This Solicitation opportunity from Louisiana was posted on May 4, 2026. The submission period has ended. Browse the details below for market research, or find similar active opportunities.

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Healthcare Claims Management

Closed

Doc2180491464State & Local

Submission Closed06/11/2026, 04:00:00 PM 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

New

SLED

Administration & Management - Workers Comp. & IOD / HR

Solicitation # BD-23-1172-PUR00-PUR01-133341

The City of Worcester, Massachusetts, through its Purchasing Department, is seeking proposals for the administration and management of Workers Compensation and Injury on Duty services within its Human Resources framework. This solicitation, identified by RFP number CR-8812-W7 and solicitation number BD-23-1172-PUR00-PUR01-133341, is aimed at securing professional management services to handle these specific personnel and insurance functions. Interested parties must submit their responses by the deadline of October 14, 2026, at 3:00 PM. The primary point of contact for this procurement is Purchaser Chris Gagliastro. All services will be performed within the city of Worcester, Massachusetts, and detailed bid information is available through the official city website and the CommBuys portal.

PUR001 - Purchasing Department

POSTED

DEADLINE

Medical Claims Administration (RFP)

Solicitation # 00322898

The Port of Seattle, through its Human Resources agency, has issued solicitation 00322898 for Medical Claims Administration services. This request for proposals seeks a strategic partner to provide robust medical offerings for employees and their families over a potential ten year period, consisting of a five year base term with the possibility of five one year extensions. The contract has an estimated not to exceed fee of 14 million dollars, with proposals due by October 9, 2026. The procurement process involves a comprehensive evaluation of vendor capabilities, including financial strength, public sector experience, and the ability to provide domestic support. Proposers must submit detailed responses across several exhibits, including a medical questionnaire regarding account management, a data management questionnaire covering IT security and HIPAA compliance, and a provider disruption questionnaire to assess network stability. Additionally, vendors must provide multi year pricing for the 2028 through 2032 calendar years, including specific stop loss assumptions and detailed discount structures for various facility and professional claim types.

POSTED

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Health, Pharmacy, Dental, Vision and Stop Loss Coverage Employee Benefits Plan

Solicitation # RFP 2428

The Township of Wayne, New Jersey, is soliciting proposals under RFP 2428 to establish a comprehensive employee benefits plan covering health, pharmacy, dental, vision, and stop loss coverage. The scope of work includes the appointment of a Medical Claims Third Party Administrator to manage claims adjudication, benefit administration, and member services. Key deliverables involve a detailed implementation and transition plan, the procurement of specific and aggregate stop loss insurance, and the provision of network disruption and geo-access analyses to ensure provider availability for employees. The contract is intended for a duration of up to three years, with a start date no later than 21 days following the award. Proposals are evaluated using a points-based system across five equally weighted categories: understanding of the work, technical competence, management and personnel qualifications, timeliness of completion, and cost. Bidders must provide detailed pricing exhibits, including per employee per month rates and stop loss options, while adhering to strict legal and regulatory requirements such as HIPAA compliance, EEO standards, and New Jersey state business registrations. Administrative requirements include monthly invoicing with detailed backup documentation, the submission of a performance bond within 14 days of the signed contract, and a waiver of subrogation in favor of the Township. The Township maintains the right to terminate the contract for convenience with 60 calendar days of advanced notice.

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Medical Claims Administration and Member SupportThis subcontract for Medical Claims Administration and Member Support focuses on providing comprehensive medical claims administration for prime contractors associated with the Hidalgo County Head Start Program in Texas. The scope of work includes executing claims adjudication and processing, managing customer service, and overseeing care management. Additionally, the contractor is responsible for coordinating with data warehouse vendors and independently selected Direct Primary Care providers to ensure seamless operational integration. Key deliverables under this agreement include the provision of processed claims reports, member support services, and the delivery of administrative data feeds. The project falls under NAICS code 524292 and is managed through the Head Start Program. Interested parties should note the response deadline of September 23, 2026.

