MAS - Healthcare Management Solutions, LLC - GS00F295CA

© 2020 Healthcare Management Solutions, LLC. All rights reserved. rev.20220629 1

1000 Technology Drive, Suite 1310, Fairmont, WV 26554

Phone: 304.368.0288 • Fax: 304.368.0389 • Toll-Free: 866.275.4671 • Website: www.hcmsllc.com

Healthcare Management Solutions, LLC GSA Multiple Award Schedule (MAS) Federal Supply Schedule Pricelist

Prices Shown Herein are Net (discount deducted)

GENERAL SERVICES ADMINISTRATION Federal Supply Service

Authorized Federal Supply Schedule Price List

Online access to contract ordering information, terms and conditions, up-to-date pricing, and the option to create an electronic delivery order are available through GSA Advantage!®, a menu-driven database system. The Internet address for GSA Advantage!® is: http://www.GSAAdvantage.gov.

Schedule Title: Multiple Award Schedule

Federal Supply Group: Professional Services

Contract Number: GS-00F-295CA

For more information on ordering from Federal Supply Schedules go to the GSA Schedules page at GSA.gov.

Contract Period: September 10, 2015 – September 9, 2025

Contractor Healthcare Management Solutions, LLC 1000 Technology Drive, Suite 1310 Fairmont, West Virginia 26554 304-368-0288 http://www.hcmsllc.com

Contract Administrator Leah Heimbach contracts@hcmsllc.com Phone: 304-368-0288 Fax: 304-368-0389 Healthcare Management Solutions, LLC 1000 Technology Drive, Suite 1310 Fairmont, West Virginia 26554

Business Size: Large

Pricelist current as of Modification #PS-A842, effective June 21, 2022.

http://www.hcmsllc.com/ http://www.gsaadvantage.gov/ http://www.hcmsllc.com/ mailto:contracts@hcmsllc.com

© 2020 Healthcare Management Solutions, LLC. All rights reserved. rev.20220629 2

Table of Contents

Customer Information

1a. Table of awarded special item number(s) with appropriate cross-reference to item descriptions and awarded price(s)

1b. Lowest priced model number and lowest unit prices

1c. Labor Category Descriptions

Management Consultant I

Management Consultant II

Senior Consultant I

Senior Consultant II

Consultant I

Consultant II

Consultant III

Senior Trainer I

Senior Analyst I

Senior Analyst II

Senior Analyst III

Trainer I

Analyst I

Analyst II

Administrative Assistant I

Administrative Assistant II

Administrative Support I

Administrative Support II

Auditor I

Auditor II

Auditor III

Billing Analyst I

Billing Analyst II

Data Analyst I

Data Analyst II

Financial Analyst I

Financial Analyst II

Medical Director I

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Medical Director II

Project Coordinator I

Project Coordinator II

Project Coordinator III

Project Coordinator IV

Project Director I

Project Director II

Project Director III

Project Manager I

Project Manager II

Quality Assurance Analyst I

Quality Assurance Analyst II

Records Coordinator

Senior Data Analyst

Senior Financial Analyst I

Senior Medical Director I

Senior Medical Director II

Senior Project Manager I

Senior Systems Analyst

Subject Matter Expert I

Equivalencies

2. Maximum Order

3. Minimum Order

4. Geographic Coverage

5. Points of Production

6. Statement of Net Price

7. Quantity Discounts

8. Prompt Payment Terms

9. Foreign Items

10a. Time of Delivery

10b. Expedited Delivery

10c. Overnight and Two-day Delivery

10d. Urgent Requirements

11. F.O.B. Points

12a. Ordering Address

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12b. Ordering Procedures

13. Payment Address

14. Warranty Provision

15. Export Packing Charges

16. Terms and Conditions of rental, maintenance, and repair

17. Terms and Conditions of installation

18a. Terms and Conditions of repair parts indicating date of parts price lists and any discounts from list prices

18b. Terms and Conditions for any other services

19. List of service and distribution points

20. List of participating dealers

21. Preventive Maintenance

22a. Special attributes such as environmental attributes

22b. Section 508 Compliance

23. Unique Entity Identifier (UEI) Number

24. System of Award Management (SAM)

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Customer Information

1a. Table of awarded special item number(s) with appropriate cross-reference to item descriptions and awarded price(s).

See Awarded SINS and descriptions below. Awarded Prices can be found on pages 23-28.

SIN Recovery SIN Description 541211 541211RC Auditing Services 541214 541214RC Payroll Services 541219 541219RC Budget and Financial Management Services 541611 541611RC Management and Financial Consulting, Acquisition and

Grants Management Support, and Business Program and Project Management Services

541990RISK 541990RISKRC Risk Assessment and Mitigation Services OLM OLMRC Order-Level Materials (OLM)

1b. Lowest priced model number and lowest unit prices.

Prices shown in the pricelist are for 1 hour. Discounts may be made available for quantity orders.

1c. Labor Category Descriptions.

