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Data Specialist Services

Active
State & Local

Contract Overview

Solicitation details, issuing organization, response deadlines, documents, and interested companies for this government contract opportunity.

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This subcontract for Data Specialist Services supports prime contractors on Pharmacy Benefit Manager oversight projects for the Illinois Department of Insurance. The scope of work involves the collection, cleaning, and analysis of massive pharmaceutical claims and pricing datasets, often exceeding tens of millions of records. Key data sources utilized for these projects include CMS Prescription Drug Profiles, CMS Exchange Public Use Files, and RxDC submissions. The selected provider is responsible for developing technical documentation of validation procedures and creating trending reports and data dashboards. The work is performed under NAICS code 541511 and is based in Springfield, Illinois, under the agency of Finance and Administration.

General Info

Data specialist subcontract for pharmaceutical claims analysis and reporting for Illinois Department Insurance.

Place of Performance

Springfield, IL, 62767, USA

Set-Aside

NONE

Documents

This scope was carved out of 26-446DOI-FINAD-B-50721.

The full solicitation package (9 documents), including the RFP, is on the prime solicitation, not on this scope.

View the prime solicitation

26-446DOI-FINAD-B-50721 | RFP - Pharmacy Benefit Managers Oversight and Reform Implementation Services

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Timeline

Posted

subcontract

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Organization & Contact Information

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AgencyIllinois → Finance & Administration
ContactsNo contacts available
OfficeN/A
Office AddressN/A
ContactsNo contact information available

Full Description

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Collects, cleans, and analyzes large-scale pharmaceutical claims and pricing datasets for prime contractors on Illinois Department of Insurance PBM oversight projects. Manages datasets exceeding tens of millions of records using CMS Exchange Public Use Files (PUFs), CMS Prescription Drug Profiles, and RxDC submissions. Develops trending reports and dashboards. Delivers data dashboards and technical documentation of validation procedures.

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Same NAICS industry code

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NAICS: 524292
SLED
26-446DOI-FINAD-B-50721 | RFP - Pharmacy Benefit Managers Oversight and Reform Implementation Services
Solicitation # 26-446DOI-FINAD-B-50721
The Illinois Department of Insurance is soliciting proposals under solicitation number 26-446DOI-FINAD-B-50721 for Pharmacy Benefit Manager (PBM) Oversight and Reform Implementation Services. This new initiative aims to ensure compliance with the Prescription Drug Affordability Act and related legislation by eliminating spread pricing, preventing PBM steering practices, and facilitating 100 percent rebate pass-throughs. The selected vendor or vendors will provide regulatory oversight, reform recommendations, forensic accounting, data and pricing specialist services, and the development of annual transparency reports and market conduct examinations. A key requirement includes the submission of a comprehensive training plan within 30 days of contract execution, with materials updated every six months to support Department staff. The contract features a multi-award structure consisting of primary, secondary, and tertiary vendors, with an initial five-year term that may be extended up to a maximum of ten years. Services will be requested on an as-needed basis, and the state will utilize a tiered approach where the primary vendor is offered work first. Evaluation is based on a combination of technical qualifications and a Commitment to Diversity score, with a minimum threshold of 840 points required to proceed to price evaluation. Price points are awarded based on the sum of hourly rates. All proposals, including technical documents and pricing, must be submitted electronically via the BidBuy portal. Successful vendors must execute a non-disclosure agreement and comply with Illinois state procurement regulations, including diversity and cybersecurity certifications.
Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds

POSTED

about 2 months ago

DEADLINE

N/A
View Details

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