Senior Hospital Contracting Strategist

We need to output HTML fragment with sections for headings where content exists. Use

for section headings: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. We must not repeat job title. Must not include Job ID etc. Must preserve all substantive info. Remove boilerplate: cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate, duplicated lines, application instructions. Also remove "Application Deadline: 09-11-2026"? That's application instruction; should be removed. Also remove "About Us" sections? Those are not required headings but may be considered boilerplate? The instruction: Remove cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate, duplicated lines, and application instructions. "About Us" is not explicitly listed but could be considered not part of job posting content? It's about company; maybe we keep? The instruction says preserve ALL substantive information; do NOT invent or summarize away detail. The "About Us" is substantive about company but not required heading. However we only have allowed headings list; we could put that info under a generic

without heading? The instruction: Use

for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). It doesn't forbid other headings, but says use those for section headings. Probably we should only use those headings when we have content. For other info like "About Us" we could just put in

without heading. But we need to decide. We must include sections only when posting has real specific content. So we need to parse content. Let's extract: 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" Then "Preferred Qualifications Master's Degree Experience with ACO/Risk Contracting Experience 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." Then "About Us About CarePlus Health Plans: ..." and "About Humana: ..." then EEO. We need to remove EEO boilerplate. Also remove "Application Deadline: 09-11-2026". Also remove "About Us" maybe? It's not explicitly prohibited but could be considered not part of job posting content? It's about company; but we might keep as a

without heading. However the instruction says preserve ALL substantive information; do NOT invent or summarize away detail. So we should keep the About Us info as it's substantive about the company. But we have no heading for it; we could just put it in a

after other sections. We must not include headings with filler text. So we need to decide which sections to include: - About the role: we have a paragraph describing role. That's substantive. Use

About the role

then

with that description. - Responsibilities: we have list of duties. Could be bullet list. Use

Responsibilities

then

• items. - Requirements: maybe combine Required Qualifications and Preferred Qualifications? The headings list includes Requirements, Qualifications, Skills. We could put Required Qualifications under

  Requirements

  and Preferred Qualifications under

  Qualifications

  or Skills. But we need to avoid thin sections. Let's think. We have Required Qualifications (Bachelor's degree, years experience, etc.) and Preferred Qualifications (Master's, ACO/Risk, Value Based). Could combine into Qualifications section with two subparts? But we must use

  for section headings only; we could have

  Required Qualifications

  and

  Preferred Qualifications

  but those are not in the allowed list. The instruction says use

  for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). It implies we should use those generic headings, not custom ones. So we should map content to those headings. Thus: - About the role: intro paragraph. - Responsibilities: bullet list of duties. - Requirements: maybe the Required Qualifications (Bachelor's degree, years experience, etc.) - Qualifications: maybe Preferred Qualifications (Master's, ACO/Risk, Value Based) - Skills: maybe Microsoft Office proficiency etc. Could be under Skills. - Benefits: description of benefits. - Pay: pay range and bonus info. - Schedule: scheduled weekly hours, work hours, travel, work-at-home requirements. We must not create sections with filler like "not specified". We have actual content for each. Let's extract specifics. 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. 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" We need to split into sentences for readability. We'll keep as

  . Responsibilities: Could be bullet list of duties extracted from that paragraph. But we already used that paragraph for About the role; maybe we should separate: About the role is brief intro; Responsibilities list the duties. Let's parse: From the paragraph we can extract 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 (this is more qualification) - 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 could separate qualifications elsewhere. Thus About the role could be just 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." Then Responsibilities bullet list as above. Requirements: Required Qualifications: Bachelor's degree, 5+ years Hospital negotiation experience in Medicare, Leading negotiations for hospital and health system agreements (maybe duplicate), 5+ years 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 (Preferred): Master's Degree, Experience with ACO/Risk Contracting, Experience with Value Based Contracting. Skills: Could be Microsoft Office proficiency etc. But we already have that in Requirements. Maybe we put Microsoft Office under Skills. But we could also keep it under Requirements and leave Skills empty? Better to assign Microsoft Office to Skills. Thus: - Requirements: education, experience, negotiation experience, network management experience, negotiating managed care contracts, analyze/communicate financial impact, interpret contract language. - Skills: Proficient in Microsoft Office: Word, Excel and PowerPoint. - Benefits: description: medical, dental and vision benefits