POSTED

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Medical Claims Processing and Payment Accuracy Review

Defense Health Agency

POSTED

DEADLINE

General Liability Third Party Administration Services

Solicitation # LACDA26-067

The Los Angeles County Development Authority is seeking proposals under RFP No. LACDA26-067 for general liability third party administration services. The selected provider will be responsible for furnishing all necessary labor, material, and equipment to perform work in accordance with the Statement of Work. Proposals must be submitted by October 2, 2026, at 2:00 p.m. The agency intends to award an initial one-year contract with the possibility of up to four one-year extensions based on satisfactory performance and available funding. Contractors must adhere to strict insurance requirements, including General Liability, Automobile Liability, Workers Compensation, Professional Liability, Crime Liability, and Sexual Abuse and Molestation coverage. Additionally, the successful bidder must comply with various regulatory mandates, including the Living Wage Program for Los Angeles County, Section 3 of the Housing and Urban Development Act of 1968, the Equal Employment Opportunity Act, and the Fair Chance Employment Hiring Practices Policy. The contract also requires adherence to the County Lobbyist Ordinance and the Zero Tolerance Human Trafficking Policy.

AS- Procurement (AS-P)

POSTED

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Solicitation # Notice_Of_Intent_PBM

The Department of Homeland Security, through U.S. Immigration and Customs Enforcement and the ICE Health Service Corps, intends to award a sole source modification of contract 70CDCR26C00000003 to Ardent Group, LLC. This action is for the continued provision of Pharmacy Benefit Management support. The government has determined that Ardent Group is the only responsible source capable of meeting the requirements within the necessary timeframe, citing authority under FAR Class Deviation 25-11. This notice is not a solicitation for proposals, but interested parties may submit information regarding their capabilities to the government by September 14, 2026. The primary North American Industry Classification System code for this requirement is 524292. The government maintains full discretion over whether to proceed with the sole source award or move toward a competitive procurement process based on the responses received.

Detention Compliance And Removals

POSTED

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THIRD PARTY ADMINISTRATOR FOR LIABILITY AND PROPERTY CLAIMS

Solicitation # RFP-MN-1420

The Metropolitan Water District of Southern California is seeking a Third Party Administrator to manage liability and property claims under solicitation number RFP-MN-1420. This local government opportunity is based in Los Angeles, California, and requires a qualified provider to oversee the administration of claims processes. Interested vendors must submit their responses by October 6, 2026, at 11:00 AM PT. Detailed bid documents and registration requirements are available through the provided PlanetBids portal, and all inquiries regarding the contract language or missing information should be directed to the originating agency.

Metropolitan Water District of Southern California

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Employee Benefits Administration and Consulting Services

Solicitation # RFP260701

Seattle Public Schools is seeking a qualified third-party administrator to provide employee benefits administration and consulting services under solicitation RFP260701. The contract is intended for an initial three-year term running from January 1, 2027, through December 31, 2029, with the possibility of two additional one-year extensions. The selected vendor will be responsible for providing all necessary personnel, equipment, and materials to execute the scope of services, including the delivery of specific reports and the assignment of a dedicated team as outlined in the contract exhibits. The agreement requires strict adherence to professional standards of care, legal compliance, and nondiscrimination laws. Key requirements include mandatory background checks for personnel interacting with children, compliance with WCAG 2.1 AA and ADA accessibility standards, and the protection of student information under FERPA. Compensation is structured on a monthly basis, with the District paying invoices within thirty days of receipt upon the satisfactory completion of services. Proposals must be submitted by September 30, 2026, and should detail the vendor's approach, capabilities, team organization, capacity, and relevant experience.

