Posted Date : November 19,2018
Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID : PHAR-0110
Government Authority located in Wichita, Kansas; USA based organization looking for expert vendor for employee medical and pharmacy benefits services.
[A] Budget: Looking for Proposals
[B] Scope of Service:
(1) Vendor needs to provide employee medical and pharmacy benefits services for employee medical, and pharmacy coverage to the government authority located in Wichita, KS.
- An organization that provides managed care where medical care is facilitated by the patients selected primary care physician
- Health questionnaire to collect information to provide individuals an evaluation of their health risks
- Act that regulates the availability and breadth of group health plans and certain individual health insurance policies
- Medical Case Management is a collaborative process that facilitates recommended treatment plans to assure the appropriate medical care is provided to disabled, ill or injured individuals.
- Prescription Benefit Manager will be responsible for processing and paying prescription drug claims.
- Third Party Administrator a person or organization that processes claims and performs other administrative services in accordance with a service contract, plan administration responsibilities include processing, adjudication, and negotiation of claims, record-keeping, and maintenance of the plan.
- Evaluation of the appropriateness, medical need and efficiency of health care services procedures and facilities according to established criteria or guidelines and under the provisions of an applicable health benefits plan.
(2) All question must be submitted no later than November 27, 2018.
(3) Contract period will be for three years.
[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: December 18,2018
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 : PHAR-0110
Government Authority located in Wichita, Kansas; USA based organization looking for expert vendor for employee medical and pharmacy benefits services.
[A] Budget: Looking for Proposals
[B] Scope of Service:
(1) Vendor needs to provide employee medical and pharmacy benefits services for employee medical, and pharmacy coverage to the government authority located in Wichita, KS.
- An organization that provides managed care where medical care is facilitated by the patients selected primary care physician
- Health questionnaire to collect information to provide individuals an evaluation of their health risks
- Act that regulates the availability and breadth of group health plans and certain individual health insurance policies
- Medical Case Management is a collaborative process that facilitates recommended treatment plans to assure the appropriate medical care is provided to disabled, ill or injured individuals.
- Prescription Benefit Manager will be responsible for processing and paying prescription drug claims.
- Third Party Administrator a person or organization that processes claims and performs other administrative services in accordance with a service contract, plan administration responsibilities include processing, adjudication, and negotiation of claims, record-keeping, and maintenance of the plan.
- Evaluation of the appropriateness, medical need and efficiency of health care services procedures and facilities according to established criteria or guidelines and under the provisions of an applicable health benefits plan.
(2) All question must be submitted no later than November 27, 2018.
(3) Contract period will be for three years.
[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: December 18,2018
Cost to Download This RFP/RFQ/RFI/Solicitation/Tender/Bid Document : 5 US$