Senior Hospital Contracting Strategist
for each section present: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. We must include only sections with real specific content. We must not repeat job title as heading. Must not include Job ID etc. Must preserve all substantive info, remove boilerplate, navigation, legal, EEO, scam-warning, duplicated lines, application instructions. Also remove "Application Deadline: 09-11-2026" maybe considered application instruction? It's a deadline; likely considered application instruction, so remove. Also remove "About Us", "About CarePlus Health Plans", "About Humana", "Equal Opportunity Employer" etc. Also remove "Work at Home Requirements:" maybe part of schedule? It's about remote work requirements; could be considered schedule? Might be considered "Work at Home Requirements" but not a standard heading; we could incorporate into Schedule or maybe a separate section? The instruction says use headings only for those listed; we should not create other headings. So we can embed that info in a
under Schedule or maybe under Benefits? Probably Schedule section includes work hours, travel, remote work requirements. So we can put that in Schedule. We need to include Pay range and bonus info. Also Benefits description. We need to include About the role: summary of role. Responsibilities: list of duties. Requirements: maybe required qualifications. Qualifications: maybe preferred qualifications? Actually they have Required Qualifications and Preferred Qualifications. Could combine into Requirements and Qualifications? The instruction says use headings for Requirements, Qualifications, Skills, Benefits, Pay, Schedule. We can decide: Requirements = Required Qualifications; Qualifications = Preferred Qualifications; Skills maybe from required qualifications like Microsoft Office proficiency; but we could also put skills under Skills. However we must not invent sections; we can include Skills if we have content. We have "Proficient in Microsoft Office: Word, Excel and PowerPoint" as skill. Also "Analyze, understand and communicate financial impact..." maybe skill. Could put under Skills. But we must not create thin sections; better to combine. However we need to follow instruction: include a section ONLY when posting has real, specific content for it. So we can include sections we have content for: About the role, Responsibilities, Requirements (required qualifications), Qualifications (preferred qualifications), Skills (maybe Microsoft Office), Benefits, Pay, Schedule. That seems okay. We must not include filler like "commensurate with experience". Not present. We need to preserve all substantive info: ensure we don't lose any details. Let's extract content. About the role: 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 agreements" We can combine. Responsibilities: list of duties from after that: "Extensive 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" We need to split into list items. Requirements (Required Qualifications): list: "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" We need to separate items. Qualifications (Preferred Qualifications): "Master's DegreeExperience with ACO/Risk ContractingExperience with Value Based Contracting" Skills: maybe we could put Microsoft Office under Skills, but it's already in Required Qualifications. Could also put under Skills separate. But to avoid duplication, maybe we put Microsoft Office under Skills and keep other items under Requirements. However the instruction says preserve ALL substantive information; we can duplicate? Better not duplicate. We could move Microsoft Office to Skills and remove from Requirements. But then we lose that info from Requirements? We could keep it in both but that's duplication. Better to keep it under Skills and note it's also a requirement. But we need to preserve all info; we can include it under Skills and also mention under Requirements? Might be considered duplication but not prohibited. However to be safe, we can keep it under Requirements and not have a separate Skills section unless we have other skills not covered. We have "Analyze, understand and communicate financial impact..." which is more a responsibility. So maybe we skip Skills section. But the instruction says we can include Skills heading if we have content. We have "Proficient in Microsoft Office: Word, Excel and PowerPoint" as a skill. Could also include "Experience with Medicare Advantage, Medicaid, and value based-contracting" as skill? That's more experience. I'd say we can include Skills with Microsoft Office proficiency. Thus we will have Skills section with that item. Benefits: description: "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." Pay: "$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." Schedule: includes "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" We need to format as list? Could be prose. We must not include boilerplate like "Application Deadline", "About Us", "Equal Opportunity Employer". Also remove duplicated lines. Now construct HTML. We'll start with
About the role
then...
ThenResponsibilities
- ... ...
Requirements
- ... ...
Qualifications
- ... ...
Skills
- Proficient in Microsoft Office: Word, Excel and PowerPoint
Benefits
...
ThenPay
...
ThenSchedule
...
Make sure to preserve all specifics. Let's craft each. About the role paragraph: Combine sentences: "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." Make sure not to repeat heading. Responsibilities list items: - 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. Check for duplicates: "Extensive managed care experience..." maybe also appears as responsibility; fine. Requirements list items: - Bachelor's degree. - 5 or more years of hospital negotiation experience in Medicare. - Experience 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. - Ability to analyze, understand and communicate financial impact of contract terms, payment structures and reimbursement rates to providers. - Ability to understand and interpret hospital contract language. - Proficient in Microsoft Office: Word, Excel and PowerPoint. Qualifications list items: - Master's degree. - Experience with ACO/Risk contracting. - Experience with value based contracting. Skills list: Proficient in Microsoft Office: Word, Excel and PowerPoint. (But we already have that in Requirements; maybe we should not duplicate. Could remove from Requirements and keep only in Skills. But then we lose that as a requirement; but it's still present in Skills. The instruction says preserve ALL substantive information; we can keep it in Skills and not duplicate. Let's move it to Skills and remove from Requirements. Then Requirements will not have Microsoft Office. That's okay because it's still preserved somewhere. Thus Requirements list without Microsoft Office. Skills list: Proficient in Microsoft Office: Word, Excel and PowerPoint. Benefits paragraph: as given. Pay paragraph: "$78,400 - $107,800 per year. This job is eligible for a bonus incentive plan based on company and/or individual performance." Schedule paragraph: combine: "Scheduled weekly hours: 40 (8am to 5pm EST). Occasional travel to Humana's offices for training or meetings may be required. Work-at-home requirements: minimum download speed of 25 Mbps and upload speed of 10 Mbps (wireless, wired cable or DSL suggested); must work from a dedicated space free of ongoing interruptions to protect member PHI/HIPAA information. Humana may require associates to upgrade internet service if necessary. Travel based on business needs." Check we didn't lose any detail: "8am to