Seattle Public Schools

POSTED

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Pharmacy Services – Specialty Medications QVL

Solicitation # STATE 0000000551SL

Solicitation STATE 0000000551SL is issued by the State of Missouri Office of Administration on behalf of the Missouri Veterans Commission to establish a Qualified Vendor List (QVL) for specialty pharmacy services. The scope of work includes the provision of pharmaceuticals, biologicals, IV therapy, and care coordination for veterans, with services required to be available 24 hours a day, 7 days a week. Awarded vendors must be responsive, responsible, and reliable, with the state intending to award contracts to all qualified vendors to ensure adequate coverage. Once the QVL is established, individual prescriptions will be awarded based on the lowest cost, with preference considerations given to Missouri-based firms, Service-Disabled Veteran Business Enterprises, and organizations for the blind or sheltered workshops. The contract mandates strict adherence to quality standards, including the United States Pharmacopeia and FDA Orange Book, and requires compliance with HIPAA and HITECH regulations through a Business Associate Agreement. Specific packaging and labeling requirements are detailed, including the use of bubble card systems for tablets and compliance with the Federal Food, Drug, and Cosmetic Act. Contractors must maintain veteran records for seven years and provide an updated product catalog annually. The agreement includes a base period with the option for four additional one-year renewals. Compliance certifications are required regarding the Anti-Discrimination Against Israel Act, E-Verify enrollment, and federal drug-free workplace standards. Payments are processed monthly via Electronic Funds Transfer within thirty calendar days of a valid invoice.

PROC OA DIVISION OF PURCHASING PROCUREMENTS

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Solicitation # RFP-12-2027

Multnomah County is seeking a qualified independent contractor to perform comprehensive medical, prescription, and dental claims audits and operational assessments for its self-funded health plans. The primary goals of this engagement are to ensure fiscal accountability, verify compliance with plan documents, and identify opportunities for cost recovery and process improvement. The selected vendor will be responsible for conducting audits at the County's discretion, implementing robust quality assurance and error-checking protocols, and providing a knowledge transfer plan, including training sessions for County staff. The contract may have a term of up to five years, with payment terms set at Net 30. Proposals are due by September 23, 2026, via the Multco Marketplace Supplier Portal. Evaluation is based on cost, expertise, methodology, innovation, and alignment with County needs, with a specific emphasis on responsible business practices, including energy conservation and living wage standards. High priority is placed on HIPAA compliance for data security and the integration of equity-focused principles to identify health plan disparities. The County strongly encourages participation from minority-owned, women-owned, and emerging small businesses. Award will be granted to the responsible proposer whose proposal is deemed most advantageous, with the highest-scoring responsive bidder entering negotiations for final contract terms.

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LoSAP Plan Administrator (Core Service)This subcontract for the LoSAP Plan Administrator involves providing comprehensive administrative and fiduciary services for the Length of Service Award Program for prime contractors on Prince William County benefit projects. The selected provider will be responsible for managing participant records, verifying benefit eligibility, processing claims, and preparing necessary governmental reports. To ensure compliance and security, the contractor must utilize secure databases for the protection of personally identifiable information and maintain a fiduciary status with an AM Best Rating of A- VIII or higher. The opportunity is categorized under NAICS code 524292 and is associated with the Prince William County BU in Virginia. Interested parties must submit their responses by October 6, 2026, to be considered for the delivery of managed plan operations and the filing of required reports.

Prince William County BU

POSTED

23 days ago

DEADLINE

in 25 days

AI Contract Overview

The contract opportunity titled "Healthcare Claims Management" is a solicitation issued by the Louisiana Procurement agency, targeting organizations within the state of Louisiana. The solicitation was posted on May 4, 2026, with responses due by June 11, 2026, at 4:00 PM. This procurement aims to secure services related to managing healthcare claims, although specific NAICS codes and set-aside information are not provided. The contract is categorized under the SLED (State, Local, and Education) organization type, indicating it is intended for governmental entities or associated bodies within Louisiana. The place of performance is within Louisiana, but no specific city or zip code is indicated. Interested parties can contact the primary point of contact, the LaPAC Help Group, via email at doa-osphelpdesk@la.gov or by phone at 225-342-8010 for further information. Additional details and the solicitation documents are accessible through the Louisiana Procurement website. This solicitation represents an opportunity for qualified vendors to provide healthcare claims management services to support the state’s operations in this sector.