This Government Contract opportunity was posted on February 22, 2017. The submission period has ended. Browse the details below for market research, or find similar active opportunities.

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Health Care Benefits and Services

Awarded

PC-16-R-007Federal

Submission Closed02/21/2017, 12:00:00 AM UTC

Contract Overview

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

Active Opportunities Like This One

NAICS: 524292

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SLED

State of South Dakota Account Based Plans (HRA, HSA and FSA)

Solicitation # 26RFP19879

The State of South Dakota, through the Bureau of Human Resources and Administration, is soliciting proposals under RFP#26RFP19879 for a qualified vendor to provide comprehensive administration services for its Account Based Plans. The scope of work includes the management of Health Savings Accounts (HSA), Health Reimbursement Arrangements (HRA), and Medical and Dependent Care Flexible Spending Accounts (FSA). The State is seeking a partner capable of delivering innovative technology and exceptional service to ensure a positive participant experience while supporting the long-term Tidal Rewards strategy. All administration must adhere to regulatory compliance standards, and any IT-related purchases are subject to approval by the Bureau of Information and Technology. Proposals must be submitted electronically in MS Word or PDF format to Peggy Carter by October 28, 2026, at 5:00 PM CDT, with a total email size limit of 20MB. Submissions must be signed by an authorized representative and clearly reference the solicitation number. The State will not award contracts to entities that are in arrears on obligations to South Dakota or are deemed irresponsible or unreliable. An award decision and contract negotiations are anticipated by December 14, 2026.

South Dakota State Government

POSTED

DEADLINE

Vehicle Assistance and Claims Administrator

POSTED

DEADLINE

Medicaid Medication Risk Reduction Initiative

Solicitation # RFP-2027-DMS-01-MEDIC

The New Hampshire Department of Health and Human Services, Division of Medicaid Services, is soliciting proposals for a statewide Medicaid Medication Risk Reduction Initiative (MMRRI). This program will be led by New Hampshire licensed clinical pharmacists to reduce medication-related problems, adverse drug events, polypharmacy, over-prescribing, and risks associated with opioids and behavioral health medications. The selected vendor will implement a technology solution to analyze pharmacy claims and encounter data to identify high-risk beneficiaries, conduct comprehensive medication reviews, and generate actionable medication safety reports for patients and providers. The contract has an anticipated total funding value of approximately 33,553,391 dollars, distributed across five budget periods through September 2031, and is supported by federal funds under the Rural Health Transformation Program. Key performance requirements include a guaranteed positive return on investment by the end of the third contract year, measured by a reduction in total cost of care on a per member per month basis. Vendors must possess at least three years of experience in pharmacy data analysis and medication review. Award decisions will be based on a point system evaluating technical and cost responses, with a minimum technical score of 1,600 points required to avoid disqualification. The contractor must adhere to strict data security standards, including maintaining an Information Security Management System and ensuring all data processing occurs within the United States. Compliance with Title VI of the Civil Rights Act, the Americans with Disabilities Act, and 2 CFR Part 200 is mandatory. Proposals are due by October 28, 2026, and must be submitted as separate technical and cost documents.