Management Consultant I Functional Responsibility:

Experienced in multiple aspects of organizational and management consulting. Manages contractual relationship with clients and maintains the authority to apply resources of the company to any project. Provides expert advice, assistance, guidance and counseling in support of organizational improvement efforts such as program and project management, project integration, and program oversight for projects related to consulting services, business improvement efforts, facilitation services. Conducts quality assurance reviews for major aspects of key projects. Represents the organization at high-level policy and planning meetings.

Position Qualifications:

Master’s Degree plus 10 years of relevant experience, OR

Bachelor’s Degree plus 12 years of relevant experience, OR

Associate’s Degree plus 14 years of relevant experience, OR

High School Diploma or GED plus 16 years of relevant experience

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Management Consultant II Functional Responsibility:

Experienced in all aspects of organizational and management consulting. Manages contractual relationship with clients and maintains the authority to apply resources of the company to any project. Provides expert advice, assistance, guidance, and counseling in support of organizational improvement efforts in such areas as program and project management, project integration, and program oversight for projects related to consulting services, business improvement efforts, and facilitation services. Conducts quality assurance reviews for all aspects of key projects. Represents the organization at top-level policy and planning meetings.

Position Qualifications:

Master’s Degree plus 13 years of relevant experience, OR

Bachelor’s Degree plus 15 years of relevant experience, OR

Associate’s Degree plus 17 years of relevant experience, OR

High School Diploma or GED plus 19 years of relevant experience

Senior Consultant I Functional Responsibility:

Provides consulting services, organizational improvement efforts, and facilitation services, performing executive-level consulting activities to assist clients in activities such as building leadership, conducting strategic planning, developing process improvements, performing facilitation services, and improving business results. Experienced in translating strategies into action plans, analyzing resource needs, implementing continuous improvement strategies, improving organizational performance, and facilitating process management.

Position Qualifications:

Master’s Degree plus 6 years of relevant experience, OR

Bachelor’s Degree plus 8 years of relevant experience, OR

Associate’s Degree plus 10 years of relevant experience, OR

High School Diploma or GED plus 12 years of relevant experience

Senior Consultant II Functional Responsibility:

Provides consulting services, organizational improvement efforts, and facilitation services, performing executive-level consulting activities to assist clients in designated activities such as building leadership, planning and implementing strategies, developing process improvements, performing facilitation services, and improving overall business results.

Experienced in translating strategic plans into action plans, developing and fostering resource needs, developing and implementing continuous improvement strategies, improving organizational performance, and advancing process management.

Position Qualifications:

Master’s Degree plus 8 years of relevant experience, OR

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Bachelor’s Degree plus 10 years of relevant experience, OR

Associate’s Degree plus 12 years of relevant experience, OR

High School Diploma or GED plus 14 years of relevant experience

Consultant I Functional Responsibility:

First-level consultant. Maintains specialized knowledge of organizational issues and processes related to the best practices for implementing complex business change. Works on projects related to consulting services, business improvement efforts, facilitation services, regulatory compliance, policy development, compliance review, and multiple aspects of surveying. May perform consulting activities to assist clients in activities such as conducting information analysis, developing process improvements, performing facilitation services, and improving business results.

Position Qualifications:

Master’s Degree plus 1 year of relevant experience, OR

Bachelor’s Degree plus 3 years of relevant experience, OR

Associate’s Degree plus 5 years of relevant experience, OR

High School Diploma or GED plus 7 years of relevant experience

Consultant II Functional Responsibility:

Second-level consultant. Maintains specialized knowledge of management issues and processes related to the best practices for implementing complex business change.

Performs a variety of tasks which require a specialized, practical, and theoretical knowledge base. Must have clinical experience and the ability to read and analyze medical information, including medical charts, utilization review nursing notes, and clinical criteria.

Strong decision making and problem solving skills. Strong writing skills, computer literacy, including word processing and email. Ability to provide objective, first-level determinations.

Electronic medical records experience is helpful. Provides medical claim case reviews and standard of care determinations. Works on projects related to consulting services, business improvement efforts, facilitation services, regulatory compliance, compliance review, policy development, and all aspects of surveying. Performs consulting activities to assist clients in activities such as conducting information analysis, developing process improvements, performing facilitation services, and improving an organization’s business results.

Position Qualifications:

Master’s Degree plus 3 years of relevant experience, OR

Bachelor’s Degree plus 5 years of relevant experience, OR

Associate’s Degree plus 7 years of relevant experience, OR

High School Diploma or GED plus 9 years of relevant experience

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Consultant III

Third-level consultant. Maintains specialized knowledge of organizational issues and processes related to the best practices for implementing complex business change.

Excellent decision making and problem solving skills. Performs a variety of tasks that require a specialized, practical, and theoretical knowledge base. Works on projects related to consulting services, business improvement efforts, facilitation services, regulatory compliance, compliance review, policy development, and all aspects of surveying. Performs consulting activities to assist clients in activities such as building leadership, performing strategic planning, conducting information analysis, developing process improvements, facilitating services, and improving an organization’s business results. Provides objective, high-level determinations.

