Senior Hospital Contracting Strategist
about the company after the sections. However, the instruction says "Prefer a few substantive sections over many thin ones." So we could combine some. We need to extract content: Job 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. 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 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 qualifications. "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." Also "About Us About CarePlus Health Plans: ..." and "About Humana: ..." and EEO statement. We need to remove EEO boilerplate. So we will omit the Equal Opportunity Employer paragraph. We also need to remove application instructions: "Application Deadline: 09-11-2026". Remove. We need to keep schedule: "Scheduled Weekly Hours 40". Also "8am to 5pm EST". So schedule section. Pay: "$78,400 - $107,800 per year" plus bonus info. Benefits: description. We need to decide sections: About the role (maybe a brief summary), Responsibilities, Requirements (maybe combine Required Qualifications), Qualifications (maybe Preferred Qualifications), Skills (maybe list skills like Microsoft Office, negotiation, financial analysis), Benefits, Pay, Schedule. We must not create sections with filler like "not specified". So only include if we have content. Let's extract: About the role: The first sentence: "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 role. Responsibilities: list of duties: Lead negotiations..., Extensive managed care experience..., Experience with Medicare Advantage..., Evaluate reimbursement methodologies..., Partner with..., Communicate..., Analyze financial impact..., Maintain contracts..., Help with identifying and recruiting providers... We can put as
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Requirements: Required Qualifications: Bachelor's degree, 5+ years Hospital negotiation experience in Medicare, Leading negotiations..., 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.
Qualifications: Preferred Qualifications: Master's Degree, Experience with ACO/Risk Contracting, Experience with Value Based Contracting.
Skills: Could be derived from required qualifications: negotiation, financial analysis, provider relationship management, leadership, Medicare Advantage/Medicaid, reimbursement methodologies (DRG, PD, Case Rates, POC, OP fee schedules), contract management, cross-functional partnership, communication, Microsoft Office. But we might not need a separate Skills section if we already have Requirements and Qualifications. However the instruction says we can include Skills section if we have real specific content. We could list skills like "Contract negotiation, financial analysis, provider relationship management, cross-functional collaboration, Microsoft Office proficiency". But we must not invent details not in posting. The posting mentions those skills implicitly. It's okay to extract them.
Better to keep sections: About the role, Responsibilities, Requirements (combining Required Qualifications), Qualifications (Preferred), Benefits, Pay, Schedule. Skills maybe omitted to avoid thin.
But we have "Proficient in Microsoft Office: Word, Excel and PowerPoint" which is a skill; could be under Requirements.
Let's decide sections:
- About the role (
About the role
...)
- Responsibilities (Responsibilities
- ...)
- Requirements (
Requirements
- ...)
- Qualifications (
Qualifications
- ...)
- Benefits (
Benefits
- ...)
- Pay (
Pay
...)
- Schedule (Schedule
...)
We must not repeat job title as heading; we are not. We must not include Job ID etc. We must remove duplicated lines: there is repetition of "Leading negotiations for hospital and health system agreements, including reimbursement, contract terms, amendments, renewals, and value based agreements" appears both in responsibilities and required qualifications. We should keep it once? The instruction: Preserve ALL substantive information; do NOT invent or summarize away detail. Duplicated lines: we should remove duplicated lines. So we need to deduplicate. Let's identify duplicates: - "Leading negotiations for hospital and health system agreements, including reimbursement, contract terms, amendments, renewals, and value based agreements" appears in responsibilities paragraph and also in Required Qualifications. We'll keep only one occurrence, maybe under Responsibilities. - Also "Extensive managed care experience with demonstrated expertise in hospital contracting, reimbursement methodologies, financial analysis, complex negotiations, provider relationship management, and leadership" appears in responsibilities? Actually it's in the responsibilities block after "As the Senior Hospital Contracting Strategist/ Senior Provider Contracting Professional you will Lead negotiations..." then "Extensive managed care experience..." That seems like a qualification but appears in responsibilities block. We'll treat as part of responsibilities? It's a qualification but appears there. We'll keep it under Responsibilities maybe. - "Experience with Medicare Advantage, Medicaid, and value based-contracting" appears in responsibilities block. - "Evaluate reimbursement methodologies, including DRG, PD, Case Rates, POC, OP fee schedules, and alternative payment arrangements" appears in responsibilities. - "Partner with Finance, Medical Economics, Legal, Network Management, Claims, Configuration, and Operations to ensure contracts are financially sound and operationally executable" appears. - "Communicate contract terms, payment structures, and reimbursement rates to providers" appears. - "Analyze financial impact of contracts and terms" appears. - "Maintain contracts and documentation within a tracking system" appears. - "Help with identifying and recruiting providers based on network composition and needs" appears. Now Required Qualifications list includes many similar items; we need to deduplicate. Let's list Required Qualifications bullet points: - 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 Now we need to produce sections without duplication. We'll craft About the role 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 items (unique