Claims Management and Reporting Support

The contract seeks a subcontractor to support the prime insurer in managing and analyzing high-cost healthcare claims, with a focus on accurate reporting, regulatory compliance, and seamless integration of data analytics with healthcare providers. The primary responsibility involves monitoring claims to identify trends, ensure data integrity, and facilitate timely and precise reporting to meet insurer and regulatory requirements. The subcontractor will leverage analytical tools and methodologies to enhance decision-making and improve the efficiency of claims oversight across the provider network. The opportunity is classified under NAICS code 524298 and is posted by Metro Houston in Texas with a submission deadline of June 16, 2026. It is structured as a subcontract and does not specify any set-aside status or designated organizational eligibility criteria. Performance is expected to align with the needs of the prime insurer regardless of physical location, and responses must be submitted through the specified online portal by the stated deadline. There are no detailed point of contact or place of performance specifications provided, suggesting the work may be performed remotely or in coordination with the insurer’s existing infrastructure.