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Medicaid Clinical Subject Matter Expert (SME) - Specialized Services

Active

State & Local

Response Deadline11/13/2026, 05:00:00 AM 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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This subcontract opportunity with the Pennsylvania Department of Human Services seeks a Clinical Subject Matter Expert to provide analytical oversight for high-cost Medicaid service categories. The selected provider will support prime contractors by applying enhanced analytics to identify utilization patterns and cost drivers within Applied Behavior Analysis, Pharmacy Services, Long-Term Care, and Home and Community Based Services. The primary deliverable involves the production of category-specific oversight reports to improve financial and operational management. Qualified candidates must possess specialized clinical or operational expertise in one of the targeted service areas. The solicitation is listed under NAICS code 541611, with a response deadline of November 13, 2026. This role is critical for ensuring the efficiency and sustainability of specialized Medicaid services through rigorous data analysis and subject matter expertise.

General Info

Agency

Pennsylvania → Department of Human Services

NAICS

541611 - Administrative Management and General Management Consulting Services

Place of Performance

PA, USA

Set-Aside

NONE

Documents

This scope was carved out of 26-RFI-21377.

The full solicitation package (1 document), including the RFP, is on the prime solicitation, not on this scope.

View the prime solicitation

State Medicaid Data Analytics & Oversight Solution

AI Contract Breakdown

Uniform Contract Format

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Timeline

PostedOct 5

subcontract

Response DeadlineNov 13

Submission deadline

Response Deadline

11/13/2026, 05:00:00 AM UTCin about 1 month

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Organization & Contact Information

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AgencyPennsylvania → Department of Human Services

ContactsNo contacts available

OfficeN/A

Organization / AgencyPennsylvania → Department of Human Services

Office AddressN/A

ContactsNo contact information available

Full Description

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Provides analytical oversight for high-cost Medicaid service categories for prime contractors on Pennsylvania Department of Human Services projects. Applies enhanced analytics to Applied Behavior Analysis (ABA), Pharmacy Services, Long-Term Care (LTC), and Home and Community Based Services (HCBS) to identify cost drivers and utilization patterns. Requires clinical or operational expertise in ABA, Pharmacy, or LTC/HCBS. Delivers category-specific oversight reports.

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