When is the submission deadline?

Submissions are due July 22, 2026. Questions must be submitted by June 24, 2026.

It was issued by Kansas Department of Administration, State Employee Health Benefit Plan. The work is located in Topeka, Kansas, United States.

Who is a good fit for this opportunity?

Experienced employee benefit plan audit firm. Demonstrated expertise in healthcare claims and pharmacy benefit audits. Familiarity with state or government health plan standards. Capability to support multi-year audit engagements. Strong presence or licensing to operate in Kansas.

State Employee Health Benefit Plan Audit Services (Due July 22, 2026)

Overview

Financial, Legal, HR & Staffing

Topeka, Kansas, United StatesPosted: June 11th, 2026Deadline: July 22nd, 2026

Fit Score

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SUMMARY

Kansas seeks an audit firm to review its State Employee Health Benefit Plan, ensuring claims and pharmacy administration conform to contractual and industry standards.

KEY REQUIREMENTS

Must have a minimum of five years of continuous experience providing services comparable in scope and complexity to those specified in the RFP.
Must have experience auditing point-of-sale rebates and retail pharmacy payments.
Must be able to provide support to the SEHP in responding to information requests needed by the Legislature within two business days.
Must warrant that all assigned personnel are employees of the vendor or specified subcontractor.
Must comply with HIPAA privacy and security rules.
Must comply with State of Kansas computer security and encryption standards.
Work must be performed within the United States.
Must provide a current Tax Clearance Certificate.

CONTRACT DURATION

36 months

TIMELINE

Questions due by June 24th, 2026.

Bid closing date is July 22nd, 2026.

Contract period begins January 1st, 2027, and ends December 31st, 2029.

QUESTION DEADLINE

June 24th, 2026

Issuing Agency

Kansas Department of Administration, State Employee Health Benefit Plan

Organization overview and procurement intelligence available on paid plans.

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DESCRIPTION

A government authority in Kansas is seeking an audit firm to conduct audits of the self-insured portion of the State Employee Health Plan (SEHP) over a three-year period (2027, 2028, 2029), with options to extend the contract by mutual agreement. The selected auditor will evaluate whether claims are processed and paid according to plan provisions and industry standards, and ensure the accuracy, timeliness, and efficiency of both claims and membership processing.

The audit will also encompass a detailed review of the Pharmacy Benefit Manager, including plan limits, prior authorizations, point of sale rebates, and drug exclusions. Service providers must be prepared to meet all standards set forth in existing contracts and address all claims processing requirements. The contract period is stated as two years, with all pre-bid questions due by June 24, 2026.

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Frequently asked questions

When is the submission deadline?: Submissions are due July 22, 2026. Questions must be submitted by June 24, 2026.
Who issued this RFP?: It was issued by Kansas Department of Administration, State Employee Health Benefit Plan. The work is located in Topeka, Kansas, United States.
Who is a good fit for this opportunity?: Experienced employee benefit plan audit firm
Demonstrated expertise in healthcare claims and pharmacy benefit audits
Familiarity with state or government health plan standards
Capability to support multi-year audit engagements
Strong presence or licensing to operate in Kansas

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