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This Subcontract opportunity from Florida was posted on September 23, 2026. The submission period has ended. Browse the details below for market research, or find similar active opportunities.

Medical Plan Clinical Audit Specialist

Closed
State & Local

Contract Overview

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

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DEADLINE

in 28 days
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New
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POSTED

5 days ago

DEADLINE

in about 1 month
NAICS: 621999
New
SLED
HR Medical Evaluations / Medical Services
Solicitation # 26-493ISP-DIREC-B-54501
The Illinois State Police (ISP) is soliciting bids under solicitation number 26-493ISP-DIREC-B-54501 for a vendor to provide medical consulting services. The primary scope of work involves locating, scheduling, and facilitating access to physicians across various specialties to perform Fit for Duty (FFD) and Independent Medical Evaluation (IME) examinations. Core responsibilities include case intake, physician matching, administrative coordination, and the management of medical reports. The vendor must provide three appropriate physician candidates within five to ten business days of a request, and final reports must be submitted to the agency within ten business days of the appointment. Required clinical documentation includes the completion of the CMS95 Physician’s Statement or ISP Medical Evaluation form 2-379. The contract will be awarded to the responsive and responsible bidder offering the lowest overall total price. Bidders must adhere to a Business Enterprise Program (BEP) goal of 36% and submit a detailed Utilization Plan to be considered responsive. Essential requirements include maintaining general commercial liability insurance of $2 million aggregate, auto liability of $1 million per occurrence, and providing proof of malpractice insurance for all physician candidates. All deliverables are considered work for hire with exclusive ownership granted to the State of Illinois. Invoicing occurs upon contract completion unless otherwise tied to specific milestones, and the contract may be funded in part or full by federal funds.
ADMIN493 - Administration

POSTED

6 days ago

DEADLINE

in 13 days

AI Contract Overview

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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.

Documents

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

The full solicitation package (16 documents), including the RFP, is on the prime solicitation, not on this scope.

View the prime solicitation

Employee Benefits Consulting Services (Re-Bid)

AI Contract Breakdown

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Timeline

PhaseClosed
Posted

subcontract

Response Deadline

Deadline has passed

Submission Closed

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Organization & Contact Information

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AgencyFlorida → Human Resources & Talent Development
ContactsNo contacts available
OfficeN/A
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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