Position Qualifications:

Master’s Degree plus 5 years of relevant experience, OR

Bachelor’s Degree plus 7 years of relevant experience, OR

Associate’s Degree plus 9 years of relevant experience, OR

High School Diploma or GED plus 11 years of relevant experience

Senior Trainer I Functional Responsibility:

Applies experience and supervises others in instructional design theory, research, and practice to the process of developing and implementing instructional strategies. Develops, assesses, and evaluates instructional materials and activities, including appropriate use of instructional materials, activities, and instructional technologies. Provides generic and customized training and professional development to meet needs related to educational leadership in formal and informal environments, targeted at improving teaching and learning.

Position Qualifications:

Master’s Degree plus 3 years of relevant experience, OR

Bachelor’s Degree plus 5 years of relevant experience, OR

Associate’s Degree plus 7 years of relevant experience, OR

High School Diploma or GED plus 9 years of relevant experience

Senior Analyst I Functional Responsibility:

First-level senior analyst. Performs analyst functions such as data collection and data analysis as directed. Helps maintain strategic direction and quality assurance by performing secondary reviews. Conducts activities in support of the team’s objectives.

Supports the Program Manager/Director in the overall program management and direction, program oversight, task completion and maintenance, staff management, delivery schedule management.

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Master’s Degree, OR

Bachelor’s Degree plus 1 year of relevant experience, OR

Associate’s Degree plus 3 years of relevant experience, OR

High School Diploma or GED plus 5 years of relevant experience

Senior Analyst II Functional Responsibility:

Second-level senior analyst. Works on projects related to consulting services and business improvement efforts. Performs consulting analysis activities to assist clients in activities such as building leadership, performing strategic planning, conducting information analysis, developing process improvements, and improving an organization’s business results. May have experience in claims review, risk management, and clinical operations.

Experience in program management, which includes overall project management, project oversight and maintenance, staff management, and delivery schedule management.

Position Qualifications:

Master’s Degree plus 1 year of relevant experience, OR

Bachelor’s Degree plus 3 years of relevant experience, OR

Associate’s Degree plus 5 years of relevant experience, OR

High School Diploma or GED plus 7 years of relevant experience

Senior Analyst III Functional Responsibility:

Third-level senior analyst. Leads the direction and strategic focus of an analytic process.

Has an extensive breadth of knowledge of statistical techniques and functions. Is responsible for synchronizing the client’s vision or goals with the statistical techniques required to elicit the desired analyses. Experience with statistics, information process analysis and/or research methods, and decision support, including demonstrated proficiency with analytical software. Responsible for ongoing analysis of health care information, obtained from a variety of sources, including patient care, financial, and demographic data. It involves development and preparation of analytical information products and developing business process improvements based upon analysis.

Position Qualifications:

Master’s Degree plus 3 years of relevant experience, OR

Bachelor’s Degree plus 5 years of relevant experience, OR

Associate’s Degree plus 7 years of relevant experience, OR

High School Diploma or GED plus 9 years of relevant experience

Trainer I

First-level position. Applies experience in instructional design theory, research, and practice

© 2020 Healthcare Management Solutions, LLC. All rights reserved. rev.20211206 10 to the process of developing and implementing instructional strategies. Develops, assesses, and evaluates instructional materials and activities, including appropriate use of instructional materials, activities, and instructional technologies. Provides generic and customized training and professional development to meet educational needs in formal and informal environments, targeted at improving teaching and learning.

Position Qualifications:

Master’s Degree, OR

Bachelor’s Degree plus 2 years of relevant experience, OR

Associate’s Degree plus 4 years of relevant experience, OR

High School Diploma or GED plus 6 years of relevant experience

Analyst I Functional Responsibility:

Assists in review of risk management program elements, including claims management.

Analyzes trending of occurrence reports. May identify root cause analysis, compliance monitoring, regulatory review, and investigation of risk management issues. Reviews medical records related to potential litigation and existing lawsuits and assists in informational discovery requests. Participates in the review process according to established protocols.

Position Qualifications:

Master’s Degree plus 1 years of relevant experience, OR

Bachelor’s Degree plus 3 years of relevant experience, OR

Associate’s Degree plus 5 years of relevant experience, OR

High School Diploma or GED plus 7 years of relevant experience

Analyst II Functional Responsibility:

Experience in member benefits calculation, member eligibility verification, and development/trending improper payment scenarios. Knowledge of basic medical terminology preferred. Familiar with automated medical claims payment systems.

Manages the review process, which may include technical reviews of claims. Also, ensures required reviews are conducted, and the appropriate review attendees are included and notified with appropriate review details. Conducts reviews in an appropriate and efficient manner and ensures any follow-up activities are managed to closure. Oversees HIPAA compliance as required by review protocols.

Position Qualifications:

Master’s Degree plus 3 years of relevant experience, OR

Bachelor’s Degree plus 5 years of relevant experience, OR

Associate’s Degree plus 7 years of relevant experience, OR

High School Diploma or GED plus 9 years of relevant experience

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Administrative Assistant I

Entry-level position. Provides administrative support to business and management personnel, working closely with the project team. Responsibilities include administrative systems support, report formatting, general telecommunications knowledge, systems security and advance computer skills, production of project-related correspondence, web site and database maintenance, meeting and reservation scheduling, and maintenance of document libraries.

