Apdx 3.Labor Categories DBM Health_SLEOLA_MDOT MTA RFP 2025.8.9.pdf

DBM HEALTH PLAN ADMINISTRATION AND SERVICES; AND

DBM SLEOLA MEDICAL PLAN ADMINISTRATION AND SERVICES; AND

MDOT-MTA REPRESENTED MEDICAL AND VISION PLAN HEALTH BENEFITS

ADMINISTRATION AND SERVICES

SOLICITATION #: F10B6600001 / F10B6600004 / AGY-24-026-SR / BPM051063

RFP Document

RFP for DBM OPSB AND MDOT-MTA ~ Appendix 3. LABOR CATEGORIES Page 1 of 4

**PLEASE NOTE THAT THIS LABOR CATEGORIES DOCUMENT IS

NOT BEING USED IN THE TRADITIONAL SENSE, OR ACCORDING TO

THE INSTRUCTIONS ON THE OSP WEBSITE. THIS DOCUMENT HAS

BEEN REPURPOSED. IT DOES NOT DEAL WITH “LABOR

CATEGORIES,” BUT CONCERNS CERTAIN LEADERSHIP

CATEGORIES. THE REFERENCES IN THE RFP TO THIS DOCUMENT

SHOULD BE UNDERSTOOD CONSISTENT WITH THIS NOTE.**

Appendix 3. Labor Categories

For Functional Areas FA1 through FA4 FA1: Health Plan Administration and Services – Preferred Provider Organization, Self-Funded

(PPO-SF) and Exclusive Provider Organization, Self-Funded (EPO-SF);

FA2: Health Plan Administration and Services – Integrated Health Model, Fully-Insured (IHM-

FI);

FA3: Health Plan Administration and Services – Point Solutions; and

FA4: SLEOLA Medical Plan Administration and Services– Preferred Provider Organization, Self- Funded (PPO-SF), Exclusive Provider Organization, Self-Funded (EPO-SF), and Point of Service Plan, Self-Funded (POS-SF)

A. Contractor(s) Account Executive: One (1) full-time equivalent (FTE), designated but not dedicated.

Position Description: The Contractor Account Executive serves as the single point of contact for the State regarding day-to-day project operations. The position shall oversee and direct all resources provided under this RFP. His/her responsibilities shall include overall project governance, communications with executives, planning, execution, monitoring, control, quality assurance and implementing course corrections as needed. The Contractor Account Executive is responsible for performing the following:

1. Managing day-to-day project activities;

2. Identifying issues and risks and recommending possible issue and risk mitigation strategies;

3. Facilitating State agency and Contractor discussions and meetings;

4. Ensuring that performance is within scope, consistent with requirements, and delivered on time;

5. Identifying critical paths, tasks, dates, testing, and acceptance criteria;

6. Ensures compliance with all contract terms and conditions.

7. Providing solutions to improve efficiency (e.g., reduce costs while maintaining or improving performance levels);

8. Monitoring issues and providing resolutions for up-to-date status reports; and

MDOT-MTA REPRESENTED MEDICAL AND VISION PLAN HEALTH BENEFITS

ADMINISTRATION AND SERVICES

RFP for DBM OPSB AND MDOT-MTA ~ Appendix 3. LABOR CATEGORIES Page 2 of 4

9. Documenting and delivering project management related artifacts.

Education: This position requires a Bachelors’ degree from an accredited college or university in Accounting, Finance, Management, Communications, Business, or a related discipline.

General Experience: The identified candidate shall have at least ten (10) years of experience in managing large-scale employee benefits projects. (Note: Experience managing large scale federal or state employee benefits projects is preferred but not required.)

MDOT-MTA REPRESENTED MEDICAL AND VISION PLAN HEALTH BENEFITS

ADMINISTRATION AND SERVICES

RFP for DBM OPSB AND MDOT-MTA ~ Appendix 3. LABOR CATEGORIES Page 3 of 4

For Functional Areas 1, 2, and 4 ONLY FA1: Health Plan Administration and Services – Preferred Provider Organization, Self-Funded

(PPO-SF) and Exclusive Provider Organization, Self-Funded (EPO-SF);

FA2: Health Plan Administration and Services – Integrated Health Model, Fully-Insured (IHM- FI); and

FA4: SLEOLA Medical Plan Administration and Services– Preferred Provider Organization, Self- Funded (PPO-SF), Exclusive Provider Organization, Self-Funded (EPO-SF), and Point of Service Plan, Self-Funded (POS-SF)

A. Contractor(s) Account Service Representative: Two (2) 100% full-time equivalent (FTE), dedicated to the State

Position Description: The Contractor Account Service Representative works closely with the Department of Budget and Management to ensure the smooth running of the program and project(s). The Contractor Account Service Representative is responsible for performing the following:

1. Project scheduling;

2. Assigning staff to ensure compliance with all contract and program requirements.

3. Allocating resources to ensure compliance with all contract and program requirements;

4. Assessing risk and its management;

5. Coordinating the various components which contribute to the program and project(s) as a whole to ensure they are being delivered on time; ensuring that deadlines are met;

6. Updating staff and keeping all stakeholders in the program and project(s) informed of progress and any issues which may arise;

7. Supporting the Contract Manager, Contract Administrator, and EBD Director in operations;

8. As directed by the State, organizing, directing, and coordinating the planning and production of contract activities, projects and support activities, including those of subcontractors;

9. Developing work breakdown structures, charts, tables, graphs, major milestone calendars and diagrams to assist in analyzing problems and making recommendations, as needed; and

10. Using excellent written and verbal communications skills.

Education: This position requires a Bachelors’ degree from an accredited college or university.

General Experience: The identified candidate shall have at least ten (10) years of experience in employee benefits program or project management.

MDOT-MTA REPRESENTED MEDICAL AND VISION PLAN HEALTH BENEFITS

ADMINISTRATION AND SERVICES

RFP for DBM OPSB AND MDOT-MTA ~ Appendix 3. LABOR CATEGORIES Page 4 of 4

For Functional Areas FA5 and FA6 ONLY FA5: Preferred Provider Organization, Self-Funded (PPO-SF) and Health Maintenance

Organization, Self-Funded (HMO-SF); and

FA6: Self-Funded Vision Benefits.

A. Contractor(s) Account Executive: One (1) full-time equivalent (FTE), designated but not dedicated.

Position Description: The Contractor Account Executive serves as the single point of contact for the State regarding day-to-day project operations. The position shall oversee and direct all resources provided under this RFP. His/her responsibilities shall include overall project governance, communications with executives, planning, execution, monitoring, control, quality assurance and implementing course corrections as needed. The Contractor Account Executive is responsible for performing the following:

1. Managing day-to-day project activities;

2. Identifying issues and risks and recommending possible issue and risk mitigation strategies;

3. Facilitating State agency and Contractor discussions and meetings;

4. Ensuring that performance is within scope, consistent with requirements, and delivered on time;

5. Identifying critical paths, tasks, dates, testing, and acceptance criteria;

6. Ensures compliance with all contract terms and conditions.

7. Providing solutions to improve efficiency (e.g., reduce costs while maintaining or improving performance levels);

8. Monitoring issues and providing resolutions for up-to-date status reports; and

9. Documenting and delivering project management related artifacts.

Education: This position requires a Bachelors’ degree from an accredited college or university in Accounting, Finance, Management, Communications, Business, or a related discipline.

General Experience: The identified candidate shall have at least ten (10) years of experience in managing large-scale employee benefits projects. (Note: Experience managing large scale federal or state employee benefits projects is preferred but not required.)