Healthcare Data Analytics & Claims Identification

The Healthcare Data Analytics and Claims Identification subcontract involves providing specialized data mining and claims identification services for prime contractors supporting Maryland Department of Health Medicaid projects. The selected provider will be responsible for importing and processing claims data from the Medicaid Management Information System to develop and implement algorithms designed to detect duplicate charges, bundling errors, and patterns of improper payments. The final deliverables consist of detailed lists of flagged claims accompanied by comprehensive supporting documentation. Due to the nature of the work, the contractor must utilize secure hardware and software to handle Protected Health Information and maintain strict compliance with HIPAA and all applicable state and federal privacy standards. This opportunity falls under NAICS code 541511 and is associated with the state of Maryland, with a response deadline set for November 20, 2026.