Position Qualifications:

Associate’s Degree, OR

High School Diploma or GED plus 1 year relevant experience

Administrative Assistant II Functional Responsibility:

Second-level position. Provides administrative support to business and management personnel, working closely with the Project Director and other project staff. Responsibilities include administrative systems support analysis and design, report formatting, general telecommunications knowledge, systems security and advance computer skills, production of project-related correspondence, web site and database maintenance, meeting and reservation scheduling, and maintenance of document libraries. This includes, but is not limited to project administration, program management support, producing project-related correspondence, maintaining websites and databases, scheduling meetings and reservations, and maintaining document libraries.

Position Qualifications:

Associate Degree plus 1 year of relevant experience, OR

High School Diploma or GED plus 3 years of relevant experience

Administrative Support I Functional Responsibility:

Entry-level support. Provide administrative support to business and management personnel, including administrative systems support, report formatting, and written and verbal communications. Advanced computer skills required. Produce project-related correspondence. Maintain data and document repositories. Schedule meetings and travel logistics. Experience preparing technical documentation.

Position Qualifications:

Associate’s Degree, OR

High School Diploma or GED plus 1 year relevant experience

Administrative Support II Functional Responsibility:

Second-level support. Provide administrative support to business and management personnel, including administrative systems support, report formatting, and written and verbal communications. Advanced computer skills required. Produce project related

© 2020 Healthcare Management Solutions, LLC. All rights reserved. rev.20211206 12 correspondence and maintain data and document repositories. Schedule meetings and travel logistics. Conduct project research as needed. Experience preparing technical documentation.

Position Qualifications:

Associate Degree plus 1 year of relevant experience, OR

High School Diploma or GED plus 3 years of relevant experience

Auditor I Functional Responsibility:

First-level position. Prepare work papers, financial statements, and reports for compliance with applicable standards and completeness. Conduct discussions with clients about audit results. Review, coordinate, and approve audit plans. Help identify and resolve accounting, auditing, and reporting problems. Plan and execute financial and/or compliance audits.

Independently perform major segments of an audit. Conduct all financial audits in conformity with generally accepted accounting principles in the United States.

Position Qualifications:

Bachelor’s Degree, OR

Associate’s Degree plus 2 years of relevant experience, OR

High School Diploma or GED plus 4 years of relevant experience

Auditor II Functional Responsibility:

Second-level position. Prepare or review work papers, financial statements, and reports for compliance with applicable standards and completeness. Conduct discussions with clients about audit results. Review, coordinate, and approve audit plans. Identify and resolve accounting, auditing, and reporting problems. Plan and execute financial and/or compliance audits. Independently perform major segments of an audit. Conduct all financial audits in conformity with generally accepted accounting principles in the United States. May oversee other auditors.

Position Qualifications:

Master’s Degree, OR

Bachelor’s Degree plus 2 years relevant experience (CPA designation may be substituted for relevant experience), OR

Associate’s Degree plus 2 years of relevant experience

Auditor III Functional Responsibility:

Third-level position. Review work papers, financial statements, and reports for compliance with applicable standards and completeness. Conduct discussions with clients about audit results. Review, coordinate, and approve audit plans. Oversee identification and resolution of accounting, auditing, and reporting problems. Plan and execute financial and/or compliance audits. Independently perform all segments of an audit. Conduct all financial

© 2020 Healthcare Management Solutions, LLC. All rights reserved. rev.20211206 13 audits in conformity with accounting principles generally accepted in the United States.

Oversight of other auditors.

Position Qualifications:

Master’s Degree plus 2 years of relevant experience (CPA designation may be substituted for relevant experience), OR

Bachelor’s Degree plus 4 years of relevant experience (CPA designation may be substituted for relevant experience), OR

Associate’s Degree plus 6 years of relevant experience (CPA designation may be substituted for relevant experience)

Billing Analyst I Functional Responsibility:

First-level position. Support the integration of the business, cost accounting, and financial reporting with management processes to ensure the efficient stewardship of funds. Apply a basic understanding of accounting practices and principles when gathering, analyzing, and reconciling data. Provide support to process improvement analysis assessments.

Prepare and/or review invoices for accuracy.

Position Qualifications:

Associate’s Degree, OR

High School Diploma or GED plus 2 years of relevant experience

Billing Analyst II Functional Responsibility:

Second-level position. Systematically support the integration of the business, cost accounting, and financial reporting with management processes to ensure the efficient stewardship of funds. Apply an advanced understanding of accounting practices and principles when gathering, analyzing, and reconciling data. Support process improvement analysis assessments. Prepare and review invoices for accuracy.

Position Qualifications:

Bachelor’s Degree, OR

Associate’s Degree plus 2 years of relevant experience, OR

High School Diploma or GED plus 4 years of relevant experience

Data Analyst I Functional Responsibility:

First-level position. Provide accurate data analysis in support of detection, case development, remediation, and recovery of suspected overpayments, fraud, waste, and abuse. Assess data integrity by evaluating, implementing, and managing compliance with financial, business, or medical specifications. Conduct reviews of completed work to evaluate integrity of data analysis and findings.

