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Medical Plan Clinical Audit Specialist

Active

State & Local

Response Deadline10/22/2026, 07:00:00 PM UTC

Contract Overview

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

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The Medical Plan Clinical Audit Specialist subcontract involves performing clinical performance audits of medical plan participant claims for prime contractors supporting City of Tampa employee benefits projects. The selected provider will examine representative claims to evaluate the effectiveness of clinical programs and resources while assessing overall performance against established management guidelines. This role requires specialized expertise in disease and case management to ensure high-quality oversight of healthcare delivery. The primary deliverable is a comprehensive Clinical Audit Report that identifies compliance levels, highlights performance gaps, and provides a detailed return on investment analysis. This opportunity is managed by the Human Resources and Talent Development agency in Florida under NAICS code 621999. Interested parties must submit their responses by the deadline of October 22, 2026.

General Info

Clinical audit specialist for City of Tampa medical claims; reports due October 22, 2026.

Agency

Florida → Human Resources & Talent DevelopmentView Agency

NAICS

621999 - All Other Miscellaneous Ambulatory Health Care ServicesView NAICS

Place of Performance

FL, USA

Set-Aside

NONE

Documents

This scope was carved out of 26-P-00543.

The full solicitation package (15 documents), including the RFP, is on the prime solicitation, not on this scope.

View the prime solicitation

Employee Benefits Consulting Services (Re-Bid)

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Timeline

PostedSep 23

subcontract

Response DeadlineOct 22

Submission deadline

Response Deadline

10/22/2026, 07:00:00 PM UTCin 29 days

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Organization & Contact Information

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AgencyFlorida → Human Resources & Talent Development

ContactsNo contacts available

OfficeN/A

Organization / Agency

Florida → Human Resources & Talent Development

View Agency Profile

Office AddressN/A

ContactsNo contact information available

Full Description

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Performs clinical performance audits of medical plan participant claims for prime contractors on City of Tampa employee benefits projects. Examines representative claims to evaluate the use of clinical programs and resources and assesses clinical performance against management guidelines. Requires expertise in case and disease management. Delivers a Clinical Audit Report detailing compliance, performance gaps, and ROI analysis.

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