Medical Administration Services
Overview
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SUMMARY
KEY REQUIREMENTS
CONTRACT DURATION
TIMELINE
Questions Due: July 27th, 2026
Responses to Questions Anticipated: July 29th, 2026
Proposal Due Date: August 11th, 2026
Effective Date: January 1st, 2027
QUESTION DEADLINE
CONTACTS
Primary procurement contact — name, title, email, and phone
Additional decision-makers and their departments
Issuing Agency
County Of Monmouth
DESCRIPTION
The issuing organization in New Jersey is seeking a vendor to provide medical administration services under a two-year contract. The scope emphasizes both financial and operational performance, including evaluation of current costs while maintaining or improving financial results and provider discounts.
The selected provider is expected to assess alternative administrators, networks, and service delivery models, while ensuring administrative efficiency through accurate and timely claims processing, responsive account management, and eligibility administration. The organization also requires high-quality service and account support for the county and its employees and retirees.
Additional requirements include proactive clinical management of complex and chronic conditions, a comprehensive disruption analysis, digital and non-digital engagement options, high-cost claim management, specialty cost management programs, behavioral health integration, and pharmacy coordination. Questions are due by July 27, 2026.
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Frequently asked questions
- When is the submission deadline?
- Submissions are due August 11, 2026. Questions must be submitted by July 27, 2026.
- Who issued this RFP?
- It was issued by County Of Monmouth. The work is located in Freehold, New Jersey, United States.
- Who is a good fit for this opportunity?
- Third-party administrator or health benefits administration firm
- Experience serving public sector employers, counties, or large self-funded groups
- Strong claims processing, eligibility, and account management capabilities
- Proven cost containment and provider network optimization expertise
- Clinical care management experience for complex and chronic conditions
- Behavioral health and pharmacy coordination capabilities
- Ability to deliver disruption analysis and multi-channel member engagement
- Capacity to support employees and retirees under a multi-year contract
Analysis generated by Settle AI from the source RFP.
RFP Hunter shows what is open. Settle shows what is forming.
Settle pieces together buyer signals, budgets, contract activity, and the sources your team already monitors. See why an opportunity fits and what to do before the RFP posts.