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Bachelor’s Degree plus 2 years of relevant experience, OR

Associate’s Degree plus 4 years of relevant experience, OR

High School Diploma or GED plus 6 years of relevant experience

Data Analyst II Functional Responsibility:

Second-level position. Provide accurate data analysis as a subject matter expert in support of detection, case development, remediation, and recovery of suspected overpayments, fraud, waste, and abuse. Assess data integrity by evaluating, implementing, and managing compliance with financial, business, or medical specifications. Conduct initial and final reviews of completed work to evaluate integrity of data analysis and findings.

Position Qualifications:

Master’s Degree plus 2 years of relevant experience, OR

Bachelor’s Degree plus 4 years of relevant experience, OR

Associate’s Degree plus 6 years of relevant experience, OR

High School Diploma or GED plus 8 years of relevant experience

Financial Analyst I Functional Responsibility:

First-level position. Support analysis of accounting systems and assist in the development of client solutions. Prepare documentation, reports, and other deliverables for management approval. Recommend cost-effective strategies for use of system technology to meet financial reporting requirements. Evaluate business processes to ensure effective and efficient use of business information resources.

Position Qualifications:

Bachelor’s Degree, OR

Associate’s Degree plus 2 years of relevant experience, OR

High School Diploma or GED plus 4 years of relevant experience

Financial Analyst II Functional Responsibility:

Second-level position. Analyze accounting systems and design client solutions. Prepare documentation, reports, and other deliverables in coordination with management.

Recommend cost effective strategies for use of system technology to meet financial reporting requirements. Evaluate business processes to ensure effective and efficient use of business information resources.

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Bachelor’s Degree plus 2 years of relevant experience (CPA designation may be substituted for relevant experience), OR

Associate’s Degree plus 4 years of relevant experience, OR

High School Diploma or GED plus 6 years of relevant experience

Medical Director I

Use expertise in a complex, specific subject matter area to define problems and develop plans and requirements for successful completion of a project. Conduct reviews of previously analyzed medical claims or records for quality assurance. Identify and prevent instances of fraud, waste, or abuse. Analyze data to establish whether claims submitted warrant further evaluation. Coordinate and manage analyses, evaluations, and recommendations for optimization of project strategies. Performs a variety of tasks which requires a specialized, practical, and theoretical knowledge base. Has varied clinical experience and the ability to read and analyze complex medical information, including criteria-based medical charts, utilization review nursing notes, and clinical criteria. Ability to provide objective determinations. Electronic medical records experience is preferred.

Provides medical claim case reviews and standard-of-care determinations. Licensed healthcare professional. May serve as Project Director.

Position Qualifications:

Doctorate Level Degree plus 2 years of relevant experience

Medical Director II Functional Responsibility:

Apply expertise in a complex, specific subject matter area to define problems and develop plans and requirements for successful completion of a project. Conduct reviews of previously analyzed medical claims or records for quality assurance. Identify and prevent instances of fraud, waste, or abuse. Analyze data to establish whether claims submitted warrant further evaluation. Coordinate and manage analyses, evaluations, and recommendations for optimization of project strategies. Has varied clinical experience and the ability to read and analyze complex medical information, including criteria-based medical charts, utilization review nursing notes, and clinical criteria. Ability to provide objective determinations. Electronic medical records experience is preferred. Provides medical claim case reviews and standard-of-care determinations. Licensed healthcare professional. May serve as Project Director.

Position Qualifications:

Doctorate Level Degree plus 5 years of relevant experience

Project Coordinator I Functional Responsibility:

Entry-level position. Support the Project Manager or Project Director. Maintain data and document repositories. Schedule meetings and travel logistics. Have experience preparing and editing technical documentation. Maintain deliverable schedules. Facilitate

© 2020 Healthcare Management Solutions, LLC. All rights reserved. rev.20211206 16 communication among project personnel. Prepare meeting agendas and minutes and reports.

Position Qualifications:

Associate’s Degree, OR

High School Diploma or GED plus 2 years of relevant experience

Project Coordinator II Functional Responsibility:

Second-level position. Support the Project Manager or Project Director. Evaluate system resources, usage, performance, and security of project-relevant processes and procedures.

Maintain data and document repositories. Schedule meetings and travel logistics. Conduct basic research. Have experience preparing and editing technical documentation. Maintain deliverable schedules. Facilitate communication among project personnel. Prepare meeting agendas and minutes and reports.

Position Qualifications:

Associate’s Degree plus 1 year relevant experience, OR

High School Diploma or GED plus 3 years of relevant experience

Project Coordinator III Functional Responsibility:

Third-level position. Support the Project Manager or Project Director. Evaluate system resources, usage, performance, and security of project-relevant processes and procedures.

Maintain data and document repositories. Schedule meetings and travel logistics. Conduct project research as requested. Prepare and edit technical documentation. Maintain deliverable schedules. Facilitate communication among project personnel. Prepare meeting agendas and minutes and reports. Serve as liaison between Project Manager or Project Director and project staff.

Position Qualifications:

Bachelor’s Degree, OR

Associate’s Degree plus 2 years of relevant experience, OR

High School Diploma or GED plus 4 years of relevant experience

Project Coordinator IV Functional Responsibility:

Fourth-level position. Support the Project Manager or Project Director. Evaluate system resources, usage, performance, and security of project-relevant processes and procedures.

