Remote Hospital Contracting Negotiator, Value-Based

Humana Inc; Richmond (VA); Remote; USD 78,000 - 108,000; Full time

Job summary

Humana, Inc. is seeking a Senior Hospital Contracting Strategist/Negotiator to initiate, negotiate, and execute provider contracts for a Medicare-focused health plan organization.

You will lead hospital and health system agreements, assess reimbursement methods, and partner with Finance, Legal, and Network Management to ensure financial soundness and operational feasibility. The role requires 5+ years in hospital negotiation and network management, with expertise in Medicare Advantage and

Qualifications

• Bachelor's degree required.
• 5+ years hospital negotiation experience.
• 5+ years network management experience.
• Experience negotiating managed care contracts with hospital systems.
• Analyze financial impact of contract terms and reimbursement rates.
• Understand and interpret hospital contract language.
• Proficient in Microsoft Office.

Responsibilities

• Lead negotiations for hospital and health system contracts including terms and renewals.
• Evaluate reimbursement methodologies and value-based contracting.
• Partner with Finance, Legal, and Operations to ensure contracts are sound.
• Communicate contract terms and payment structures to providers.
• Maintain contracts and documentation in a tracking system.
• Assist in identifying and recruiting providers based on network needs.

Skills

Hospital negotiations

Financial impact analysis

Contract interpretation

Vendor negotiation

Office software (MS Office)

Education

Bachelor's degree

Master's degree

Tools

Word

Excel

PowerPoint

Job description

Humana, Inc. is seeking a Senior Hospital Contracting Strategist/Negotiator to initiate, negotiate, and execute provider contracts for a Medicare-focused health plan organization.

You will lead hospital and health system agreements, assess reimbursement methods, and partner with Finance, Legal, and Network Management to ensure financial soundness and operational feasibility. The role requires 5+ years in hospital negotiation and network management, with expertise in Medicare Advantage and