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MB-4147 - USA (Texas) - Health Benefits Consultant Services - Deadline June 3,2020

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-4147

Government Authority located in Texas; USA based organization looking for expert vendor for health benefits consultant services.

[A] Budget: Looking for Proposal

[B] Scope of Service:

(1) Vendor needs to provide health benefits consultant services.
- Serve the city as an advisor, which includes the preparation of the city’s rfp for health plan design and content when necessary.
- Review, on an ongoing basis, the existing health benefit plan for competitiveness, appropriateness and overall acceptance by plan participants.
- Serve and assist the city in negotiating benefits provider contract(s) resulting from the review and recommendations noted above. Provide the city underwriting data and evaluation services to support contract modifications such as benefit differentials and funding options.
- Negotiate, when appropriate, long-term rates and service guarantees designed to meet the service delivery and financial plan of the city.
- Assist the city in preparing periodic reports to the city council, city manager or human resources director on the progress, applicability and overall performance of a specific plan benefits.
- Review utilization rates on a quarterly basis and evaluate each on the city’s best option as it relates to self-funded or fully-funded plans.
- Assist the city with plan design changes, plan implementation strategies, plan design and benefits communications relating to coverage; integrating appropriate assignments of duties to vendors, while maintaining proper oversight and responsibilities.
- Review new or proposed administrative services provided by the city or outside vendors to determine the most effective and efficient service delivery strategies.
- Assist the city with premium funding projections during its annual budget process. Review long term healthcare contribution philosophy and budgetary agenda and best strategies for applying identified resources to a meaningful long-term benefit package.
- Provide the city with overall plan management and quality assurance services including, but not limited to the following:
• Periodic plan financial reports
• Renewal analysis
• Monitoring and reporting market trends
• Annual financial reports
• Carrier marketing and negotiations
• Legislative and corporate compliance support
• Administrative functions
• Board attendance as needed.
(2) All questions must be submitted no later than May 18, 2020.
(3) Contract term will be three years.

[C] Eligibility:

- Onshore (USA Organization Only);

[D] Work Performance:

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

Expiry Date : Wednesday, 3 June, 2020

Question Answer Deadline : Monday, 18 May, 2020

Category : Medical Billing and Coding

Country : USA

State : Texas

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