Maintain data and document repositories. Schedule meetings and travel logistics. Conduct project research. Prepare and edit simple and complex technical documentation. Maintain deliverable schedules and coordinate with Project Manager or Project Director. Facilitate communication among project personnel. Develop and prepare meeting agendas and minutes and reports.

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Bachelor’s Degree plus 1 year of relevant experience, OR

Associate’s Degree plus 3 years of relevant experience, OR

High School Diploma or GED plus 5 years of relevant experience

Project Director I Functional Responsibility:

First-level position. Responsible for all phases of performance, including contract management, contract cost control, coordination of resource needs, coordination with company resources and management, and work plan development. Have direct accountability for the technical accuracy, timeliness, and quality of deliverables.

Knowledgeable in areas of expertise required for successful project management. Lead and manage compliance, performance, and financial audits, reviews, and evaluations by planning and coordinating program and project efforts, providing project reports, and maintaining schedules and budgets for the program. Serve as a focal point of contact with the client on financial and business solution activities. Detect, analyze, and solve a wide variety of financial and business issues or instances of non-compliance. Provide technical leadership and guidance to resolve complex problems across multiple tasks. Manage a project from inception to deployment and show a demonstrated ability to manage contracts. Supervise the project performance of staff in accordance with the company’s policies and procedures. Project Management Professional (PMP) Certification eligible.

Position Qualifications:

Master’s Degree, OR

Bachelor’s Degree plus 2 years of relevant experience, OR

Associate’s Degree plus 4 years of relevant experience

Project Director II Functional Responsibility:

Second-level position. Oversee all phases of performance, including contract management, contract cost control, coordination of resource needs, coordination with company resources and management, and work plan development. Have direct accountability for the technical accuracy, timeliness, and quality of deliverables. Apply expertise required for successful project management. Lead and manage compliance, performance, and financial audits, reviews, and evaluations by planning and coordinating program and project efforts, providing project reports, and maintaining schedules and budgets for the program. Serve as a focal point of contact with the client on financial and business solution activities.

Detect, analyze, and solve diverse financial and business issues or instances of non-compliance. Provide technical leadership and guidance to resolve complex problems across multiple tasks. Manage a project from inception to deployment and have a demonstrated ability to manage contracts. Supervise the project performance of staff in accordance with the company’s policies and procedures. Project Management Professional (PMP) Certification preferred.

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Master’s Degree plus 2 years of relevant experience, OR

Bachelor’s Degree plus 4 years of relevant experience, OR

Associate’s Degree plus 6 years of relevant experience

Project Director III Functional Responsibility:

Third-level position. Oversee all performance phases, including contract management, contract cost control, coordination of resource needs, coordination with company resources and management, and work plan development. Be directly accountable for the technical accuracy, timeliness, and quality of deliverables. Demonstrate expertise required for successful project management. Lead and manage compliance, performance, and financial audits, reviews, and evaluations by planning and coordinating program and project efforts, providing project reports, and maintaining schedules and budgets for the program. Serve as direct point of contact with the client on financial and business solution activities. Detect, analyze, and solve diverse financial and business issues or instances of non-compliance. Provide technical leadership and guidance to resolve complex problems across multiple tasks. Oversee a project from inception to deployment and show a demonstrated ability to manage government and commercial contracts. Supervise the project performance of staff in accordance with the company’s policies and procedures.

Project Management Professional (PMP) Certification preferred.

Position Qualifications:

Relevant Professional Degree (e.g., JD, MD, PhD), OR

Master’s Degree plus 7 years of relevant experience, OR

Bachelor’s Degree plus 10 years of relevant experience, OR

Associate’s Degree plus 13 years of relevant experience

Project Manager I Functional Responsibility:

First-level position. Administer a financial or business solution program or project, overseeing project personnel. Retain responsibility for overall contract performance.

Demonstrate the proven ability to manage a project life cycle successfully. Manage government and commercial contracts and liaison with the customer. Supervise the project performance of staff in accordance with the company’s policies and procedures. Prepare high-quality and timely deliverables.

Position Qualifications:

Bachelor’s Degree plus 1 year of relevant experience, OR

Associate’s Degree plus 3 years of relevant experience, OR

High School Diploma or GED plus 5 years of relevant experience

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Project Manager II

Second-level position. Administer a group of financial or business solution programs or projects, overseeing review personnel. Retain responsibility for overall contract performance. Demonstrate the proven ability to manage a project from inception to deployment successfully. Manage government and commercial contracts and liaison with the customer. Supervise the project performance of staff in accordance with the company’s policies and procedures. Maintain responsibility for high-quality and timely deliverables.

Project Management Professional (PMP) Certification eligible.

Position Qualifications:

Bachelor’s Degree plus 3 years of relevant experience, OR

Associate’s Degree plus 5 years of relevant experience, OR

High School Diploma or GED plus 7 years of relevant experience

Quality Assurance Analyst I Functional Responsibility:

First-level position. Implement a program to report, track, and analyze quality measures.

Monitor quality procedures. Prepare studies, plans, and analyses in support of project personnel and goals. Perform random checks to assure adherence to quality assurance guidelines. Provide technical and grammatical support for written documentation.

