Employee Healthcare Administration Services

Location:

Tennessee, United States

Posted on:

Deadline:

Summary:

Tennessee County seeks a provider for employee healthcare administration covering claims management, wellness programs, and network administration for a two-year contract.

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The county in Tennessee is seeking a vendor to provide comprehensive employee healthcare administration services over a two-year contract period. Key responsibilities include medical claims administration and program services, ensuring accurate and timely processing of claims, case management, behavioral health services, care management, and chronic condition support. The vendor is also expected to implement wellness and well-being programs designed to encourage member participation and improve health outcomes.

The scope of work involves coordination with the county's preferred kidney dialysis provider, integration and data sharing for onsite clinic management at no cost to the county or employees, and provider network administration. The selected vendor must offer access to both national and local contracted networks, including physicians, hospitals, and ancillary providers. The provider network should be comprehensive, affordable, and of high quality, maintaining cost sustainability through efficient claims adjudication and network contracting.

Transparency in pricing, contracting, and utilization data is required to support effective management of healthcare services. All questions regarding this solicitation must be submitted by March 17, 2026.

Best-fit vendors:

• Expertise in healthcare administration and medical claims processing

• Experience managing wellness and chronic condition programs

• Ability to provide and maintain national and local provider networks

• Familiarity with onsite clinic management and integration

• Proven track record of transparent pricing and data sharing

• Experience with public sector or county-level contracts

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Submit your next proposal, within 48 hours or less

Stay ahead with the latest advancement in proposal automation.

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Submit your next proposal, within 48 hours or less

Stay ahead with the latest advancement in proposal automation.