Utilization Management Services

Winston-Salem State University (WSSU) is seeking a comprehensive healthcare service provider to deliver student health services through a Request for Proposal (RFP) issued for Forsyth County, North Carolina. The procurement seeks a vendor to provide primary care, mental health support, crisis intervention, psychiatric services, wellness programs, CLIA-waived lab services, preventive care, and pharmacy services for the university's student population. Required qualifications include...

The North Carolina State Health Plan for Teachers and State Employees is soliciting proposals for comprehensive medical claims audit services through RFP-270-20250414MCA. The procurement seeks qualified vendors to conduct three types of medical claims audits: Standard, Focused, and Additional Medical Claims Audits for their approximately 578,000 self-funded members. The contract will have an initial term of forty months, spanning from September 2, 2025 to December 31, 2028, with services...