MAS - Healthcare Management Solutions, LLC - GS35F0001Y

© 2020 Healthcare Management Solutions, LLC. All rights reserved. rev.20230106 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 Acquisition Service

Authorized Federal Supply Schedule FSS 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-35F-0001Y

For more information on ordering go to the following website:

https://www.gsa.gov/schedules.

Contract Period: October 3, 2011 to October 2, 2026

Contractor Healthcare Management Solutions, LLC

1000 Technology Drive, Suite 1310

Fairmont, West Virginia 26554

304-368-0288 http://www.hcmsllc.com

Contract Administrator Laura Reeder 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: Small Business

Pricelist current as of PS-0047, effective October 26, 2023.

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.20230106 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

Administrative Assistant I

Administrative Assistant II

Analyst I

Analyst II

Auditor I

Auditor II

Auditor III

Consultant I

Consultant II

Consultant III

Data Analyst I

Data Analyst II

Financial Analyst I

Financial Analyst II

IT Specialist I

IT Specialist II

IT Specialist III

Junior Analyst I

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

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Senior Analyst I

Senior Analyst II

Senior Analyst III

Senior Consultant I

Senior Data Analyst

Senior Financial Analyst I

Senior Medical Director II

Senior Project Manager I

Senior Systems Analyst

Senior Trainer I

Subject Matter Expert I

High School Diploma or GED plus 14 years of relevant experience

Trainer I

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

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

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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 22-24.

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

54151S 54151SRC IT Professional Services

54151HEAL 54151HEALRC Health IT 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.

Administrative Assistant I

Functional Responsibility:

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.

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Position Qualifications:

Associate Degree plus 1 year of relevant experience, OR

High School Diploma or GED plus 3 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

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.

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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 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)

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.

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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

Consultant III

Functional Responsibility:

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

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High School Diploma or GED plus 11 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.

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

Data Analyst II

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.

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

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.

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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:

Master’s Degree, OR

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

IT Specialist I

Functional Responsibility:

Individual must be very knowledgeable in all aspects of health and clinical IT. Oversee and coordinate the operational aspect of projects and serve as a liaison between project management and planning. Conduct or participate in multidisciplinary research and collaborate with developers in the planning, design, development, and utilization of electronic data processing systems. Assess project issues and develop resolutions to meet productivity, quality, and client satisfaction goals and objectives. Ensure the logical and systematic conversion of customer or product requirements into total systems solutions that acknowledge technical, schedule, and cost constraints. Demonstrate very good oral and written communication skills. Prepare documentation or reports of program development. Perform work without appreciable direction, exercise considerable latitude in determining objectives and approaches to assignments, and is virtually self-initiated and self-managed. May serve as overall project manager in a healthcare setting. 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 10 years of relevant experience

IT Specialist II

Functional Responsibility:

Individual must be very knowledgeable in all aspects of clinical or Health IT. Oversee and coordinate the operational aspect of clinical or Health IT projects and serve as a liaison between project management and planning. Conduct or participate in multidisciplinary research and collaborate with developers in the planning, design, development, and utilization of electronic data processing systems. Assess clinical or Health IT project issues and develop resolutions to meet productivity, quality, and client satisfaction goals and objectives. Ensure the logical and systematic conversion of customer or product requirements into total clinical or Health IT systems solutions that acknowledge technical, schedule, and cost constraints. Demonstrate very good oral and written communication skills. Prepare documentation or reports of program development. Perform work without appreciable direction, exercise considerable latitude in determining objectives and approaches to assignments, and be virtually self-initiated and self-managed. May serve as overall project manager in a healthcare setting.

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Master’s Degree plus 5 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 13 years of relevant experience

IT Specialist III

Functional Responsibility:

Individual must be very knowledgeable in all aspects of IT. Oversee and coordinate the operational aspect of projects and serve as a liaison between project management and planning. Conduct or participate in multidisciplinary research and collaborate with developers in the planning, design, development, and utilization of electronic data processing systems. Assess project issues and develop resolutions to meet productivity, quality, and client satisfaction goals and objectives. Ensure the logical and systematic conversion of customer or product requirements into total systems solutions that acknowledge technical, schedule, and cost constraints. Demonstrate very good oral and written communication skills. Prepare documentation or reports of program development. Perform work without appreciable direction, exercise considerable latitude in determining objectives and approaches to assignments, and be virtually self-initiated and self-managed. May serve as overall project manager.

Position Qualifications:

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

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

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

High School Diploma or GED plus 16 years of relevant experience

Junior Analyst I

Functional Responsibility:

Consult with user to identify current IT operating procedures and clarify program objectives based on both user technical needs and sufficient understanding of applicable business systems and industry requirements. Analyze and alter software to increase operating efficiency or adapt to new requirements. Prepare detailed technical specifications from which programs will be written. Design, code, test, debug, document, and maintain those programs. Develop system requirements and program specifications from inception to conclusion.

