SW-40361 - USA (Kentucky) - Pharmacy Benefit Management service and System - Deadline April 20,2021

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: SW-40361

Government authority located in Kentucky; USA, based organization looking for expert vendor for pharmacy benefit management service and system.

[A] Budget: Looking for Proposal

[B] Scope of Service:

(1) Vendor needs to provide pharmacy benefit management service and system to allow for the continuation of managed pharmacy benefits through a system.
- maintains, through an online system, appropriate accounts receivable records for CHFS to systematically track adjustments, recoupments, manual payments, and other required identifying A/R and claim information.
- operating the system, which will adjudicate the pharmacy claims
- ability to process claims on batch electronic media and paper claims submitted directly to the Contractor for processing.
- maintain a public-facing website to provide information to the general public, regardless of Medicaid status
- Web Portal will assist pharmacies/providers with the treatment of patients by allowing them to
access a client’s claims history interactively
- secure, electronic-based communications system for email.
- able to be easily customized and have interactive communication capabilities
- Web-based access to external users via the public Internet.
- secure, thin-client, browser-based solution. The presentation tier should not be solely dependent upon application, applet, or plug-in delivered to the user for system functionality
- application management and monitoring capabilities to record metrics including, but not limited to, application health and availability
- Utilize a proven and well-established methodology for reporting, tracking, and management of system defects
- Maintain information about all changes to critical records and/or data fields
- Ensure all the submitted file information is kept in the database for easy access.
- ability to recover immediately and normally using the standby/backup database
- Identify and explain the use or need for any multi-factor authentication techniques within the proposed solution.
- configurable ability to encrypt both data at rest and data in motion
- Protect system against unauthorized access to computer resources and data in order to reduce erroneous or fraudulent activities and protect the privacy rights of individuals against unauthorized disclosure of confidential information.
- Data flow diagram depicting the organization, systems, transports, and security methods involved in the interface.
(2) All questions must be submitted no later than February 15, 2021.

[C] Eligibility:

- Onshore (USA Organization Only);

[D] Work Performance:

Performance of the work will be Offsite. Vendor needs to carry work in their office location.

Expiry Date : Tuesday, 20 April, 2021

Question Answer Deadline : Monday, 15 February, 2021

Category : Software, System and Application

Country : USA

State : Kentucky

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