This Solicitation opportunity from New York was posted on April 25, 2025. The submission period has ended. Browse the details below for market research, or find similar active opportunities.

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Professional Medicaid Services

Closed

24-07State & Local

Submission Closed05/22/2025, 12:00:00 AM UTC

Contract Overview

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

Active Opportunities Like This One

NAICS: 541219

New

SLED

Market Conduct Multi-State Examination

Solicitation # 2627-02 RFP OIR

The Florida Department of Financial Services, Office of Insurance Regulation, is soliciting proposals under RFP 2627-02 OIR to engage a qualified vendor to conduct a multi-state market conduct examination of the National Council on Compensation Insurance, Inc. (NCCI). This examination must be performed in accordance with the National Association of Insurance Commissioners Market Regulation Handbook and relevant Florida Statutes. The project is estimated to begin no later than December 14, 2026, and conclude by November 30, 2027, although the general contract term is listed as ending June 30, 2027. The selected contractor will be responsible for preparing and maintaining work papers and drafting examination reports, with a requirement to remain available for one year following completion for additional related services. The contract will be awarded to a single responsive respondent based on a 100-point evaluation system, where the technical response accounts for 90 points and the cost proposal accounts for 10 points. Technical evaluations focus on the vendor's experience, ability, and proposed methodology. Mandatory requirements include compliance with NIST cybersecurity frameworks, E-Verify utilization, and certifications regarding scrutinized companies and prohibited business operations in Cuba or Syria. Deliverables are subject to a 15-calendar day inspection and acceptance period by the Office's Contract Manager. Invoicing is conducted monthly and is contingent upon the submission of detailed bi-weekly status reports and annual legislative appropriations.

Department of Financial Services

POSTED

DEADLINE

SD State Employee Health Plan Medical Claims Audit

Solicitation # 26RFP19878

The South Dakota Bureau of Human Resources and Administration is soliciting proposals under RFP 26RFP19878 for a vendor to conduct a performance review and medical claims audit of Wellmark Blue Cross Blue Shield of South Dakota. Wellmark administers the State Employee Health Plan, which covers approximately 26,800 participants across four plans. For Fiscal Year 2026, the plan incurred roughly 160 million dollars in total costs, including 108 million dollars in medical claims. The selected auditor will be required to execute a Non-Disclosure Agreement with Wellmark and perform audits for three 12-month periods spanning Fiscal Years 2028 through 2030. The scope of work requires the contractor to perform electronic screening of 100 percent of paid medical claims and a statistical sample of 200 claims per period, adhering to GAGAS standards. Key deliverables include measuring claims processing, payment incidence, and financial accuracy rates, as well as evaluating claims turnaround time and identifying potential savings. Proposals are due by October 23, 2026, and will be evaluated on a 1,000-point scale based on subjective judgment and organizational experience. The resulting contract will incorporate standard state and IT terms, and the state will negotiate final compensation with the highest-ranked offeror.

South Dakota State Government

POSTED

DEADLINE

Financial Data Analytics SupportThe Financial Data Analytics Support subcontract provides specialized personnel to prime contractors for projects within the Stoughton Public Schools in Massachusetts. The scope of work involves implementing sampling methodologies and analytical procedures to process budgets and accounting records, utilizing advanced software like ACL or IDEA to perform automated testing of financial statements and identify exceptions. Qualified personnel must hold a degree in Accounting Information Systems or a relevant data analytics certification. The primary deliverables include detailed analysis reports and sampled datasets. This opportunity was posted on September 28, 2026, with a response deadline of October 16, 2026, and is categorized under NAICS code 541219.

SPSGEN - STOUGHTON PUBLIC SCHOOLS

POSTED

DEADLINE

Forensic Accounting SpecialistThe Stoughton Public Schools in Massachusetts is seeking a Forensic Accounting Specialist to provide specialized auditing services for prime contractors on school projects. The selected provider will be responsible for conducting fraud-risk reviews, analyzing significant or unusual transactions, and identifying duplicate payments through the use of forensic methodology, data extraction tools, and specialized software. All findings and exceptions must be documented and delivered in a formal written report. This subcontract opportunity requires the specialist to hold a Certified Fraud Examiner (CFE) credential or be a CPA with a forensic specialty. The project is based in Stoughton, Massachusetts, and interested parties must respond by the deadline of October 16, 2026.