Dhhs-Department Of Health & Human Services

POSTED

DEADLINE

Pharmacy Drug Benefits

Solicitation # HHS0017240

The Texas Department of State Health Services (DSHS) is soliciting proposals under solicitation number HHS0017240 for a Pharmacy Benefits Manager (PBM) to support the Texas HIV Medications Program (THMP). The selected PBM will act as a secondary payor to manage prescription drug benefits, premium payments, and copayments through three primary programs: the State Pharmacy Assistance Program (SPAP) for Medicare Part D costs, the Texas Insurance Assistance Program (TIAP) for medication copayments and COBRA premiums, and the Texas Insurance Assistance Program-PLUS (TIAP-PLUS) for private and federal marketplace plan assistance. The scope of work involves processing medication claims and monthly invoice premium payments, with historical data indicating the management of over 15,000 claims for approximately 2,764 participants. The contract features an initial one-year term with the possibility of four additional one-year extensions and one final option period at the discretion of DSHS. Award selection is based on best value, evaluated through a weighted scoring system consisting of the Project Workplan (45%), Cost Proposal (35%), and Qualifications and Experience (20%). Proposals must be submitted by November 19, 2026, via either USB drive or an online bid room. Requirements include a narrative proposal limited to 40 pages, a separate Excel-based cost proposal, and a VetHUB Subcontracting Plan. The contract is governed by Texas Government Code Section 2155.144 and incorporates various HHS uniform terms, additional provisions, and a Data Use Agreement.

Department of State Health Services

POSTED

DEADLINE

DAS Behavioral Health Third-Party Administrator RFP

Solicitation # SRC0000040548

The State of Ohio, through the Department of Administrative Services, is soliciting proposals for a Third-Party Administrator to manage its self-insured Behavioral Health Benefit Plan. Starting July 1, 2027, the selected contractor will provide administrative services for approximately 43,800 employees and 104,600 total lives. Key responsibilities include managing eligibility, claims history, prior authorizations, utilization management, and data integration with the State's data warehouse. The contract runs from the date of signature through June 30, 2030, with the possibility of a one-month discretionary renewal and further mutual renewals for up to four additional years. To be eligible, offerors must be NCQA accredited and comply with the Mental Health Parity and Addiction Equity Act. The evaluation process is based on a total score derived from technical requirements, cost, and presentations, with the highest-ranking responsible offeror recommended for award. Financial terms utilize a not-to-exceed unit cost fee structure, and the contractor must provide a Benefits Fund of at least 150,000 dollars. Strict compliance is required regarding HIPAA through a Business Associate Agreement, State IT policies, and secure data transfer protocols via SFTP. Proposals must be submitted electronically through the OhioBuys portal, consisting of separate technical and cost volumes.

Administrative Services

POSTED

DEADLINE

Employee Benefits- Life/STD/FSA/HSA/COBRA

Solicitation # 27-011CH-32RFP

The Tempe Union High School District is soliciting proposals under solicitation number 27-011CH-32RFP to secure a provider for the administration of employee benefits, including Basic and Voluntary Life and Accidental Death and Dismemberment, Short-Term Disability, Flexible Spending Account, Health Spending Account, and COBRA administration. The intended contract period runs from July 1, 2027, through June 30, 2032. Key requirements include the waiver of pre-existing condition limitations for initially enrolled employees and dependents, the elimination of active-at-work restrictions, and a guarantee that no employee suffers a loss of benefits during a carrier change. The selected vendor must provide a designated account management team, bilingual educational materials, and attendance at four days of annual open enrollment meetings in Tempe, Arizona. The award process utilizes a point formula system across three phases: initial evaluation, vendor interviews, and a best and final offer. Evaluation factors include responsiveness, cost, and past performance, with a minimum of 500 technical points required to proceed to price evaluation. The District intends to award the least number of vendors necessary, with contracts potentially awarded by individual product lines. Proposals must be submitted via the OpenGov portal by November 19, 2026. The contract is subject to Arizona Revised Statutes and School District Procurement Rules, featuring a zero-tolerance gift policy and net 30-day payment terms. Implementation must be completed 60 days prior to open enrollment, with a required 45-day support period following the July 1 effective date.

