MB-5856 - USA (Pennsylvania) - Workers Compensation Managed Care Consultant Services - Deadline December 10,2021

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-5856

Government Authority located in Pennsylvania, USA based organization looking for expert vendor for workers compensation managed care consultant services.

[A] Budget: Looking for Proposal

[B] Scope of Service:

(1) Vendor needs to provide workers compensation managed care consultant services.
- The successful applicant must be completely independent, meaning no financial interests in any managed care service provider including medical review companies, preferred provider organization operators, utilization review and case management providers and third-party administrators, providing services to the city
- Managed Care Program analysis
- Managed Care Program monitoring
- Increase transparencies in the managed care process
- Financial analyses
- Medical bill review process analysis
- Recapture of overcharges and overpayments to medical providers
- Identify program deficiencies and corrective measures
- Develop corrective program strategies
- Assist the City in the RFP process for Third Party Administrator services
(2) All question must be submitted no later than November 24, 2021.

[C] Eligibility:

- Onshore (USA ONLY);

[D] Work Performance:

Performance of the work will be Offsite.

Expiry Date : Friday, 10 December, 2021

Question Answer Deadline : Wednesday, 24 November, 2021

Category : Medical Billing and Coding

Country : USA

State : Pennsylvania

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