SPSGEN - STOUGHTON PUBLIC SCHOOLS

POSTED

DEADLINE

Medical Bill Repricing ServicesThis subcontract for the Commonwealth of Pennsylvania's Office of Administration involves providing medical bill repricing services for workers' compensation projects. The selected provider will be responsible for reviewing medical invoices, applying specific fee schedules and repricing algorithms, and identifying overcharges to deliver detailed audit reports of savings. To execute these tasks, the contractor must utilize specialized medical billing software and repricing engines. Compliance with HIPAA and state workers' compensation billing regulations is mandatory for this engagement. The opportunity is categorized under NAICS code 541219, with a response deadline of October 13, 2026. The primary objective is to ensure accurate medical billing adjustments and cost savings for prime contractors operating within the state.

Office of Administration (under Governor's Office)

POSTED

DEADLINE

Medical Billing and Collections ServicesThis subcontract for Medical Billing and Collections Services supports prime contractors on wvOASIS healthcare revenue cycle projects in Charleston, West Virginia. The selected provider will manage the full revenue cycle, including the application of modifiers and fee schedules and the execution of collection activities for both professional and inpatient claims to recover payments from insurance and other payers. To qualify, the provider must utilize billing software that interfaces with Medicare and maintain a corporate compliance program aligned with the Office of the Inspector General. The primary objective of the contract is the delivery of processed claims and the successful recovery of payments. The response deadline for this opportunity is October 8, 2026.

POSTED

DEADLINE

ARFQ-0512-OHF2700000001-2 | Claims Coding, Billing and Collection Services

Solicitation # ARFQ 0512

The West Virginia Office of Shared Administration, on behalf of the Department of Health Facilities, is soliciting an open-end contract for comprehensive claims coding, billing, and collection services for three state-owned hospitals: Mildred Mitchell-Bateman Hospital, William R. Sharpe, Jr. Hospital, and Welch Community Hospital. The scope of work encompasses the full revenue cycle, including inpatient and outpatient coding, billing for Medicare and other government or non-government payers, and the recovery of unpaid revenues. The contract is structured over a four-year period, with pricing based on a vendor-quoted percentage fee for recovery applied to a monthly estimate of 2,000,000.00 dollars. Qualified vendors must possess at least five years of experience in hospital billing for acute care, psychiatric, and outpatient clinics, and must provide proof of coder credentials from AHIMA or AAPC. Strict performance standards are required, including a 98 percent accuracy level for coding and billing, a clean claim rate between 94 and 97 percent, and a first-pass resolution target of 92 to 95 percent. Claims must be submitted within ten business days or less. Additionally, vendors must adhere to rigorous security and confidentiality standards, including SOC 2 Type II and HITRUST certifications, network encryption, and full compliance with HIPAA and the HITECH Act. The procurement process includes mandatory disclosures of interested parties for contracts valued at 1 million dollars or more and requires a performance bond equal to 100 percent of the contract value. Bids must be submitted by October 1, 2026, via the wvOASIS portal or physical delivery. The contract also incorporates federal funding requirements, including domestic preferences and equal employment opportunity clauses under Executive Order 11246.

POSTED

DEADLINE

OMB A-123 ComplianceThe Department of Justice, specifically Federal Prison Industries, is forecasting a requirement for OMB A-123 compliance services. This opportunity is designated as a Small Business Total Set-aside under NAICS code 541219 and will be performed in Washington, District of Columbia. The procurement is currently listed as a forecast with a posted date of September 27, 2026. Interested parties can coordinate with Edward Porras as the primary point of contact or Robert L. Connolly for small business specific inquiries.

Inc Federal Prison Industries

POSTED

DEADLINE

Senior AccountantThis forecast opportunity is for a Senior Accountant position to support the Department of Justice within the Federal Prison Industries agency. The project is designated as a Small Business Total Set-aside under NAICS code 541219 and is scheduled for posting on September 27, 2026. The place of performance for this contract is located in Washington, District of Columbia. Primary points of contact for this requirement include Edward Porras and Small Business Specialist Robert L. Connolly.

