This Government Contract opportunity from West Virginia was posted on August 20, 2026. The submission period has ended. Browse the details below for market research, or find similar active opportunities.

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Medical Loss Ratio (MLR) Auditor

Closed

State & Local

Submission Closed09/09/2026, 05:30:00 PM UTC

Contract Overview

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

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AI Contract Overview

The Medical Loss Ratio (MLR) Auditor subcontract for the State of West Virginia involves performing independent financial audits of prime contractors on state Medicaid projects. The primary objective is to verify that Managed Care Organizations remain compliant with federal and state regulations concerning premium spending on clinical services. To ensure professional integrity and auditor independence, the selected provider must develop Conflict Mitigation Plans and possess specialized financial auditing software. Qualified candidates must hold a CPA or CIA certification to deliver the required MLR audit reports and compliance certifications. This opportunity is based in Charleston, West Virginia, with a response deadline of September 9, 2026. The contract falls under NAICS code 541219 and is managed through the West Virginia agency portal.

General Info

CPA/CIA certified auditor to perform Medicaid MLR financial audits in Charleston, West Virginia.

Agency

West VirginiaView Agency

NAICS

541219 - Other Accounting ServicesView NAICS

Place of Performance

Charleston, WV, USA

Set-Aside

NONE

Documents

This scope was carved out of CRFP 0511 BMS270000001.

The full solicitation package (18 documents), including the RFP, is on the prime solicitation, not on this scope.

View the prime solicitation

CRFP-0511-BMS2700000001-3 | MEDICAID MANAGED CARE RATE SETTING/PROGRAM ADMIN

AI Contract Breakdown

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No contract breakdown available.

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Timeline

PhaseClosed

PostedAug 20

subcontract

Response DeadlineSep 9

Deadline has passed

Submission Closed

09/09/2026, 05:30:00 PM UTC

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Organization & Contact Information

AgencyWest Virginia

ContactsNo contacts available

OfficeN/A

Organization / Agency

West Virginia

View Agency Profile

Office AddressN/A

ContactsNo contact information available

Full Description

Performs independent financial audits of Medical Loss Ratios for prime contractors on State of West Virginia Medicaid projects. Verifies MCO compliance with federal and state regulations regarding premium spending on clinical services. Develops Conflict Mitigation Plans to ensure auditor independence. Requires CPA or CIA certification and financial auditing software. Delivers MLR Audit reports and compliance certifications.