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 9 years of relevant experience

Project Coordinator I

Functional Responsibility:

Entry-level position. Support the Project Manager or Project Director. Maintain data and

© 2023 Healthcare Management Solutions, LLC. All rights reserved. rev.20231027 12 document repositories. Schedule meetings and travel logistics. 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, 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.

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

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Project Director III

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

Project Manager II

Functional Responsibility:

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.

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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

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.

Position Qualifications:

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

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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

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

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Senior Data Analyst

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 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.

Doctorate Level Degree plus 8 years of relevant experience

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Senior Project Manager I

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

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

High School Diploma or GED plus 8 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

Subject Matter Expert I

© 2023 Healthcare Management Solutions, LLC. All rights reserved. rev.20231027 19

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

Trainer I

Functional Responsibility:

First-level position. Applies experience 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 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

2. Maximum Order

$1,000,000.00

3. Minimum Order

$100.00

4. Geographic Coverage

SINs 54151HEAL, 54151HEALRC, 541HEALSTLOC, 541211, 541219, 541611 and

541990RISK – 50 states, DC, Territories and SINs 54151S, 54151SRC, 54151SSTLOC, OLM, OLMRC, OLMSTLOC – 48 states, DC

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)

© 2023 Healthcare Management Solutions, LLC. All rights reserved. rev.20231027 20

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.

13. Payment Address:

Healthcare Management Solutions, LLC

Attn: Finance

© 2023 Healthcare Management Solutions, LLC. All rights reserved. rev.20231027 21

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

© 2023 Healthcare Management Solutions, LLC. All rights reserved. rev.20231027 22

23. Unique Entity Identifier (UEI) Number

JJMLX8VQ6WY1

24. System of Award Management (SAM)

The 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 for all Awarded Labor Categories:

SINs

541211/RC

541219/RC

541214/RC

541611/RC

541990RISK/RC

54151S/RC

54151HEAL/RC

SIN Labor Category Site

Year 12

10/3/2022-

10/2/2023

Year 13

10/3/2023-

10/2/2024

Year 14

10/3/2024-

10/2/2025

Year 15

10/3/2025-

10/2/2026

541211/RC, 541219/RC,

541611/RC, 541990RISK/RC

Administrative Assistant I Both $47.88 $48.98 $50.11 $51.25

541211/RC, 541219/RC,

541611/RC, 541990RISK/RC

Administrative Assistant

II

Both $67.58 $69.14 $70.73 $72.35

541211/RC, 541219/RC,

541611/RC, 541990RISK/RC

Analyst I Both $83.75 $85.67 $87.65 $89.66

541211/RC, 541219/RC,

541611/RC, 541990RISK/RC

Analyst II Both $88.40 $90.43 $92.50 $94.63

541211/RC, 541219/RC,

541611/RC, 541990RISK/RC

Auditor I Both $66.94 $68.48 $70.06 $71.67

541211/RC, 541219/RC,

541611/RC, 541990RISK/RC

Auditor II Both $89.91 $91.98 $94.10 $96.26

541211/RC, 541219/RC,

541611/RC, 541990RISK/RC

Auditor III Both $103.55 $105.93 $108.37 $110.86

541211/RC, 541219/RC,

541611/RC, 541990RISK/RC

Consultant I Both $152.94 $156.45 $160.05 $163.73

541211/RC, 541219/RC,

541611/RC, 541990RISK/RC

Consultant II Both $188.73 $193.07 $197.51 $202.06

541211/RC, 541219/RC,

541611/RC, 541990RISK/RC

Consultant III Both $201.75 $206.39 $211.13 $215.99

54151S, 54151HEAL Data Analyst I Both $62.12 $63.55 $65.01 $66.50

541211/RC, 541219/RC,

541611/RC, 541990RISK/RC

Data Analyst I Both $81.39 $83.26 $85.18 $87.13

© 2023 Healthcare Management Solutions, LLC. All rights reserved. rev.20231027 23

