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Healthcare Provider Credentialing and Enrollment Specialist

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 the University Medical Center of El Paso seeks a Healthcare Provider Credentialing and Enrollment Specialist to manage the formal assessment, verification, and validation of healthcare provider qualifications for prime contractors. The specialist is responsible for conducting primary source verification using AMA, OIG, and NPI registries, as well as verifying Texas State licensure and board certifications. Key deliverables include the production of validated provider credentialing files and the completion of payer enrollment applications via CAQH and PECOS. The opportunity was posted on August 10, 2026, with a response deadline of September 16, 2026, falling under NAICS code 541618.

General Info

Credentialing specialist for University Medical Center El Paso managing provider verification and payer enrollment.

Agency

Texas → University Medical Center Of El PasoView Agency

NAICS

541618 - Other Management Consulting ServicesView NAICS

Place of Performance

TX, USA

Set-Aside

NONE

Documents

This scope was carved out of 911-08-26-001.

The full solicitation package (2 documents), including the RFP, is on the prime solicitation, not on this scope.

View the prime solicitation

Provider Credentialing & Payer Enrollment

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Timeline

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Organization & Contact Information

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AgencyTexas → University Medical Center Of El Paso
ContactsNo contacts available
OfficeN/A
Organization / Agency
Texas → University Medical Center Of El Paso
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Office AddressN/A
ContactsNo contact information available

Full Description

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Performs formal assessment, verification, and validation of healthcare provider qualifications for prime contractors on University Medical Center of El Paso projects. Conducts primary source verification through AMA, OIG, and NPI registries and manages payer enrollment via CAQH and PECOS. Verifies Texas State licensure and board certifications. Delivers validated provider credentialing files and completed payer enrollment applications.

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More opportunities from Texas → University Medical Center Of El Paso

Same awarding agency

SLED
Provider Credentialing & Payer Enrollment
Solicitation # 911-08-26-001
University Medical Center of El Paso is soliciting sealed proposals under RFP 911-08-26-001 for a comprehensive provider credentialing, recredentialing, and payer enrollment solution. The objective is to engage a qualified vendor to provide operational support and a secure technology platform to verify provider qualifications, manage records, and ensure compliance with federal and state regulations, including NCQA and the Texas Administrative Code. The selected vendor will be responsible for timely provider onboarding and the migration of records, eventually providing training and knowledge transfer to allow the medical center to assume operational responsibility. The contract emphasizes strict performance metrics, requiring an on-time delivery rate of at least 90 percent for credentialing within 120 days, recredentialing within 60 days, and payer enrollment within 150 days, with customer support resolutions expected within 48 hours. Evaluation is based on technical requirements (45 percent), pricing (20 percent), support (15 percent), references (10 percent), and vendor background (10 percent). Proposals must be submitted via the Bonfire portal by September 16, 2026, and must include a specific tabbed sequence containing a one-page cover letter, executive summary, fee proposal, and mandatory signed forms including the Response Agreement, Conflict of Interest Questionnaire, and Public Integrity Disclosure. Vendors must also demonstrate financial stability and maintain cybersecurity insurance and SOC 2 or equivalent security controls.

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about 1 month ago

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