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This Solicitation opportunity from New Jersey was posted on June 6, 2026. The submission period has ended. Browse the details below for market research, or find similar active opportunities.

Workers' Compensation Third Party Administrator and Managed Care

Closed
PD26-27-EUS2-3State & Local

Contract Overview

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

Active Opportunities Like This One

NAICS: 524292
SLED
Pharmacy Services – Specialty Medications QVL
Solicitation # STATE 0000000551SL
Solicitation STATE 0000000551SL is issued by the State of Missouri Office of Administration on behalf of the Missouri Veterans Commission to establish a Qualified Vendor List (QVL) for specialty pharmacy services. The scope of work includes the provision of pharmaceuticals, biologicals, IV therapy, and care coordination for veterans, with services required to be available 24 hours a day, 7 days a week. Awarded vendors must be responsive, responsible, and reliable, with the state intending to award contracts to all qualified vendors to ensure adequate coverage. Once the QVL is established, individual prescriptions will be awarded based on the lowest cost, with preference considerations given to Missouri-based firms, Service-Disabled Veteran Business Enterprises, and organizations for the blind or sheltered workshops. The contract mandates strict adherence to quality standards, including the United States Pharmacopeia and FDA Orange Book, and requires compliance with HIPAA and HITECH regulations through a Business Associate Agreement. Specific packaging and labeling requirements are detailed, including the use of bubble card systems for tablets and compliance with the Federal Food, Drug, and Cosmetic Act. Contractors must maintain veteran records for seven years and provide an updated product catalog annually. The agreement includes a base period with the option for four additional one-year renewals. Compliance certifications are required regarding the Anti-Discrimination Against Israel Act, E-Verify enrollment, and federal drug-free workplace standards. Payments are processed monthly via Electronic Funds Transfer within thirty calendar days of a valid invoice.
PROC OA DIVISION OF PURCHASING PROCUREMENTS

POSTED

17 days ago

DEADLINE

in 6 days
NAICS: 524292
SLED
Medical Claims Audit
Solicitation # RFP-12-2027
Multnomah County is seeking a qualified independent contractor to perform comprehensive medical, prescription, and dental claims audits and operational assessments for its self-funded health plans. The primary goals of this engagement are to ensure fiscal accountability, verify compliance with plan documents, and identify opportunities for cost recovery and process improvement. The selected vendor will be responsible for conducting audits at the County's discretion, implementing robust quality assurance and error-checking protocols, and providing a knowledge transfer plan, including training sessions for County staff. The contract may have a term of up to five years, with payment terms set at Net 30. Proposals are due by September 23, 2026, via the Multco Marketplace Supplier Portal. Evaluation is based on cost, expertise, methodology, innovation, and alignment with County needs, with a specific emphasis on responsible business practices, including energy conservation and living wage standards. High priority is placed on HIPAA compliance for data security and the integration of equity-focused principles to identify health plan disparities. The County strongly encourages participation from minority-owned, women-owned, and emerging small businesses. Award will be granted to the responsible proposer whose proposal is deemed most advantageous, with the highest-scoring responsive bidder entering negotiations for final contract terms.
Multnomah County

POSTED

21 days ago

DEADLINE

in 12 days

AI Contract Overview

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The Jersey City Public School District is soliciting proposals from qualified firms to provide Workers' Compensation Third Party Administration and Managed-Care Cost Containment Services for its self-insured Workers' Compensation program. This contract, classified as "Extraordinary Unspecifiable Services" under New Jersey Public Contracts Law, is set to run from July 1, 2026, through June 30, 2027, with a maximum term of three years and potential extensions of up to three additional years in total, contingent on available annual funding. The award will be based on the most advantageous proposal considering price and other relevant factors, following specific regulatory guidelines (N.J.A.C. 5:34-2.1 and N.J.S.A. 18:18A-37(a)). Interested firms must submit their responses by June 17, 2026. The contract aims to ensure effective management of workers' compensation claims and costs for the district. The solicitation is managed by the Purchasing Department of Jersey City's Board of Education, located in New Jersey, with Roxanne Padilla serving as the primary contact for inquiries. This opportunity reflects the district's commitment to securing expert administration services to support its self-insurance program while adhering to state procurement regulations.

General Info

Jersey City seeks firms for Workers' Compensation administration, July 2026-June 2027, three-year term.

Agency

New Jersey → Purchasing DepartmentView Agency

NAICS

524292 - Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension FundsView NAICS

Place of Performance

NJ, USA

Set-Aside

NONE

Documents

(4)

JCPS Workers' Compensation Claim Counts RFI Additional Information

PDFrfi

RFP PD26-27-EUS2-3 Workers' Compensation Third Party Administrator and Managed Care

PDFrfp

JCPS WC RFI Additional Information Open Claims

PDFrfi

JCPS MCO Charges and Savings Summary 5-Year Period Valued 5-1-2026

PDFother

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Timeline

PhaseClosed
Posted

Solicitation

Response Deadline

Deadline has passed

Submission Closed

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Organization & Contact Information

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AgencyNew Jersey → Purchasing Department
Contacts1 person available
OfficeJersey City, NJ, 07305, USA
Organization / Agency
New Jersey → Purchasing Department
View Agency Profile
Office AddressJersey City, NJ, 07305, USA
Contacts
Roxanne PadillaSenior Management Assistant

Full Description

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The Jersey City Public School District is seeking proposals from qualified firms to provide Workers' Compensation Third Party Administration and Managed-Care Cost Containment Services for the District's Self-Insured Workers' Compensation program. This proposal is subject to the terms of the New Jersey Public Contracts Law and falls within the definition of "Extraordinary Unspecifiable Services" (EUS). The contract period will be from July 1, 2026 through June 30, 2027. Contract term may not be more than three (3) years with an option to renew for an additional two (1) year extensions or one (2) year extension subject to the availability and appropriation annually of sufficient funds as may be needed to meet the extended obligation. It is the intention of the Board of Education to award the contract in accordance with N.J.A.C. 5:34-2.1 and N.J.S.A. 18:18A-37(a) to the respondent whose response is most advantageous, price and other factors considered.

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