Credentialing and Enrollment Services

The government authority in League, Texas is seeking comprehensive credentialing and enrollment services for its behavioral health and healthcare workforce. The agency needs to solve the administrative challenges of managing provider data, maintaining regulatory compliance, and navigating complex payer enrollment processes. This initiative requires a vendor to handle initial enrollments, re-enrollments, revalidations, roster management, and ongoing maintenance activities. The requested scope of work covers full-service credentialing, payer enrollment, provider data management, and regulatory compliance support. The agency requires a secure, centralized provider data management platform that supports real-time credentialing operations, document management, and reporting. This platform must feature real-time dashboards, enrollment tracking, expiration alerts, secure storage, audit trails, and role-based security access. Additionally, the scope includes managing payer follow-ups, resolving delayed applications or denials, and ensuring compliance with CMS regulations. Eligible bidders must be onshore organizations based solely in the United States. The agency requires the performance of all work to be conducted offsite. The agency has not disclosed a set budget and is looking for proposals to define the financial parameters of the project. Bidders must submit all questions regarding this opportunity no later than June 18, 2026. The agency will evaluate proposals based on the bidder's ability to deliver the requested platform features and operational support.