Position Qualifications:

Associate’s Degree, OR

High School Diploma or GED plus 2 years of relevant experience

Quality Assurance Analyst II Functional Responsibility:

Second-level position. Develop and implement a program to report, track, and analyze quality measures. Monitor quality procedures. Prepare studies, plans, and analyses in support of project personnel and goals. Perform random checks to assure adherence to quality assurance guidelines. Provide technical and grammatical support for written documentation and compliance.

Position Qualifications:

Bachelor’s Degree, OR

Associate’s Degree plus 2 years of relevant experience, OR

High School Diploma or GED plus 4 years of relevant experience

Records Coordinator Functional Responsibility:

Knowledge of basic medical terminology. Responsible for requesting, tracking, receipt acknowledgement, maintenance, and destruction of all medical records required for compliance audits from providers. Ensure total compliance to all HIPAA requirements in every stage of the record review.

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Associate’s Degree in Health Information Management, OR

High School Diploma plus 2 years of experience in Health Information Management

Senior Data Analyst Functional Responsibility:

Third-level position. Ensure accurate data analysis as a subject matter expert of detection, case development, remediation, and recovery of suspected overpayments, fraud, waste, and abuse. May manage and direct a diverse group of highly professional staff. Ensure data integrity by evaluating, implementing, and managing compliance to financial, business, or medical specifications. Develop and/or update functional manuals outlining established methods of performing work in accordance with the organizational policy. Conduct routine audits of completed work to ensure integrity of outcomes.

Position Qualifications:

Master’s Degree plus 3 years of relevant experience, OR

Bachelor’s Degree plus 6 years of relevant experience, OR

Associate’s Degree plus 8 years of relevant experience, OR

High School Diploma or GED plus 10 years of relevant experience

Senior Financial Analyst I Functional Responsibility:

Third-level position. Consult with Project Directors and Senior Managers on strategic analysis, resource management, and financial analysis. Develop benchmark measurements and lead assessment efforts. Manage consultants and analysts. Assist in developing, analyzing, and resolving client issues. Plan and execute financial and compliance reviews.

Position Qualifications:

Master’s Degree and 2 years of relevant experience (CPA designation can replace 2 years of experience), OR

Bachelor’s Degree plus 4 years of relevant experience (CPA designation can replace 2 years of experience), OR

Associate’s Degree plus 6 years of relevant experience (CPA designation can replace 2 years of experience)

Senior Medical Director I Functional Responsibility:

Licensed healthcare professional with specific subject matter expertise. Has extensive knowledge about the claims review process, including healthcare payment policies.

Recommend corrections in instances of fraud, abuse, or waste. Analyze data to establish whether submitted claims wrongfully paid were intentionally misrepresented. Coordinate and manage analyses, evaluations, and recommendations for optimization of project strategies. Conduct complex medical record reviews. Serve as Subject Matter Expert and make recommendations to claims reviewers, medical record reviewers, and coders. May

© 2020 Healthcare Management Solutions, LLC. All rights reserved. rev.20211206 21 serve as Project Director.

Doctorate Level Degree and 6 years of relevant experience

Senior Medical Director II Functional Responsibility:

Licensed healthcare professional with specific subject matter expertise. Demonstrate extensive knowledge about the claims review process, including healthcare payment policies and protocols. Provide recommendations to correct fraud, abuse, or waste instances. Analyze data to establish whether submitted claims that were wrongfully paid had been intentionally misrepresented. Coordinate and manage analyses, evaluations, and recommendations for optimization of project strategies and goals. Conduct complex medical record reviews as needed. Serve as Subject Matter Expert and make recommendations to claims reviewers, medical record reviewers, and coders. May serve as Project Director and/or Chief Medical Officer.

Position Qualifications:

Doctorate Level Degree plus 8 years of relevant experience

Senior Project Manager I Functional Responsibility:

Apply technical and managerial skills to ensure products and deliverables meet the client’s requirements and deadlines. Provide subject matter expertise as relevant to the project.

Maintain ultimate responsibility for the technical quality of deliverables. Lead and manage compliance, performance, and financial audits, reviews, and evaluations by planning and coordinating program and project efforts, providing project reports, and maintaining schedules and budgets for the program. Project Management Professional (PMP) Certification preferred.

Position Qualifications:

Professional Degree (e.g., JD, MD, PhD) and 2 years of relevant experience, OR

Master’s Degree plus 10 years of relevant experience, OR

Bachelor’s Degree plus 13 years of relevant experience

Senior Systems Analyst Functional Responsibility:

Formulate and define the technical scope and objectives of the project. Translate operational requirements into specific financial and business process designs or solutions.

Perform all necessary functions including requirements analysis and definition, functional development, test plan development and implementation, and development of final documentation.

Position Qualifications:

Master’s Degree plus 1 year of relevant experience, OR

Bachelor’s Degree plus 4 years of relevant experience, OR

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Associate’s Degree plus 6 years of relevant experience, OR

High School Diploma or GED plus 8 years of relevant experience

Subject Matter Expert I Functional Responsibility:

Has experience in translating strategic plans into action plans according to relevant standards and policies, developing resource needs, developing continuous improvement strategies, improving organizational performance, and developing improvement to business or financial process management. Maintain specialized knowledge of organizational issues and processes related to the best practices for implementing complex business change.