POSTED

DEADLINE

DAS Medical Plan Third-Party Administrator

Solicitation # SRC0000038100

The State of Ohio, through the Department of Administrative Services, is soliciting proposals for one or more contractors to serve as Third-Party Administrators for its self-insured medical plans, known as Ohio Med. The scope includes the administration of three plan options: the Ohio Med PPO, Ohio Med Select, and the Ohio Med HDHP, covering approximately 103,000 lives. The selected contractor will be responsible for administering all claims incurred on or after July 1, 2027, and must ensure a seamless transition of care and eligibility verification. Key requirements include providing case, care, disease, and utilization management, while behavioral health remains a carved-out service. The contractor must also integrate with the state's data warehouse vendor, Merative, and adhere to strict IT security standards, including HIPAA compliance via a Business Associate Agreement and various recognized security certifications such as SOC 2 Type 2 or HITRUST. The contract term runs from the date of signature through June 30, 2030, with options for short-term monthly renewals and potential mutual extensions for up to four additional years. Performance is measured by specific Service Level Agreements, such as mailing ID cards within five days of enrollment and maintaining zero errors in initial eligibility files. Financial terms involve weekly claims billing paid via ACH, with a cost proposal structure based on per employee per month fees for core and disease management services. Award selection is based on a total score combining technical, cost, and presentation evaluations. Proposals must be submitted electronically through the OhioBuys portal, with technical and cost components submitted as separate, non-password-protected electronic envelopes.

Administrative Services

POSTED

DEADLINE

RFP-2026-21 Voluntary Benefits, Section 125 Flexible Benefit Plan, Enrollment and Related Employee Services

Solicitation # RFP-2026-21

Harnett County Schools is soliciting proposals under RFP-2026-21 for a qualified partner to provide voluntary employee benefits, Section 125 Flexible Benefit Plan administration, and related enrollment and support services. The scope of work includes the coordination of voluntary insurance benefits such as dental, vision, disability, and life insurance, as well as the administration of medical and dependent care flexible spending accounts. The selected provider will be responsible for open enrollment delivery, employee education, telemedicine services, and critical administrative tasks including payroll deduction files, billing reconciliation, and IRS-compliant nondiscrimination testing and tax filings. The contract will be awarded to the lowest responsible and responsive bidder based on the total base bid, though the agency may also consider overall value, service quality, and employee impact. Proposers must submit three signed physical copies and one electronic PDF copy via thumb drive by November 13, 2026. Required documentation includes a detailed pricing schedule, implementation and transition plans, North Carolina licenses, and various certifications regarding non-collusion, conflict of interest, E-Verify compliance, and the Iran Divestment Act. Vendors must also provide evidence of cybersecurity and privacy controls and adhere to North Carolina Department of Labor safety standards. Payment terms are set at net 30 days following the receipt of a correct invoice.

Harnett County Board of Education

POSTED

DEADLINE

Provision of flexible Benefits Administration Services and Platform

Solicitation # COM00163

Ofcom is seeking a provider for an end-to-end flexible benefits administration service and platform for an initial five-year term starting July 1, 2027, with the possibility of two 12-month extensions through June 30, 2034. The estimated contract value is 350,000 GBP excluding VAT. This open procedure solicitation, identified as COM00163, is particularly suitable for small and medium-sized enterprises and voluntary, community, and social enterprises. The award will be based on a weighted scoring system, with 20 percent of the evaluation focused on the quality of administration, reconciliation processes, helpdesk support, and colleague communication. The required service is divided into three core areas: scheme administration, platform management, and customer services. Administration duties include managing annual and open enrolment, monthly payroll and provider reporting, and pension re-enrolment on a three-year cycle. The provider must maintain a secure cloud-based platform featuring Single Sign On capability, Total Reward Statements, and the ability to model the cost effects of benefits, including tax and National Insurance implications. Additionally, the supplier must provide a responsive customer support service with a telephone helpdesk and detailed analytics reporting. All technical specifications must align with Ofcom Security Requirements and the Government Procurement Agreement.

