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MCO Financial Oversight and Risk Corridor Analysis

Active

State & Local

Response Deadline10/12/2026, 10:00:00 PM UTC

Contract Overview

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

AI Contract Overview

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The MCO Financial Oversight and Risk Corridor Analysis subcontract focuses on monitoring the financial stability of Managed Care Organizations and managing risk mitigation for prime contractors working with the New Mexico Health Care Authority. The scope of work involves analyzing financial statements to identify cost trends, developing risk corridor evaluation reports, and performing underwriting gain limitation analysis. This engagement requires specialized expertise in MCO financial reporting and risk-sharing arrangements to ensure the delivery of accurate risk corridor reports and underwriting gain analyses. The project is managed under the New Mexico Human Services Department with a response deadline of October 12, 2026.

General Info

Subcontract for monitoring MCO financial stability and risk corridor analysis for New Mexico.

Agency

New Mexico Human Services Department

NAICS

541611 - Administrative Management and General Management Consulting Services

Place of Performance

NM, USA

Set-Aside

NONE

Documents

This scope was carved out of 27-630-8000-0009.

The full solicitation package (11 documents), including the RFP, is on the prime solicitation, not on this scope.

View the prime solicitation

Professional Services for Medicaid Financial and Actuarial Support

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Timeline

PostedSep 11

subcontract

Response DeadlineOct 12

Submission deadline

Response Deadline

10/12/2026, 10:00:00 PM UTCin 7 days

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Organization & Contact Information

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AgencyNew Mexico Human Services Department

ContactsNo contacts available

OfficeN/A

Organization / AgencyNew Mexico Human Services Department

Office AddressN/A

ContactsNo contact information available

Full Description

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Reviews MCO financial health and manages risk mitigation for prime contractors on New Mexico Health Care Authority (HCA) projects. Analyzes MCO financial statements for cost trends, develops risk corridor evaluation reports, and performs underwriting gain limitation analysis. Requires expertise in MCO financial reporting and risk-sharing arrangements. Delivers risk corridor reports and underwriting gain analysis.

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