Posted Date : December 09,2019
Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID : MB-3656
Government Authority located in Tennessee, USA based organization looking for expert vendor for employee healthcare administrative services.
[A] Budget: Looking for Proposals
[B] Scope of Service:
(1) Vendor needs to provide employee healthcare administrative services.
- With regards to the scale of your health care operations and medical claims administration services, please provide the number of clients and the total number of covered employees for your client size tiers similar to the county 5,000 – 10,000 employees
- Account Management:
- Provide address for location or office responsible for providing account management
- Provide the name and qualifications, including experience, length of time with your firm, etc. for the person to be assigned overall responsibility for the county account
- Provide the name, number of years with your firm, number of years in role, number of years in industry, and number of clients for the account service team that will be assigned to the county e.g., account executive, account manager, customer service manager, claims manager, and implementation coordinator
- Actuarial and Underwriting and Strategic Design:
- Actuarial support to estimate the impact of future medical benefit modifications, program implementation, population changes, network modifications, etc.
- Shelby County currently offers three plan options for their employees
- Premium Billing and Remittance:
- Describe your typical billing and remittance process and cycle
- Please include key dates, invoice and remittance options, invoice disputes, payment discrepancies or partial payments, late payments, etc.
- Provide your premium guidelines for a retroactive participant enrollment
- Provide your premium guidelines for a retroactive participant termination
(2) A mandatory pre-bid meeting will be held on December 17, 2019.
(3) All question must be submitted no later than December 20, 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: January 17,2020
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 : MB-3656
Government Authority located in Tennessee, USA based organization looking for expert vendor for employee healthcare administrative services.
[A] Budget: Looking for Proposals
[B] Scope of Service:
(1) Vendor needs to provide employee healthcare administrative services.
- With regards to the scale of your health care operations and medical claims administration services, please provide the number of clients and the total number of covered employees for your client size tiers similar to the county 5,000 – 10,000 employees
- Account Management:
- Provide address for location or office responsible for providing account management
- Provide the name and qualifications, including experience, length of time with your firm, etc. for the person to be assigned overall responsibility for the county account
- Provide the name, number of years with your firm, number of years in role, number of years in industry, and number of clients for the account service team that will be assigned to the county e.g., account executive, account manager, customer service manager, claims manager, and implementation coordinator
- Actuarial and Underwriting and Strategic Design:
- Actuarial support to estimate the impact of future medical benefit modifications, program implementation, population changes, network modifications, etc.
- Shelby County currently offers three plan options for their employees
- Premium Billing and Remittance:
- Describe your typical billing and remittance process and cycle
- Please include key dates, invoice and remittance options, invoice disputes, payment discrepancies or partial payments, late payments, etc.
- Provide your premium guidelines for a retroactive participant enrollment
- Provide your premium guidelines for a retroactive participant termination
(2) A mandatory pre-bid meeting will be held on December 17, 2019.
(3) All question must be submitted no later than December 20, 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: January 17,2020
Cost to Download This RFP/RFQ/RFI/Solicitation/Tender/Bid Document : 5 US$