POSTED

DEADLINE

Stop Loss - Healthcare & Medical

Solicitation # RFP-2027-394

The Board of Regents of The University of Oklahoma, through the Oklahoma University Health Sciences Center, is seeking a qualified vendor for the administration of its Stop Loss program under solicitation RFP-2027-394. The objective is to secure a provider capable of delivering high-quality, cost-effective program management to maximize value for the University and its partners. While the University prefers to award the contract to a single supplier, it maintains the right to award to multiple suppliers if it serves the institution's best interests. Interested vendors must adhere to a strict submission timeline, with the proposal deadline set for November 16, 2026, at 2:00 PM CST. A critical preliminary step requires vendors to sign and return a Non-Disclosure Agreement to Melody Carder by October 27, 2026, which serves as the formal Intent to Bid and is mandatory to receive the necessary census data and vendor questionnaire. Proposals must include a company overview, a signed Business Associate Agreement, and at least three references from projects of similar scope and complexity completed within the last five years, preferably within the public sector or higher education. Additionally, bidders must provide certifications regarding the absence of conflicts of interest and confirmation that they are not currently debarred or suspended from receiving federal funds.

Oklahoma University Health Sciences Center

POSTED

DEADLINE

DAS TELEHEALTH ADMINISTRATION

Solicitation # SRC0000042016

The State of Ohio, through the Department of Administrative Services, is soliciting proposals for a contractor to administer telehealth benefits for state employees and their dependents. The selected contractor will manage the delivery of telehealth services across three plan options: Ohio Med PPO, Ohio Med Select, and Ohio Med HDHP. The scope of work includes providing a provider network, proactive account management, and comprehensive claims management with accurate coding and timely submission to medical third-party administrators. Key operational requirements include maintaining 99.9% availability for the mobile app and web portal, achieving at least a 60% member satisfaction rating per visit, and implementing a written satisfaction improvement plan by the second contract year. The contractor must also ensure ADA compliance, maintain closed-loop referral tracking, and adhere to strict HIPAA and HITECH privacy standards. The contract will be awarded based on the highest total score, combining technical, cost, and presentation evaluations. Financial terms are structured as Administrative Services Only fees charged per enrolled employee per month, with payment terms set at Net 30. The contractor must be prepared for open enrollment activities by May 1, 2027. Proposals must be submitted via the OhioBuys Supplier Portal in two distinct volumes: a technical proposal and a cost proposal. Mandatory documentation includes a wide array of certification forms, a Business Associate Agreement, and evidence of security controls such as HITRUST or CMMC certification. Performance is monitored through a formal inspection and acceptance process where deliverables must be approved by an Agency Representative.

Administrative Services

POSTED

DEADLINE

Preferred Drug Program / Pharmacy Benefits Management C020463 X-12

Solicitation # 2139982

The New York State Department of Health, specifically the Office of Health Insurance Programs, intends to award a single-source contract to Prime Therapeutics State Government Solutions LLC for the provision of Preferred Drug Program and Pharmacy Benefit Management Services. This procurement is exempt from competitive advertising because a competitive process was not feasible within the required timeframe, as this extension represents the minimum period necessary to complete a new competitive procurement for these services. The contract is scheduled for a period of performance from December 1, 2026, through November 30, 2027, with the services being performed statewide across New York. Administrative oversight for the contract is managed by Health Program Administrator Kevin Noonan, based in Albany, New York. The solicitation is identified by number 2139982 and was posted on October 16, 2026.

NYS Department of Health

POSTED

8 days ago

DEADLINE

N/A

AI Contract Overview

This opportunity is for a Regional IT Specialist position requiring five years of successful experience as a Peace Corps Post IT Specialist and a baccalaureate degree in computer science, information systems management, or a related field. Candidates must possess technical expertise in GSS configuration, strong English communication skills, and a proven track record of process improvement and strategic problem solving. The role involves regular regional travel of up to one week per month and requires the ability to work collaboratively across various levels of staff. Selection is contingent upon the approval of the candidate's Country Director, who must provide office space and administrative support while managing the 743a PSC contract. Applicants are required to submit a current resume, a signed application form, a recommendation letter, and a signed commitment form from their Country Director. Qualifications will be assessed through application reviews, reference checks, and oral or written examinations.

