Posted Date : May 06,2019
Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID : HEALTH-1148
Government Authority located in Nashville, Tennessee; USA based organization looking for expert vendor for health benefit consultant services.
[A] Budget: Looking for Proposal
[B] Scope of Service:
(1) Vendor needs to provide health benefit consultant services including annual stop-loss policy marketing, pursue DTO’s interest with third party health benefits claims administrator, plan management support, plan strategy to support comprehensive provider network (meaning both breadth of services and geographic coverage) that offers the most competitive discounts for participants in middle state along with a network throughout state, ensure the availability of quality measurement standards and metrics that enable participants to compare and contrast various providers relative to quality scores and cost efficiencies and the remainder of the united states, HIPAA compliant web based access to authorized DTO employees and designated business associate(s) for claims data, financial and statistical reports and any other data readily available to employers relative to your standard reporting tools and resources to the government authority located in Nashville, TN.
- Pharmacy Benefit Management to evaluate participant eligibility and enrollment in conjunction with benefit coverage, evaluate claim adjudication services for all pharmaceutical services to participants, evaluate Rx ID that is integrated with the medical ID card, evaluate mail order and specialty drug services to participants, evaluate drug utilization review (DUR) services along with prospective and concurrent review services, evaluate proactive formulary management, rebates and claims processing for both mail order and retail Rx’s on a fully transparent basis.
(2) All question must be submitted no later than May 17, 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
Budget :
Deadline to Submit Proposals: May 31,2019
Cost to Download This RFP/RFQ/RFI/Solicitation/Tender/Bid Document : 5 US$
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Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID : HEALTH-1148
Government Authority located in Nashville, Tennessee; USA based organization looking for expert vendor for health benefit consultant services.
[A] Budget: Looking for Proposal
[B] Scope of Service:
(1) Vendor needs to provide health benefit consultant services including annual stop-loss policy marketing, pursue DTO’s interest with third party health benefits claims administrator, plan management support, plan strategy to support comprehensive provider network (meaning both breadth of services and geographic coverage) that offers the most competitive discounts for participants in middle state along with a network throughout state, ensure the availability of quality measurement standards and metrics that enable participants to compare and contrast various providers relative to quality scores and cost efficiencies and the remainder of the united states, HIPAA compliant web based access to authorized DTO employees and designated business associate(s) for claims data, financial and statistical reports and any other data readily available to employers relative to your standard reporting tools and resources to the government authority located in Nashville, TN.
- Pharmacy Benefit Management to evaluate participant eligibility and enrollment in conjunction with benefit coverage, evaluate claim adjudication services for all pharmaceutical services to participants, evaluate Rx ID that is integrated with the medical ID card, evaluate mail order and specialty drug services to participants, evaluate drug utilization review (DUR) services along with prospective and concurrent review services, evaluate proactive formulary management, rebates and claims processing for both mail order and retail Rx’s on a fully transparent basis.
(2) All question must be submitted no later than May 17, 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
Budget :
Deadline to Submit Proposals: May 31,2019
Cost to Download This RFP/RFQ/RFI/Solicitation/Tender/Bid Document : 5 US$