S-44300-00010313 ATTACHMENT F.docx

OregonBuys Bid Solicitation #S-44300-00010313 Attachment F RFP # 5931 Public Health Vaccine Finance Subject Matter Expert

OregonBuys Bid Solicitation #S-44300-00010313 Attachment F RFP # 5931 Public Health Vaccine Finance Subject Matter Expert

ATTACHMENT F

ATTESTATION OF EXPERIENCE

Legal Name of Firm/Company:

Proposer’s Contact Name:

Street Address:

City, State Zip Code:

Telephone:

Email address:

Webpage (if applicable):

Secretary of State business registration number (if applicable):

Assumed business name (DBA) if appliable:

☐ Not Applicable

Minimum Qualification (Section 3.1 of the RFP):

Proposer (check applicable box below):

☐ has five years of experience working in leadership positions at health plans, insurance companies, and other payors.

☐ does not have five years of experience working in leadership positions at health plans, insurance companies, and other payors.

Proposer (check applicable box below):

☐ has five years of experience in clinical practice or directing clinical strategies, including knowledge of healthcare billing complexities.

☐ does not have has five years of experience in clinical practice or directing clinical strategies, including knowledge of healthcare billing complexities.

Proposer (check applicable box below):

☐ has five years of experience working in vaccine finance analysis to provide healthcare cost savings and lower the administrative burden on immunization providers.

☐ does not have five years of experience working in vaccine finance analysis to provide healthcare cost savings and lower the administrative burden on immunization providers.

Proposer (check applicable box below):

☐ has five years of experience working on multidisciplinary committees, councils, or boards tasked with complex analyses and project implementation.

☐ does not have five years of experience working on multidisciplinary committees, councils, or boards tasked with complex analyses and project implementation.

Attestation:

By signing this Attestation document, Proposer attests to meeting the minimum qualification requirements set forth in this RFP, Section 3. Procurement Requirements, subsection 3.1, Minimum Qualifications.

· Five years of experience working in leadership positions at health plans, insurance companies, and other payors;

· Five years of experience in clinical practice or directing clinical strategies, including knowledge of healthcare billing complexities;

· Five years of experience working in vaccine finance analysis to provide healthcare cost savings and lower the administrative burden on immunization providers;

· Five years of experience working on multidisciplinary committees, councils, or boards tasked with complex analyses and project implementation.

Applicant’s authorized representative’s signature:

Date: Click or tap to enter a date.