General Info

Agency

N/A

Contract Value

$9,552,450

NAICS

524292 - Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds

Place of Performance

TBD, USA

Set-Aside

NONE

Awardee

International Medical Group, Inc. 2960 North Meridian Street INDIANAPOLIS IN 46208 USA

Award Issued Date

02/21/2017, 12:00:00 AM UTC

Documents

No documents available

Documents will appear here when they are available.

AI Contract Breakdown

Uniform Contract Format

No documents to break down

The breakdown needs solicitation documents. None were found from this contract's source.

Timeline

3 updates

PhaseAwarded

PostedJun 28

Combined Synopsis

Type ChangedJul 15

Combined Synopsis → Presolicitation

Notice updatedSep 9

The notice description changed.

Notice updatedOct 12

Notice details unchanged. Attachments may have changed.

Notice updatedNov 10

Notice details unchanged. Attachments may have changed.

Type ChangedNov 10

Presolicitation → Solicitation

AwardedFeb 21

Contract was awarded

Submission Closed

02/21/2017, 12:00:00 AM UTC

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Organization & Contact Information

AgencyN/A

Contacts1 person available

OfficeN/A

Organization / Agency

N/A

Office AddressN/A

Contacts

Sonja Truehart-McKinneyContracting Officer

contact@example.gov

+1 (555) 000-0000

Full Description

Required Qualifications/Evaluation Criteria: - Five years' experience as a highly successful Peace Corps Post IT Specialist. - Completion of education or training resulting in a baccalaureate degree, or the host country academic equivalent, in the fields of computer science, information systems management, or equivalent. Related work experience may be substituted for a baccalaureate degree on a case by case basis. - Technical capabilities with GSS configuration. - Ability to communicate clearly and consistently in English - orally and in writing. Spanish competency desired. - Recognized by post, region and ISS team as innovator of process improvement with technology. - Strategic, methodical problem solver with proven diagnostic and problem solving abilities. - Experience working collaboratively face-to-face or at a distance. - Well-organized and disciplined in planning and scheduling workload. - Well regarded by as technically competent by peer IT Specialists. - Demonstrated ability to interact well with all levels of post staff. - Ability to travel regularly - up to one week per month in the region. Qualifications will be evaluated via one or more of the following methods: - Review of submitted paper application materials - Reference checks (formal and informal) - Oral Interview - Written or Oral Test/Examination Additional Candidacy Requirements: In order to be selected, the Country Director at your post (in consultation with the Director of Management and Operations) must agree to do the following: - Provide office space and administrative support for this Regional position in your office. The salary and benefit costs would be covered by OCIO. - Negotiate, award, and administer a 743a PSC with the RITS based on an OCIO technical evaluation and recommendation. Salary will be based on local market rates using the LCP as a guide, with the resulting contract containing the standard 743a PSC Benefits Attachment for your country. - Immediately advertise for and back-fill your post's vacated IT Specialist position. Application Requirements: Interested applicants must submit the required documents to both Ms. Gwendolyn Harper (gharper@peacecorps.gov) and Mr. Guy Draugelis (gdraugelis@peacecorps.gov) no later than 5:00pm EST on Wednesday, July 13, 2016. Please specify "IAP RITS Application-[YOUR NAME]" in the e-mail subject line of your application e-mail. Only complete applications received by Ms. Harper and Mr. Guy Draugelis by the deadline will be forwarded to the Technical Evaluation Committee for review. The Peace Corps does not accept responsibility for non-receipt or delays in receipt of the required application materials due to technical difficulties caused by either the applicant's or Peace Corps' e-mail systems-please plan accordingly. Required Documents: - Current resume showing experience, education, and certifications relevant to the position. - Completed Application Form (see attached) signed by the applicant. - Copy of written recommendation letter/communication from the Country Director. - Commitment Form (see attached) signed by the Country Director.

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