Medicare Advantage Plan Administration (TPA)

This subcontract for Medicare Advantage Plan Administration involves providing essential administrative support to prime contractors managing retiree healthcare projects for Fairfax County Public Schools. The scope of work focuses on member enrollment, eligibility verification, and the coordination of benefits between fully insured plans and self-insured Employer Group Waiver Plans. To execute these tasks, the provider must utilize specialized healthcare administration software and member portals while ensuring strict adherence to HIPAA standards and CMS regulatory compliance. The project requires the delivery of detailed plan administration and utilization reports to track performance and membership. Based in Falls Church, Virginia, the engagement falls under NAICS code 541611. Interested parties should note the response deadline of November 6, 2026, for this specific administrative function role.