Inc Federal Prison Industries

POSTED

DEADLINE

Energy Settlement & Billing ServicesThe City of Lethbridge is seeking a subcontractor to provide energy settlement and billing services for electric retail projects. The selected provider will be responsible for settling energy consumed at city sites with the AESO power pool, applying hourly pool prices to site energy, and managing load settlement, including line losses. All operations must strictly adhere to AESO Rules and established settlement guidelines. The contractor is required to deliver settled energy accounts and issue monthly pass-through invoices that clearly distinguish between actual and estimated meter reads. This subcontract opportunity was posted on September 25, 2026, with a response deadline of October 26, 2026.

POSTED

DEADLINE

Accounts Payable Automation Services

Solicitation # 18362

The University of Iowa is conducting a sources sought inquiry to identify qualified service providers capable of delivering outsourced accounts payable invoice processing services and associated technologies. This solicitation, identified by number 18362, aims to gather information from potential vendors to assist the University in its search for automated solutions to manage its financial workflows. The procurement process is focused on finding expertise in streamlining invoice management through specialized software and professional service integration. Interested parties must submit their responses by the deadline of October 19, 2026, at 9:00 PM. The project is centered in Iowa, with the University of Iowa serving as the primary agency. For inquiries regarding this request, prospective providers can contact Chandra Wojno via the provided university contact information. This stage of the process is intended to inform the University's future procurement strategy for accounts payable automation.

POSTED

DEADLINE

Depreciation Study Services

Solicitation # kissimmee-utility-authority-RFP-26-061-SH-2026

The Kissimmee Utility Authority is seeking proposals from qualified firms to conduct a comprehensive Depreciation Study for its depreciable transmission, distribution, general, and intangible assets. The selected contractor will be responsible for data collection and analysis, evaluating current depreciation methods and reserves, determining appropriate expense rates, and assessing service life and net salvage analysis techniques in alignment with utility industry standards. The project culminates in a formal report and presentations to KUA staff and potentially the Board of Directors. This solicitation, identified as RFP 26-061-SH-2026, was posted on September 25, 2026, with a response deadline of October 20, 2026. Managed by the Finance and Administration department in Florida, the project falls under NAICS code 541219. Interested parties may coordinate with primary contact Sheila Hernandez or secondary contact Jennifer Grieves to submit their proposals via the designated vendor portal.

Kissimmee Utility Authority — Finance & Administration

POSTED

5 days ago

DEADLINE

in 20 days

AI Contract Overview

The contract titled "Professional Medicaid Services" is a procurement opportunity issued by the City School District of New Rochelle in Westchester County, New York. It aims to secure services related to Medicaid billing and compliance support to maximize reimbursements for healthcare services provided to students within the district. The contract is valued between $50,000 and $200,000 and is intended to ensure proper oversight and adherence to Medicaid regulations, thereby optimizing financial recovery for the district’s Medicaid-eligible services. The solicitation was posted on April 25, 2025, with a response deadline of May 22, 2025. Interested vendors are directed to contact Meilisa Arlt via email for further information. The contract emphasizes professional Medicaid billing expertise and compliance support, reflecting the district’s focus on efficient Medicaid reimbursement processes. The opportunity is open to qualified providers, with the goal of enhancing the district’s Medicaid program management and financial efficiency.

General Info

Agency

New York → City School District of New Rochelle

NAICS

541219 - Other Accounting Services

Place of Performance

NY, USA

Set-Aside

NONE

Documents

(15)

BID 24-07: Lead Paint Inspection/Risk Assessment and Clearance Examination Services

PDF•rfp

Bid 24-07: Sto852118B Nutrient Reduction Wetland - Addendum No. 1

PDF•amendment

Bid No. 24-07: St0852118B Nutrient Reduction Wetland Project

PDF•ifb

Bid Ref 24-07 Cement Concrete for City Projects

PDF•itb

Henderson Wetland Inspection Plan & Design Report (Site No. ST0852118B)