Position Qualifications:

Master’s Degree plus 7 years of relevant experience, OR

Bachelor’s Degree plus 9 years of relevant experience, OR

Associate’s Degree plus 11 years of relevant experience, OR

High School Diploma or GED plus 14 years of relevant experience

Equivalencies The following certifications and licenses may be used as education and experience equivalencies:

• Technical Certifications may be substituted for an Associate’s Degree or 2 years of relevant experience.

• Professional Certifications may be substituted for a Bachelor’s Degree or 4 years of relevant experience.

• Professional Licenses may be substituted for a Master’s Degree or 6 years of relevant experience.

• Undergraduate credits from an accredited institution may be applied toward an educational equivalency.

2. Maximum Order

$1,000,000.00

3. Minimum Order

$100.00

4. Geographic Coverage

United States and its Territories and Possessions

5. Points of Production

Fairmont, West Virginia; Columbia, Maryland; and at customer site as requested

6. Statement of Net Price

Government net prices (discounts already deducted)

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7. Quantity Discounts

None

8. Prompt Payment Terms

NET 30 days. Information for Ordering Offices: Prompt payment terms cannot be negotiated out of the contractual agreement in exchange for other concessions.

9. Foreign Items

None

10a. Time of Delivery

Specified on the Task Order

10b. Expedited Delivery

Contact the Contractor

10c. Overnight and Two-day Delivery

Contact the Contractor

10d. Urgent Requirements

Contact HMS for urgent requirements. When the Federal Supply Schedule contract delivery period does not meet the bona fide urgent delivery requirements of an ordering agency, agencies are encouraged, if time permits, to contact HMS for the purpose of obtaining accelerated delivery. HMS shall reply to the inquiry within 3 workdays after receipt. (Telephonic replies shall be confirmed by HMS in writing.) If HMS offers an accelerated delivery time acceptable to the ordering agency, any order(s) placed pursuant to the agreed upon accelerated delivery time frame shall be delivered within this shorter delivery time and in accordance with all other terms and conditions of the contract.

11. F.O.B. Points

Destination

12a. Ordering Address

Healthcare Management Solutions, LLC 1000 Technology Drive, Suite 1310 Fairmont, West Virginia 26554

(304) 368-0288 (phone)

(304) 368-0389 (fax) www.hcmsllc.com\

12b. Ordering Procedures

For supplies and services, the ordering procedures, information on Blanket Purchase Agreements (BPA’s) are found in Federal Acquisition Regulation (FAR) 8.405-3.

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13. Payment Address:

Healthcare Management Solutions, LLC Attn: Finance 1000 Technology Drive, Suite 1310 Fairmont, West Virginia 26554

(304) 368-0288 (phone)

(304) 368-0389 (fax) www.hcmsllc.com

14. Warranty Provision

Contractor’s Standard commercial warranty

15. Export Packing Charges

N/A

16. Terms and Conditions of rental, maintenance, and repair

N/A

17. Terms and Conditions of installation

N/A

18a. Terms and Conditions of repair parts indicating date of parts price lists and any discounts from list prices

N/A

18b. Terms and Conditions for any other services

N/A

19. List of service and distribution points

N/A

20. List of participating dealers

N/A

21. Preventive Maintenance

N/A

22a. Special attributes such as environmental attributes

N/A

22b. Section 508 Compliance

N/A

23. Unique Entity Identifier (UEI) Number

JJMLX8VQ6WY1

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24. System of Award Management (SAM)

Contractor is registered in the System for Award Management (SAM) database.

Final Pricing: The rates shown below include the Industrial Funding Fee (IFF) of 0.75%.

Pricing is valid for both customer and contractor sites.

SINs Awarded Labor Site Year 6 9/10/2020- 9/9/2021

Year 7 9/10/2021- 9/9/2022

Year 8 9/10/2022- 9/9/2023

Year 9 9/10/2023- 9/9/2024

Year 10 9/10/2024- 9/9/2025

541211/RC,

541219/RC,

541611/RC,

541990RISK/RC

Administrative Assistant I ** Both $44.86 $45.84 $46.85 $47.88 $48.94

541211/RC,

541219/RC,

541611/RC,

541990RISK/RC

Administrative Assistant II ** Both $63.30 $64.70 $66.12 $67.58 $69.06

541211/RC,

541219/RC,

541611/RC,

541990RISK/RC

Analyst I Both $78.46 $80.18 $81.95 $83.75 $85.59

541211/RC,

541219/RC,

541611/RC,

541990RISK/RC

Analyst II Both $82.81 $84.63 $86.49 $88.40 $90.34

541211/RC,

541219/RC,

541611/RC,

541990RISK/RC

Consultant I Both $143.71 $146.87 $150.10 $153.40 $156.78

541211/RC,

541219/RC,

541611/RC,

541990RISK/RC

Consultant II Both $176.81 $180.70 $184.67 $188.73 $192.89

541211/RC,

541219/RC,

541611/RC,

54199…