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This Government Contract opportunity from Department Of Health And Human Services was posted on July 22, 2026. The submission period has ended. Browse the details below for market research, or find similar active opportunities.

Senior Medical Reviewer Workflow Support

Closed
Federal

Contract Overview

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

Active Opportunities Like This One

NAICS: 541512
New
Utilization Management Technical Solutions RFI
Solicitation # utilization-management-technical-solutions-rfi
Noridian Healthcare Solutions, LLC is issuing a Request for Information (RFI) to identify qualified technology providers and strategic partners capable of delivering configurable technical solutions for end-to-end utilization management (UM) workflows. The primary objective is to modernize the evaluation of medical necessity, appropriateness of care, provider compliance, and program integrity for federal and state healthcare programs. The scope of the RFI covers a wide range of capabilities, including clinical operations such as intake, prior authorization, and appeals, as well as workflow automation, provider engagement portals, data interoperability using HL7, FHIR, and X12 standards, and the integration of AI and advanced intelligence. This opportunity is open to a broad range of small business entities, including SDB, WOSB, HUBZone, VOSB, and SDVOSB certifications, under NAICS code 541512. Interested respondents must notify Noridian via email to gain access to the Agiloft Contract Management System, where all official correspondence and submissions must be conducted. Responses are required to be submitted using a specific templated spreadsheet by September 21, 2026. Following a comprehensive review of the submissions, Noridian may invite selected respondents to participate in solution demonstrations during the fourth quarter of 2026. Respondents must certify that they are not debarred or suspended and have no conflicts of interest that would prohibit contracting with Noridian.
Noridian Healthcare Solutions, LLC

POSTED

about 11 hours ago

DEADLINE

in 9 days

AI Contract Overview

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The contract seeks the design and development of a human-in-the-loop interface to support certified senior medical reviewers in validating errors identified by artificial intelligence systems, specifically within a healthcare documentation context. The interface must enable side-by-side comparison of AI-generated outputs and original source materials, allow for precise annotation of discrepancies, and facilitate a structured approval workflow that ensures accountability and auditability. The solution must be intuitive and efficient, reducing cognitive load while maintaining strict compliance with medical review standards and regulatory expectations. This subcontract is issued under the NAICS code 541512 for computer systems design services by the Office of Acquisition and Grants Management within the Department of Health and Human Services. The opportunity was posted on July 22, 2026, with responses due by August 20, 2026. The place of performance and point of contact details are not specified, and no set-aside provisions are indicated. Bidders must demonstrate technical capability in building secure, user-centered interfaces tailored to experienced medical professionals, with emphasis on workflow integration, data integrity, and usability under high-stakes regulatory environments.

General Info

Design human-in-the-loop interface for medical reviewers to validate AI-generated documentation with audit-compliant annotation and workflow.

Agency

Department Of Health And Human Services → Ofc Of Acquisition And Grants ManagementView Agency

NAICS

541512 - Computer Systems Design ServicesView NAICS

Place of Performance

MD, USA

Set-Aside

NONE

Documents

This scope was carved out of 270196.

The full solicitation package (3 documents), including the RFP, is on the prime solicitation, not on this scope.

View the prime solicitation

REQUEST FOR INFORMATION (RFI) - Intelligent Coding Assistance Tool

AI Contract Breakdown

Uniform Contract Format

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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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AgencyDepartment Of Health And Human Services → Ofc Of Acquisition And Grants Management
ContactsNo contacts available
OfficeN/A
Organization / Agency
Department Of Health And Human Services → Ofc Of Acquisition And Grants Management
View Agency Profile
Office AddressN/A
ContactsNo contact information available

Full Description

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Design a human-in-the-loop interface for certified senior reviewers to validate AI-identified errors, including side-by-side comparison, annotation, and approval workflows.

More opportunities from Department Of Health And Human Services → Ofc Of Acquisition And Grants Management

Same awarding agency

NAICS: 524114
New
Federal
Medicare Administrative Contractor (MAC) Jurisdiction 8 (J8) - Synopsis/Draft RFP / Presolicitation
Solicitation # 75FCMC27R0001
The Centers for Medicare & Medicaid Services (CMS) is seeking a Medicare Administrative Contractor (MAC) to provide health insurance benefit administration services for Jurisdiction 8, which covers Indiana and Michigan. The contractor will be responsible for Medicare Fee-For-Service (FFS) claims processing and payment services, including provider enrollment, customer service, appeals, medical review, and audit and reimbursement functions for both Part A and Part B. This procurement, identified by solicitation number 75FCMC27R0001, is conducted as a full and open competition under FAR Part 15. The resulting contract will be a Cost-Plus-Award-Fee (CPAF) arrangement consisting of a base year and eight one-year options, with a total duration not to exceed 120 months. Award will be based on the best overall value to the government using the FAR 15.103-1 trade-off approach. Evaluation factors include a staffing plan, operations, past performance, small business utilization, and AbilityOne compliance, with non-price factors being significantly more important than price. A pass/fail gate is required for AbilityOne, necessitating that the offeror propose AbilityOne contractors to perform at least 1% of the total contract value. Proposals must be submitted in six separate volumes by November 2, 2026, at 11:00 AM EST. The anticipated award date is September 2027, and the applicable NAICS code is 524114.
Direct Health and Medical Insurance Carriers

POSTED

3 days ago

DEADLINE

in about 2 months
View Details
NAICS: 541512
Federal
Medicaid Enterprise Systems (MES) IT Standards - Request for Information (RFI)
Solicitation # 269888
The Department of Health and Human Services, through the Centers for Medicare and Medicaid Services, has issued Request for Information (RFI) number 269888 to gather stakeholder feedback for the development and implementation of the Medicaid Enterprise Systems (MES) IT Standards Program. This initiative aims to modernize the Medicaid technology ecosystem by transitioning from monolithic, custom-built systems toward a standards-based, modular architecture utilizing cloud technologies and commercial off-the-shelf solutions. The primary objective is to eliminate system silos and vendor lock-in while improving interoperability, real-time data exchange, and overall cost efficiency to enhance beneficiary outcomes. This RFI is intended for market research and planning purposes under NAICS code 541512 and does not constitute a formal request for proposal or a commitment to award a contract. CMS is seeking actionable input from state Medicaid agencies, technology vendors, systems integrators, and industry experts regarding technical barriers and the adoption of standards in accordance with 42 CFR Part 433 and Part 95. Interested parties must submit clear and concise responses, labeled by the corresponding question identifiers, via email to the designated points of contact by September 25, 2026. All costs associated with responding to this RFI are the sole responsibility of the respondent.
Computer Systems Design Services

POSTED

about 1 month ago

DEADLINE

in 13 days
View Details

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