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. Only include sections that have real specific content. We must not repeat job title as heading. Must not include Job ID etc. Must preserve all substantive info, remove boilerplate like EEO, navigation, legal, etc. Also remove application instructions, duplicate lines. We need to parse the posting. Content: - 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." - Then description of role: "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 list of responsibilities/experience: "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" - 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. 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, About Us sections? The instruction: "Remove cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate, duplicated lines, and application instructions." So we should remove the Equal Opportunity Employer block. Also "About Us" sections maybe considered boilerplate? They are not strictly legal but could be considered "About Us" which might be considered not essential? The instruction says preserve ALL substantive information; do NOT invent or summarize away detail. The "About Us" about CarePlus and Humana might be considered substantive? It's describing the company; could be considered relevant but maybe not required. However typical job posting includes that as "About the company". The instruction didn't explicitly say to remove About Us, but they said remove cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate, duplicated lines, and application instructions. So About Us is not those; we could keep it as a section maybe "About the company". However we only have headings for specific categories: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. There's no heading for About the company. So we might need to incorporate that info into existing sections, maybe under "About the role" or as a paragraph before sections. Since we cannot add new headings not listed, we should embed that info in appropriate existing sections, maybe as part of "About the role" (intro). The instruction: "use

for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule)." So we can use those headings. We should include sections only when posting has real specific content for it. Thus we need to decide which sections to include: - About the role: we have intro 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." plus maybe the 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". That seems appropriate for About the role. - Responsibilities: we have list of duties: Lead negotiations..., Extensive managed care experience..., Evaluate reimbursement methodologies..., Partner with Finance..., Communicate contract terms..., Analyze financial impact..., Maintain contracts..., Help with identifying and recruiting providers... We should put those as

• items. - Requirements: maybe "Required Qualifications" section. That includes Bachelor's degree, 5+ years Hospital negotiation experience in Medicare, Leading negotiations..., 5+ years progressive network management..., Experienced in negotiating managed care contracts..., Analyze..., Understand..., Proficient in Microsoft Office. We can put those as list. - Qualifications: maybe "Preferred Qualifications": Master's Degree, Experience with ACO/Risk Contracting, Experience with Value Based Contracting. - Skills: Could be derived from required qualifications like "Proficient in Microsoft Office: Word, Excel and PowerPoint" and maybe other skills like negotiation, financial analysis, etc. But we already have those in Requirements. Could still have a Skills section but might be redundant. The instruction: "Prefer a few substantive sections over many thin ones." So maybe we combine Skills into Requirements or Qualifications. But we have separate headings allowed; we could omit Skills if not enough distinct content. - Benefits: we have description of benefits: medical, dental, vision, 401(k), time off, disability, life insurance, etc. So we can include Benefits section. - Pay: we have pay range $78,400 - $107,800 per year, bonus incentive plan. So include Pay. - Schedule: we have "Scheduled Weekly Hours 40", "8am to 5pm EST", travel based on business needs, work at home requirements (internet speed, dedicated space), occasional travel. So we can include Schedule. We must not include headings with filler like "commensurate with experience". We have actual specifics. We must not repeat job title as heading. We'll not. We must not include Job ID/requisition numbers. We must remove application instructions (like "Application Deadline: 09-11-2026")? That's not exactly instruction to apply but it's a deadline. The instruction says remove application instructions. The deadline might be considered application instruction? Probably yes, we should remove it. Also "About Us" sections maybe not required but could be kept as part of About the role? Might be considered company overview; but we don't have a heading for that. Could embed in About the role as a paragraph. We must preserve all substantive information; we need to ensure we don't drop any important details like travel based on business needs, work at home requirements, internet speed, dedicated space, PHI/HIPAA, occasional travel, etc. We need to output only HTML fragment, no /, no markdown fences. Thus final HTML:

  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. 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.

  Responsibilities

  • Lead negotiations for hospital and health system agreements, including reimbursement, contract terms, amendments, renewals, and value‑based agreements.
  • Apply extensive managed care experience with expertise in hospital contracting, reimbursement methodologies, financial analysis, complex negotiations, provider relationship management, and leadership.
  • Work 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 identify and recruit providers based on network composition and needs.

  Requirements