10/3/2022-

10/2/2023

Year 13

10/3/2023-

10/2/2024

Year 14

10/3/2024-

10/2/2025

Year 15

10/3/2025-

10/2/2026

541211/RC, 541219/RC,

541611/RC, 541990RISK/RC

Data Analyst II Both $120.62 $123.40 $126.24 $129.14

541211/RC, 541214/RC,

541219/RC, 541611/RC,

541990RISK/RC

Financial Analyst I Both $47.32 $48.41 $49.53 $50.67

541211/RC, 541214/RC,

541219/RC, 541611/RC,

541990RISK/RC

Financial Analyst II Both $61.51 $62.92 $64.37 $65.85

54151S, 54151HEAL IT Specialist I Both $83.31 $85.23 $87.19 $89.20

54151S, 54151HEAL IT Specialist II Both $108.90 $111.41 $113.96 $116.58

54151S, 54151HEAL IT Specialist III Both $171.75 $175.70 $179.74 $183.87

54151S, 54151HEAL Junior Analyst I Both $65.54 $67.05 $68.59 $70.18

541211/RC, 541214/RC,

541219/RC, 541611/RC,

541990RISK/RC

Project Coordinator I Both $43.55 $44.55 $45.58 $46.63

541211/RC, 541214/RC,

541219/RC, 541611/RC,

541990RISK/RC

Project Coordinator II Both $49.00 $50.13 $51.27 $52.45

541211/RC, 541214/RC,

541219/RC, 541611/RC,

541990RISK/RC

Project Coordinator III Both $62.64 $64.08 $65.55 $67.06

541211/RC, 541214/RC,

541219/RC, 541611/RC,

541990RISK/RC

Project Coordinator IV Both $63.99 $65.46 $66.96 $68.50

54151S, 54151HEAL Project Director I Both $97.23 $99.47 $101.75 $104.09

541211/RC, 541214/RC,

541219/RC, 541611/RC,

541990RISK/RC

Project Director I Both $101.79 $104.13 $106.53 $108.98

541211/RC, 541214/RC,

541219/RC, 541611/RC,

541990RISK/RC

Project Director II Both $131.57 $134.60 $137.69 $140.86

54151S, 54151HEAL Project Director III Both $159.23 $162.89 $166.64 $170.47

541211/RC, 541214/RC,

541219/RC, 541611/RC,

541990RISK/RC

Project Director III Both $183.79 $188.02 $192.34 $196.77

54151S, 54151HEAL Project Manager I Both $55.23 $56.50 $57.80 $59.13

541211/RC, 541214/RC,

541219/RC, 541611/RC,

541990RISK/RC

Project Manager I Both $64.47 $65.95 $67.48 $69.03

541211/RC, 541214/RC,

541219/RC, 541611/RC,

541990RISK/RC

Project Manager II Both $100.21 $102.52 $104.88 $107.28

541211/RC, 541219/RC,

541611/RC, 541990RISK/RC

Quality Assurance

Analyst I

Both $58.71 $60.06 $61.44 $62.85

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10/3/2022-

10/2/2023

Year 13

10/3/2023-

10/2/2024

Year 14

10/3/2024-

10/2/2025

Year 15

10/3/2025-

10/2/2026

541211/RC, 541219/RC,

541611/RC, 541990RISK/RC

Quality Assurance

Analyst II

Both $80.06 $81.90 $83.79 $85.71

541211/RC, 541219/RC,

541611/RC, 541990RISK/RC

Senior Analyst I Both $105.79 $108.22 $110.71 $113.26

541211/RC, 541219/RC,

541611/RC, 541990RISK/RC

Senior Analyst II Both $121.42 $124.21 $127.07 $129.99

541211/RC, 541219/RC,

541611/RC, 541990RISK/RC

Senior Analyst III Both $134.25 $137.34 $140.50 $143.74

541211/RC, 541219/RC,

541611/RC, 541990RISK/RC

Senior Consultant I Both $178.38 $182.48 $186.68 $190.97

54151S, 54151HEAL Senior Data Analyst I Both $129.82 $132.81 $135.86 $138.98

541211/RC, 541219/RC,

541611/RC, 541990RISK/RC

Senior Data Analyst I Both $157.76 $161.39 $165.10 $168.90

541211/RC, 541214/RC,

541219/RC, 541611/RC,

541990RISK/RC

Senior Financial Analyst I Both $131.05 $134.07 $137.15 $140.30

541211/RC, 541611/RC,

541990RISK/RC

Senior Medical Director II Both $232.71 $238.07 $243.54 $249.14

541211/RC, 541214/RC,

541219/RC, 541611/RC,

541990RISK/RC

Senior Project Manager Both $250.14 $255.89 $261.77 $267.80

54151S, 54151HEAL Senior Systems Analyst I Both $87.13 $89.14 $91.18 $93.28

541211/RC, 541219/RC,

541611/RC, 541990RISK/RC

Senior Systems Analyst I Both $108.49 $110.98 $113.53 $116.14

541219/RC, 541611/RC,

541990RISK/RC

Sr. Trainer I Both $120.62 $123.40 $126.24 $129.14

541211/RC, 541214/RC,

541219/RC, 541611/RC,

541990RISK/RC

Subject Matter Expert I Both $192.87 $197.31 $201.84 $206.49

541219/RC, 541611/RC,

541990RISK/RC

Trainer I Both $83.26 $85.18 $87.13 $89.14

SCLS Eligible Contract

Labor Category

SCLS Equivalent Code Title Wage Determination

Number

Administrative Assistant II 01313 – Secretary III 2015-4353

Administrative Assistant I 01312 – Secretary II 2015-4353

The Service Contract Labor Standards, formerly the Service…