Third Party Administrator Services

The Vendor is required to provide third party administrator (TPA) must have significant experience with large employers, quasi-public/public and/or higher education clients.
- Offering the most financially advantageous arrangement to the organization,
- Exceptional account management & member service,
- Commitment to health improvement & quality / cost transparency
- Ability to support to help ensure compliance with various federal & state requirements
- Commitment to health improvement & quality / cost transparency
- Ability to support migration to high performing networks / providers
- Ability to engage employees in health improvement & clinical programs
- Ability to partner to help improve care delivery to those with behavioral health needs - Flexibility in administration and programmatic design,
- Demonstrated ability to manage health plan costs over a long-term period,
- Competitive pricing on a self-insured funding basis,
- Ability to provide support for various federal & state compliance requirements, such as RxDC and other agency requirements,
- Demonstration of collaboration with health systems to improve quality and address costs,
- Development of centers of excellence and/or high performing networks,
- Proven ability to provide the highest level of service in plan administration and claims adjudication,
- Reputation for providing quality care services,
- Thorough understanding of contract responsibility,
- Highly skilled, qualified, and experienced team,
- Valuable and timely statistical and compliance reporting,
- Effective communications and implementation strategy,
- Ability to partner with ums and its other vendor partners on integration efforts, and
- Willingness to implement meaningful performance guarantees.
- Contract Period/Term: 5 years
- Questions/Inquires Deadline: February 24, 2025