PDF•specifications

RFQQ 24-07 - Contractor's Profile & References

PDF•past-performance

RFQQ 24-07: E-Rate Consultant & Coordinator

PDF•rfq

RFQQ No. 24-07 - Contractor's Certification

PDF•supporting-document

ST0852118B Nutrient Removal Constructed Wetland - Plans

PDF•specifications

STO852118B Henderson Wetland Site Construction Specifications

PDF•specifications

Sto852118B Nutrient Reduction Wetland Project - Award and Notice to Proceed

PDF•award

Sto852118B Nutrient Reduction Wetland Project Notice-to-Bidders

PDF•ifb

Sto852118B Nutrient Reduction Wetland Project - Proposal and Schedule of Prices

PDF•ifb

Kenton County Airport Board Resident and Non-Resident Status Certification Forms

PDF•2 pages•certification-forms

OSOS E-Rate Consultant & Coordinator Contract (2024)

PDF•contract-document

AI Contract Breakdown

Uniform Contract Format

Timeline

13 updates

PhaseClosed

PostedDec 10

Solicitation

Notice updatedJan 12

Response deadline changed from Jan 25, 2024 to Feb 2, 2024. The notice title changed. NAICS code removed. The notice description changed. The point of contact changed.

Notice updatedFeb 1

Response deadline changed from Feb 2, 2024 to Feb 22, 2024. The notice title changed. NAICS code added: 423450. The notice description changed. The point of contact changed.

Notice updatedFeb 7

Response deadline changed from Feb 22, 2024 to Mar 12, 2024. The notice title changed. NAICS code changed from 423450 to 561330. The notice description changed. The point of contact changed.

Notice updatedFeb 14

Response deadline changed from Mar 12, 2024 to Mar 18, 2024. The notice title changed. NAICS code changed from 561330 to 541330. The notice description changed.

Notice updatedFeb 23

Response deadline changed from Mar 18, 2024 to Mar 15, 2024. The notice title changed. NAICS code changed from 541330 to 327320. The notice description changed. The point of contact changed.

Notice updatedApr 5

Response deadline changed from Mar 15, 2024 to Jan 30, 2024. The notice title changed. NAICS code changed from 327320 to 562910. The notice description changed. The point of contact changed.

Notice updatedMay 13

Response deadline changed from Jan 30, 2024 to Jun 14, 2024. The notice title changed. NAICS code changed from 562910 to 926130. The notice description changed. The point of contact changed.

Notice updatedNov 5

Response deadline changed from Jun 14, 2024 to Dec 11, 2024. The notice title changed. NAICS code removed. The notice description changed. The point of contact changed.

Notice updatedNov 11

Response deadline changed from Dec 11, 2024 to Dec 10, 2024. The notice title changed. NAICS code added: 541330. The notice description changed.

Notice updatedNov 24

Response deadline changed from Dec 10, 2024 to Jan 7, 2025. The notice title changed. NAICS code changed from 541330 to 238330. The notice description changed. The point of contact changed.

Notice updatedDec 2

Response deadline changed from Jan 7, 2025 to Dec 30, 2024. The notice title changed. NAICS code changed from 238330 to 236220. The notice description changed. The point of contact changed.

Notice updatedMar 12

Response deadline changed from Dec 30, 2024 to Apr 8, 2025. The notice title changed. NAICS code changed from 236220 to 423610. The notice description changed. The point of contact changed.

Notice updatedApr 25

Response deadline changed from Apr 8, 2025 to May 22, 2025. The notice title changed. NAICS code removed. The notice description changed. The point of contact changed.

Response DeadlineMay 22

Deadline has passed

Submission Closed

05/22/2025, 12:00:00 AM UTC

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Organization & Contact Information

AgencyNew York → City School District of New Rochelle

Contacts1 person available

OfficeN/A

Organization / AgencyNew York → City School District of New Rochelle

Office AddressN/A

Contacts

Meilisa Arlt

contact@example.gov

Full Description

24-07 - PROFESSIONAL MEDICAID SERVICES. United States, New York, Westchester County. City School District of New Rochelle. This contract involves offering Medicaid Billing Services and support for necessary Medicaid oversight and compliance to optimize the allowable Medicaid reimbursements for services provided to students within the District.

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