'd lean to remove it because it's not directly about the role and could be considered navigation/boilerplate. However, the instruction only explicitly mentions certain boilerplate types. But to be safe, we could keep a brief "About the company" section? But we have no heading for that; we could put under "About the role"? Actually "About the role" is a heading we can use for the introductory description. The "About Us" could be considered extra. I'd remove it to keep sections minimal. - Equal Opportunity Employer: remove as EEO boilerplate. Thus we need to craft sections: maybe "About the role", "Responsibilities", "Requirements", "Qualifications", "Benefits", "Pay", "Schedule". We need to avoid duplication. Let's map: About the role: introductory 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." Responsibilities: list of duties: lead negotiations, evaluate reimbursement methodologies, partner with various teams, communicate contract terms, analyze financial impact, maintain contracts, help identify and recruit providers. Requirements: maybe "Required Qualifications" as a list. Qualifications: maybe "Preferred Qualifications" as list. Skills: maybe we could combine required qualifications with skills? But we have separate "Skills" heading optional. Could put Microsoft Office proficiency under Skills. Benefits: list of benefits. Pay: pay range and bonus. Schedule: scheduled weekly hours, work hours (8am-5pm EST), travel, work-at-home requirements. We must not create sections with filler like "not specified". We have actual content for each. We must not repeat job title as heading. We must not include Job ID/requisition numbers. We must not include application instructions (deadline). Remove that line. We must not include duplicated lines: we saw duplicate "Leading negotiations for hospital and health system agreements, including reimbursement, contract terms, amendments, renewals, and value based agreements" appears both in role description and required qualifications. We should include only once? The instruction: remove duplicated lines. So we should deduplicate. We need to preserve all substantive information, but we can deduplicate identical lines. So we should keep the content but not repeat same sentence twice. Let's extract unique bullet points. Responsibilities unique: - 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 with identifying and recruiting providers based on network composition and needs Also maybe "Extensive managed care experience with demonstrated expertise in hospital contracting, reimbursement methodologies, financial analysis, complex negotiations, provider relationship management, and leadership" is more of a qualification/experience rather than responsibility. Could be under Requirements. "Experience with Medicare Advantage, Medicaid, and value based-contracting" also qualification. Now Required Qualifications list (unique): - Bachelor's degree - 5 or more years of Hospital negotiation experience in Medicare - 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 Note: The line "Leading negotiations for hospital and health system agreements, including reimbursement, contract terms, amendments, renewals, and value based agreements" appears also in responsibilities; we already have it there, so we can omit from qualifications to avoid duplication. Preferred Qualifications: - Master's Degree - Experience with ACO/Risk Contracting - Experience with Value Based Contracting Now Benefits: list from 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 - many other opportunities (maybe we can keep as "many other opportunities"). Pay: "$78,400 - $107,800 per year" plus bonus incentive plan. Schedule: "8am to 5pm EST", "Scheduled Weekly Hours 40", "Travel based on business needs", "Travel: occasional travel to Humana's offices for training or meetings may be required.", "Work at Home Requirements: internet speed 25 Mbps download, 10 Mbps upload, dedicated space lacking interruptions to protect PHI/HIPAA." We should format schedule as maybe a

  with those points. Now we need to output HTML fragment only, no /, no markdown. We'll produce sections as

  headings followed by

  or

  • . We need to decide which sections to include. We have substantive content for About the role, Responsibilities, Requirements (maybe combine Required Qualifications and Skills?), Qualifications (Preferred), Benefits, Pay, Schedule. We could combine Required Qualifications and Skills under "Requirements" heading, and have separate "Preferred Qualifications". Or we could have "Requirements" for required qualifications, "Preferred Qualifications" for preferred, and "Skills" maybe not needed. But we have a skill: Microsoft Office proficiency; could be under Requirements. Thus sections: - About the role (

    ) - Responsibilities (

    ) - Requirements (
    ) (includes required qualifications) - Preferred Qualifications (
    ) - Benefits (
    ) - Pay (

    ) - Schedule (

    ) We must not create sections with filler. All have content. Now ensure we don't include any boilerplate like "Equal Opportunity Employer". Remove. Now produce HTML. Let's craft:

    About the role

    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.

    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