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Medical Economics and Rate-Setting Consultant

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 is for a Medical Economics and Rate-Setting Consultant to support prime contractors on Pennsylvania Department of Human Services Medicaid projects. The selected consultant will be responsible for performing advanced medical economics analysis, which includes evaluating expenditure and utilization trends, distinguishing between acquisition and reimbursement costs, and analyzing value-based service incentives. A primary objective of the role is to develop evidence-based methodologies to inform rate-setting decisions and deliver comprehensive reports and recommendations. The position requires specialized expertise in actuarial reporting and Medicaid managed care delivery systems. Interested parties should note that the solicitation was posted on October 5, 2026, with a response deadline of November 13, 2026. The work falls under NAICS code 541690 and is focused on supporting the state of Pennsylvania's healthcare financial infrastructure.

General Info

Agency

Pennsylvania → Department of Human Services

NAICS

541690 - Other Scientific and Technical 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

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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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Performs advanced medical economics analysis for prime contractors on Pennsylvania Department of Human Services Medicaid projects. Evaluates expenditure and utilization trends, distinguishes reimbursement and acquisition costs, and analyzes value-based service incentives. Develops methodologies for evidence-based rate-setting decisions. Requires expertise in Medicaid managed care delivery systems and actuarial reporting. Delivers medical economics reports and rate-setting recommendations.

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