Multnomah County Medical Claims Audit - RFP-12-2027
Multnomah CountyCounty · Portland, OR- Due
- Sep 30, 2026
- Deadline passed
- Posted
- Aug 21, 2026
- Contract term
- 5 years
- Primary contact
- Jun Zhu
- (503) 988-7603 ext 87603
The 30-second brief
Multnomah County seeks proposals from qualified contractors to conduct a comprehensive Medical Claims Audit and operational assessment of its self-funded PPO medical plans, prescription benefits, and dental plans covering nearly 6,000 employees and retirees. The selected vendor will perform independent audits to ensure fiscal accountability, verify compliance with plan documents, and identify opportunities for cost recovery and process improvement. Key scopes include stakeholder engagement, robust quality assurance, error-checking methodologies, dispute resolution, knowledge transfer, Corrective Action Plan (CAP) monitoring, and data security compliance under HIPAA and HITECH. Proposals are due by September 30, 2026, at 4:00 PM PT, with a virtual pre-proposal conference held on September 2, 2026. The contract term is not to exceed five years.
Programmatic Questions (75%), Responsible Business Practice Questions (25%)
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Summary
Multnomah County seeks proposals from qualified contractors to conduct a comprehensive Medical Claims Audit and operational assessment of its self-funded PPO medical plans, prescription benefits, and dental plans covering nearly 6,000 employees and retirees.
The selected vendor will perform independent audits to ensure fiscal accountability, verify compliance with plan documents, and identify opportunities for cost recovery and process improvement. Key scopes include stakeholder engagement, robust quality assurance, error-checking methodologies, dispute resolution, knowledge transfer, Corrective Action Plan (CAP) monitoring, and data security compliance under HIPAA and HITECH. Proposals are due by September 30, 2026, at 4:00 PM PT, with a virtual pre-proposal conference held on September 2, 2026. The contract term is not to exceed five years.
EVALUATION CRITERIA
Programmatic Questions (75%), Responsible Business Practice Questions (25%)
REQUIRED ATTACHMENTS
Representations and Certifications
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 30, 2026. Be sure to include all required attachments as outlined in the solicitation. 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.
Show 4 more questions
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: Representations and Certifications. Review the full document from Multnomah County for the complete list.