Senior Hospital Contracting Strategist

We need to output HTML fragment with sections: h3 headings for sections present: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. We must include only sections with real specific content. We need to parse the posting. Let's 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 the role description. 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" Then "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." Then "Application Deadline: 09-11-2026 About Us About CarePlus Health Plans: ..." etc. We need to remove boilerplate: EEO, equal opportunity, legal, application instructions, etc. Also remove duplicated lines. We need to produce sections: About the role (maybe a paragraph summarizing role). Responsibilities (list of duties). Requirements (maybe required qualifications). Qualifications (maybe preferred qualifications). Skills (maybe list of skills like Microsoft Office, negotiation, etc). Benefits (list). Pay (range). Schedule (hours). We must not create sections with filler. Let's extract specifics: About the role: The 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." That's about role. 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 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. We can put these as

• . Requirements: Required qualifications: 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); 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. We can list as
  . 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, value-based contracting, DRG, PD, Case Rates, POC, OP fee schedules, alternative payment arrangements, cross-functional partnership, communication, financial impact analysis, contract maintenance, provider recruitment, Microsoft Office proficiency. But we might combine with Requirements; but we can still have a Skills section if we have specific content. The instruction: Prefer a few substantive sections over many thin ones. Might combine Skills into Requirements or Qualifications. However we have separate headings allowed: Skills. We could include a Skills section listing specific skills like negotiation, financial analysis, etc. But we need to avoid duplication. Might be okay to have Skills separate. Benefits: list: 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. Pay: $78,400 - $107,800 per year; plus bonus incentive plan based on company/individual performance. Schedule: Scheduled Weekly Hours 40; 8am to 5pm EST; Travel based on business needs; occasional travel to offices for training/meetings; Work at home requirements (internet speed, dedicated space). However schedule section should include hours and maybe travel? The instruction: include Schedule section only if posting actually states them. It does state Scheduled Weekly Hours 40 and 8am to 5pm EST. So we can include that. We must not include boilerplate like EEO, application deadline, About Us, etc. Now produce HTML fragment:

  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.
  • Apply extensive managed care expertise in hospital contracting, reimbursement methodologies, financial analysis, complex negotiations, provider relationship management, and leadership.
  • Work with Medicare Advantage, Medicaid, and value‑based contracting arrangements.
  • Evaluate reimbursement methodologies such as 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 the financial impact of contracts and terms.
  • Maintain contracts and documentation within a tracking system.
  • Assist in identifying and recruiting 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.
  • Skill to interpret hospital contract language.
  • Proficiency in Microsoft Office (Word, Excel, PowerPoint).

  Preferred Qualifications

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

  Skills

  • Contract negotiation and execution.
  • Financial analysis and reimbursement methodology expertise (DRG, PD, Case Rates, POC, OP fee schedules, alternative payments).
  • Provider relationship management and leadership.
  • Cross‑functional collaboration with finance, legal, medical economics, network management, claims, and operations.
  • Communication of contract terms and financial impact to providers.
  • Contract tracking and documentation.
  • Provider identification and recruitment.
  • Microsoft Office proficiency.

  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.
  • Life insurance.
  • Additional wellness and benefit opportunities.

  Pay

  $78,400 – $107,800 per year base salary. Eligible for a bonus incentive plan based on company and/or individual performance.

  Schedule

  Scheduled weekly hours: 40 (8 am – 5 pm EST). Occasional travel to Humana offices for training or meetings may be required. Remote work requires a dedicated workspace, minimum 25 Mbps download