Senior Hospital Contracting Strategist

We need to produce HTML fragment with sections: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Only include sections if posting has real specific content. Must not repeat job title as heading. Must not include Job ID etc. Must remove boilerplate, navigation, legal, EEO, etc. Must preserve all substantive info. We need to parse the posting. Let's extract content: 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. 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 agreementsExtensive managed care experience with demonstrated expertise in hospital contracting, reimbursement methodologies, financial analysis, complex negotiations, provider relationship management, and leadershipExperience with Medicare Advantage, Medicaid, and value based-contractingEvaluate reimbursement methodologies, including DRG, PD, Case Rates, POC, OP fee schedules, and alternative payment arrangementsPartner with Finance, Medical Economics, Legal, Network Management, Claims, Configuration, and Operations to ensure contracts are financially sound and operationally executableCommunicate contract terms, payment structures, and reimbursement rates to providersAnalyze financial impact of contracts and termsMaintain contracts and documentation within a tracking systemHelp with identifying and recruiting providers based on network composition and needs" That's a block of text describing role and 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" 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. 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: Equal Opportunity Employer, Application Deadline maybe? The instruction: "Remove cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate, duplicated lines, and application instructions." Application Deadline is considered application instruction? Probably remove. Also "About Us" sections maybe considered boilerplate? It's not strictly legal but could be considered company description; but we need to preserve substantive information. The "About Us" about CarePlus and Humana may be considered company overview, not essential to job? Might be considered boilerplate but not explicitly prohibited. The instruction says remove cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate, duplicated lines, and application instructions. So we can keep About Us if not duplicated. However "About Us" might be considered generic but not prohibited. Safer to keep? The instruction: "Preserve ALL substantive information; do NOT invent or summarize away detail." So we should keep substantive info about the role, responsibilities, qualifications, etc. The "About Us" is not directly about the job but could be considered substantive about the company. Might keep but could be considered filler. The instruction says prefer a few substantive sections over many thin ones. Could combine into a single "About the company" but not listed as allowed heading. Allowed headings: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. So we must fit content into those headings only. So we cannot have a separate "About Us" heading. We could incorporate company info into "About the role" maybe. But we must not invent headings. So we should omit About Us sections if they don't fit allowed headings. The instruction: "include a section ONLY when the posting has real, specific content for it — never emit a heading followed by filler/placeholder text". So we can omit About Us entirely. Thus we need to map content to allowed headings. We have: - About the role: could include introductory description: "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 for hospital and health system agreements, including reimbursement, contract terms, amendments, renewals, and value based agreements; Extensive managed care experience... Actually that's more qualifications. Let's separate. Responsibilities bullet list: - 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 - Requirements: maybe "Required Qualifications" includes Bachelor's degree, 5+ years hospital negotiation experience in Medicare, etc. But we also have a separate "Qualifications" heading allowed. The instruction: Use

for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). So we have both Requirements and Qualifications. Likely Requirements = mandatory qualifications; Qualifications = preferred? Or we can split: Requirements = required qualifications; Qualifications = preferred qualifications. Skills could be separate list like Microsoft Office proficiency. Thus: Requirements (h3): - 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 (maybe duplicate with 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 Qualifications (h3) (Preferred): - Master's Degree - Experience with ACO/Risk Contracting - Experience with Value Based Contracting Skills (h3): maybe we could list specific skills like negotiation, financial analysis, relationship management, etc. But we already have many in responsibilities/requirements. Could create a Skills section summarizing: 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 collaboration, communication, financial impact analysis, contract tracking, provider recruitment, Microsoft Office proficiency. But we must not invent or summarize away detail; we can list them as bullet points derived from text. Benefits (h3): from Description Of Benefits: 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 (h3): $78,400 - $107,800 per year, plus bonus incentive plan based on company/individual performance. Schedule (h3): Scheduled Weekly Hours 40, 8am to 5pm EST, Travel based on business needs, occasional travel to Humana's offices for training or meetings may be required. Work at Home Requirements: internet speed etc. Also "Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information." That's schedule/working conditions. We need to ensure we don't include filler like "commensurate with experience". Not present. We must not repeat job title as heading. We'll not. We must not put Job ID/requisition numbers as headings. We must output only HTML fragment, no /, no markdown. We'll produce something like:

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,