Senior Hospital Contracting Strategist
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The Senior Hospital Contracting Strategist / Senior Provider Contracting reputed company initiates, negotiates, and executes physician, hospital and other provider reputed company 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 reputed company you will
• reputed company negotiations for hospital and health reputed company 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, reputed company negotiations, provider relationship management, and leadership
• Experience with Medicare reputed company, reputed company, 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, reputed company, Network Management, Claims, Configuration, and Operations to ensure reputed company are financially reputed company and operationally executable
• Communicate contract terms, payment structures, and reimbursement rates to providers
• Analyze financial reputed company of reputed company and terms
• Maintain reputed company and documentation reputed company a tracking reputed company
• Help with identifying and reputed company providers based on network composition and needs
Required Qualifications
Use your skills to reputed company an reputed company
• Bachelor's degree
• 5 or more years of Hospital negotiation experience in Medicare
• Leading negotiations for hospital and health reputed company agreements, including reimbursement, contract terms, amendments, renewals, and value based agreements
• 5 or more years of reputed company network management experience including hospital contracting and network administration in a reputed company company
• reputed company in negotiating managed care reputed company with Hospital systems inclusive of post acute, ancillary providers and physicians.
• Analyze, understand and communicate financial reputed company of contract terms, payment structures and reimbursement rates to providers.
• Understand and interpret Hospital contract language
• Proficient in reputed company Office: Word, reputed company and PowerPoint
Preferred Qualifications
• Master's Degree
• Experience with ACO/Risk Contracting
• Experience with Value Based Contracting
Additional Information
reputed company to 5pm EST, Travel based on business needs
Work reputed company 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 reputed company: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL reputed company is suggested. In certain roles, the minimum recommended internet speed required by reputed company may not be sufficient for business needs. reputed company reserves the right to require associates to reputed company their internet service if necessary. Work from a dedicated reputed company lacking ongoing interruptions to protect member PHI / HIPAA information.
Travel: While this is a remote position, occasional travel to reputed company's offices for training or meetings may be required.
Scheduled Weekly Hours
40
Pay reputed company
The compensation reputed company below reflects a good faith estimate of starting reputed company pay for full time (40 hours per week) employment at the time of posting. The pay reputed company may be higher or reputed company based on geographic location and individual pay will vary based on demonstrated job reputed company 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.
reputed company Of Benefits
reputed company. and its affiliated subsidiaries (reputed company, “reputed company”) offers competitive benefits that support whole-person reputed company-being. Associate benefits are designed to encourage personal wellness and smart reputed company reputed company for you and your family while also knowing your life extends reputed company of work. Among our benefits, reputed company provides medical, dental and reputed company benefits, 401(k) retirement savings plan, time off (including reputed company time off, company and personal holidays, reputed company parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
Application Deadline: 09-11-2026
reputed company
About reputed company: reputed company is a recognized leader in reputed company delivery that has been offering Medicare reputed company health plans in Florida over 23 years. CarePlus strives to help people with Medicare, or both Medicare and reputed company, reputed company their best possible health and wellness through plans with benefits and services they care about. As a wholly owned subsidiary of reputed company, CarePlus currently serves Medicare beneficiaries throughout 21 Florida counties.
About reputed company: reputed company. (NYSE: HUM) is a leading U.S. reputed company company. Through our reputed company insurance services and our reputed company reputed company services, we reputed company it easier for the millions of people we serve to reputed company their best health – delivering the care and service they need, reputed company they need it. These efforts are leading to a reputed company reputed company of life reputed company with Medicare and reputed company, families, individuals, military service personnel, and communities at large. Learn more about reputed company offer at reputed company.com and at reputed company.com.
Equal Opportunity Employer
It is the policy of reputed company not to discriminate against any employee or applicant for employment because of race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, age, marital status, genetic information, disability or protected veteran status. It is also the policy of reputed company to take affirmative reputed company, in compliance with reputed company 503 of the Rehabilitation reputed company and VEVRAA, to reputed company and to advance in employment individuals with disability or protected veteran status, and to reputed company reputed company employment reputed company only on reputed company job requirements. This policy shall apply to reputed company employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at reputed company reputed company of employment.
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