Multnomah County - Medical Claims Audit - RFP-12-2027 (2027)
- Due
- Sep 23, 2026
- Deadline passed
- Posted
- Aug 21, 2026
- Contract term
- 5 years
- Primary contact
- Jun Zhu
- (503) 988-7603 ext 87603
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THE 30-SECOND BRIEF
Multnomah County is seeking a qualified vendor to conduct a comprehensive Medical Claims Audit of its self-insured health plans, covering medical, prescription, and dental audits. The primary objective is to ensure fiscal accountability, verify compliance with plan documents, and identify opportunities for cost recovery and process improvement for approximately 6,000 County employees and retirees. The scope includes stakeholder engagement, quality assurance, a knowledge transfer plan, dispute resolution, data security and compliance with HIPAA and HITECH, and additional projects or value-added services. The contract term is not to exceed five years, with proposals evaluated based on programmatic questions (75%) and responsible business practices (25%).
Programmatic Questions 75%, Responsible Business Practice Questions 25%
SUMMARY
Multnomah County is seeking a qualified vendor to conduct a comprehensive Medical Claims Audit of its self-insured health plans, covering medical, prescription, and dental audits.
The primary objective is to ensure fiscal accountability, verify compliance with plan documents, and identify opportunities for cost recovery and process improvement for approximately 6,000 County employees and retirees. The scope includes stakeholder engagement, quality assurance, a knowledge transfer plan, dispute resolution, data security and compliance with HIPAA and HITECH, and additional projects or value-added services. The contract term is not to exceed five years, with proposals evaluated based on programmatic questions (75%) and responsible business practices (25%).
EVALUATION CRITERIA
Programmatic Questions 75%, Responsible Business Practice Questions 25%
REQUIRED ATTACHMENTS
7- MMP Supplier Access Request Form
- Representations and Certifications
- Professional Liability Insurance
- Commercial General Liability Insurance
- Automobile Liability Insurance
- Workers' Compensation Insurance
- Cyber Liability Insurance
- Submit to
- https://app01.jaggaer.com/apps/Router/ViewSourcingEvent?AuthToken=1%3AAES2%23CF5L8QDR96YKc53VXm3qndRepbAtaCh4BmmYGR%2FRe
- Scope location
- Multnomah County, OR
Related RFPs
Other solicitations from Multnomah County.
Questions about this RFP
How do I respond to this RFP from Multnomah County?
Review the full solicitation document for submission requirements, evaluation criteria, and deadlines. The submission deadline is September 23, 2026. Be sure to include all required attachments as outlined in the solicitation. Submissions should be delivered to: https://app01.jaggaer.com/apps/Router/ViewSourcingEvent?AuthToken=1%3AAES2%23CF5L8QDR96YKc53VXm3qndRepbAtaCh4BmmYGR%2FRe. For questions, contact Jun Zhu.
Can small businesses or minority-owned firms bid on this RFP?
Most government agencies, including Multnomah County in OR, encourage participation from small businesses, minority-owned, women-owned, and disadvantaged business enterprises (MBE/WBE/DBE). Check the full solicitation for any small business participation goals.
What happens after the RFP submission deadline?
After the deadline, the issuing agency reviews all submissions against the stated evaluation criteria. This typically includes a compliance check, technical evaluation, cost analysis, and may involve oral presentations with shortlisted vendors.
Can I ask questions about this solicitation before submitting?
Yes, most solicitations allow vendors to submit questions during a designated period. The primary contact is Jun Zhu at (503) 988-7603 ext 87603. Questions and answers are typically shared with all prospective bidders.
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What are the evaluation criteria for this solicitation?
This solicitation includes specific evaluation criteria that will be used to score proposals. The criteria include: "Programmatic Questions 75%, Responsible Business Practice Questions 25%" Vendors should carefully align their proposals with each criterion to maximize their score.
Where can I find more RFPs from Multnomah County?
All active and historical solicitations from Multnomah County are tracked and searchable. As a county agency, Multnomah County regularly publishes solicitations. Visit the agency profile to see current open bids, past contracts, vendor relationships, and decision-maker contacts.
What is the contract term for this solicitation?
The anticipated contract term is 5 years. Contract terms may include renewal options.
What documents are required to bid on this RFP?
Requirements vary by solicitation, but common documents include a technical proposal, cost/price proposal, proof of insurance, relevant certifications, past performance references, and any forms specified in the solicitation. This solicitation specifically requires the following attachments: MMP Supplier Access Request Form, Representations and Certifications, Professional Liability Insurance, Commercial General Liability Insurance, Automobile Liability Insurance, Workers' Compensation In. Review the full document from Multnomah County for the complete list.
What is the scope of this project?
This solicitation defines a specific project scope. The scope covers the following locations: Multnomah County, OR. Review the full solicitation for detailed scope requirements.