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Performance Improvement Project (PIP) Auditor

Active
State & Local

Contract Overview

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

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This subcontract with the New Hampshire Department of Health and Human Services involves a Performance Improvement Project Auditor responsible for evaluating the implementation and effectiveness of PIPs for prime contractors on Medicaid projects. The selected party will review PIP methodology and data collection, validate that projects address specific gaps in care, and assess measurable improvements in beneficiary health outcomes. The final deliverables for this engagement are PIP Validation Reports. Qualified candidates must possess clinical auditing experience and a strong familiarity with healthcare quality improvement frameworks. The solicitation was posted on September 15, 2026, with a response deadline of October 14, 2026. This opportunity falls under NAICS code 541611 for professional and technical consulting services.

General Info

Auditor for NH DHHS to evaluate Medicaid PIPs and provide validation reports.

Agency

New Hampshire → Dhhs-Department Of Health & Human ServicesView Agency

NAICS

541611 - Administrative Management and General Management Consulting ServicesView NAICS

Place of Performance

Not specified

Set-Aside

NONE

Documents

This scope was carved out of RFP-2027-DPQI-02-EQRO.

The full solicitation package (9 documents), including the RFP, is on the prime solicitation, not on this scope.

View the prime solicitation

External Quality Review Organization

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Timeline

Posted

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Organization & Contact Information

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AgencyNew Hampshire → Dhhs-Department Of Health & Human Services
ContactsNo contacts available
OfficeN/A
Organization / Agency
New Hampshire → Dhhs-Department Of Health & Human Services
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Office AddressN/A
ContactsNo contact information available

Full Description

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Evaluates the effectiveness and implementation of Performance Improvement Projects (PIPs) for prime contractors on NH DHHS Medicaid projects. Reviews PIP methodology and data collection, validates that PIPs address identified gaps in care, and assesses measurable improvements in beneficiary health outcomes. Requires clinical auditing experience and familiarity with healthcare quality improvement frameworks. Delivers PIP Validation Reports.

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Same NAICS industry code

NAICS: 541611
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Albert A. Webb Associates

POSTED

about 10 hours ago

DEADLINE

in 14 days
View Details
NAICS: 541611
New
SLED
External Quality Review Organization
Solicitation # RFP-2027-DPQI-02-EQRO
The New Hampshire Department of Health and Human Services, Division of Program Quality and Integrity, is soliciting proposals for an External Quality Review Organization (EQRO) to evaluate healthcare services provided to Medicaid beneficiaries. The selected vendor will be responsible for analyzing aggregated data on quality, timeliness, and access to care for contracted Managed Care Organizations (MCO) and Dental Organizations (DO). Key deliverables include the validation of performance measures, Performance Improvement Projects (PIP), provider network adequacy, and encounter data reporting, culminating in detailed annual technical reports. The contract requires strict adherence to 42 CFR 438.354 and current CMS External Quality Review protocols. The period of performance extends through April 30, 2030, with potential four-year renewal options. All staff will work remotely, though quarterly meetings may occur virtually or in person. The award is based on a point system where technical responses are weighted at 700 points and cost at 300 points, noting that this is not a low-cost award. Vendors must meet rigorous federal and state requirements, including HIPAA and HITECH compliance, Title VI language assistance, and specific insurance coverage of at least 1 million dollars per occurrence. Payment is contingent upon the submission of monthly invoices for completed, Department-accepted deliverables.
Dhhs-Department Of Health & Human Services

POSTED

about 12 hours ago

DEADLINE

in 28 days
View Details

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