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This Government Contract opportunity from Kentucky was posted on September 4, 2026. The submission period has ended. Browse the details below for market research, or find similar active opportunities.

Pharmacy Benefit Claims Auditor / Recovery 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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NAICS: 541219
New
SLED
RFQ - ARBITRAGE REBATE CALCULATION AND ANALYSIS SERVICES
Solicitation # 13362
The County of San Diego, Chief Financial Office, is soliciting quotes under RFQ 13362 for arbitrage rebate calculation and analysis services. The selected contractor will be responsible for monitoring tax-exempt long-term obligations, including certificates of participation, lease revenue bonds, and various tax allocation and special tax revenue bonds. Key deliverables include the production of annual arbitrage reports and accurate calculations performed in accordance with Internal Revenue Codes and United States Treasury Regulations. The contract features an initial term from December 1, 2026, to December 31, 2027, with four optional one-year extension periods through December 31, 2031. The County will award the contract based on best value, evaluating technical merit, total cost, cultural competency, and sustainability impacts. Applicants must submit their quotes by November 23, 2026, primarily via the BuyNet portal, ensuring the response does not exceed twenty pages. Required documentation includes a cost/price exhibit, a signed representations and certifications form, and evidence of experience with at least three large governmental clients. The contractor must adhere to strict compliance standards, including Board policies on artificial intelligence and fraudulent conduct, and maintain high professional standards. Payment is processed monthly within thirty days of receiving a correct, substantiated invoice.
San Diego County

POSTED

4 days ago

DEADLINE

in 26 days

AI Contract Overview

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The Pharmacy Benefit Claims Auditor / Recovery Specialist subcontract involves performing detailed analysis of pharmacy benefit claims for prime contractors on Kentucky Employees Health Plan projects. The selected provider will utilize PBM data analytics tools to identify inaccurate billing, fees, pricing, and member cost shares in near real time, ensuring all billing aligns with contractual terms and plan designs. The role requires specialized knowledge of pharmacy billing standards and strict compliance with the Kentucky Civil Rights Act and KRS tax laws to deliver comprehensive audit reports and recovered savings. This opportunity is managed by the Kentucky Personnel Office of Secretary and is based in Frankfort. The solicitation was posted on September 4, 2026, with a response deadline of September 11, 2026. The contract falls under NAICS code 541219 and is structured as a subcontract.

General Info

Subcontract for pharmacy benefit claims auditing and recovery for Kentucky Employees Health Plan.

Place of Performance

Frankfort, KY, USA

Set-Aside

NONE

Documents

This scope was carved out of RFP 790 2700000038.

The full solicitation package (8 documents), including the RFP, is on the prime solicitation, not on this scope.

View the prime solicitation

RFP-790-2700000038-2 | Pharmacy Benefit Claims Monitoring

AI Contract Breakdown

Uniform Contract Format

No documents to break down

The breakdown needs solicitation documents. None were found from this contract's source.

Timeline

PhaseClosed
Posted

subcontract

Response Deadline

Deadline has passed

Submission Closed

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Organization & Contact Information

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AgencyKentucky → Personnel-Office of Secretary
ContactsNo contacts available
OfficeN/A
Office AddressN/A
ContactsNo contact information available

Full Description

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Performs detailed analysis of pharmacy benefit claims for prime contractors on Kentucky Employees Health Plan (KEHP) projects. Analyzes claims data to identify inaccurate billing, fees, pricing, or member cost shares in near real time. Validates billing against contractual terms and plan designs using PBM data analytics tools. Requires knowledge of pharmacy billing standards and compliance with Kentucky Civil Rights Act and KRS tax laws. Delivers audit reports and recovered savings.

Earlier notices in this NAICS code

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