Senior Hospital Contracting Strategist (Remote)

Humana Inc; Olympia (WA); Remote; USD 78,000 - 108,000; Full time

Benefits offered by this job

Bonus incentive plan

Job summary

Humana Inc. is seeking a Senior Hospital Contracting Strategist/Negotiator to lead hospital and health system contract negotiations, including reimbursement terms, amendments, renewals, and value-based agreements.

The role requires extensive managed care experience and strong financial analysis capabilities. Responsibilities include partnering with Finance, Legal, Network Management, Claims, and Operations to ensure contracts are financially sound and operationally executable, and to identify

Qualifications

• Bachelor's degree required.
• 5+ years hospital negotiation experience in Medicare.
• Experience leading hospital and health system contract negotiations.
• 5+ years of network management experience including hospital contracting and network administration.
• Experience negotiating managed care contracts with hospital systems.

Responsibilities

• Lead negotiations for hospital and health system agreements, including reimbursement, contract terms, amendments, renewals, and value based agreements.
• Evaluate reimbursement methodologies and financial impact of contracts.
• Partner with Finance, Legal, Network Management, Claims, and Operations to ensure contracts are financially sound.
• Communicate contract terms and payment structures to providers.
• Maintain contracts and documentation within a tracking system.
• Assist with identifying and recruiting providers based on network needs.

Skills

Negotiation

Financial analysis

Provider relationship management

Reimbursement methodologies

Contract language interpretation

Microsoft Office

Education

Bachelor's degree

Master's degree

Tools

Microsoft Word

Excel

PowerPoint

Job description

Humana Inc. is seeking a Senior Hospital Contracting Strategist/Negotiator to lead hospital and health system contract negotiations, including reimbursement terms, amendments, renewals, and value-based agreements.

The role requires extensive managed care experience and strong financial analysis capabilities. Responsibilities include partnering with Finance, Legal, Network Management, Claims, and Operations to ensure contracts are financially sound and operationally executable, and to identify