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MB-3546 - USA (New York) - Independent Medical Claim Actuarial Services - Deadline November 14,2019

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-3546

Government authority located in New York; USA based organization looking for expert vendor for independent medical claim actuarial services.

[A] Budget: Looking for Proposal

[B] Scope of Service:

(1) Vendor needs to provide independent medical claim actuarial services to perform an independent one-time actuarial analysis of network discounts.
- The sample claim period provided to the Consultant will be in detail and shall include all of 2019 and the Consultant must have in-depth experience in performing a medical claims repricing, including national subject matter, actuarial expertise in evaluating the financial impact to the County and overall effect on the member experience (i.e. network provider disruption and geo-access).
- Consultants that will perform and oversee a medical-only carrier procurement process (excluding PBM) through its entirety, including implementation. Warren County will select a Consultant that can support their strategic vision of executing an efficient, superior member experience that drives quality, manages cost, and reduces health risk through optimization of the right providers.
(2) All question must be submitted no later than November 1, 2019.

[C] Eligibility:

- Onshore (USA Only);

[D] Work Performance:

Performance of the work will be Offsite. Vendor needs to carry work in their office location.

Expiry Date : Thursday, 14 November, 2019

Question Answer Deadline : Friday, 1 November, 2019

Category : Medical Billing and Coding

Country : USA

State : New York

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