Self-Funded Medical Plan Administration, Pharmacy Benefit Management and Stop Loss Coverage Service

The government authority in Valhalla, NY requires a USA-based organization to provide offsite self-funded medical plan administration, pharmacy benefit management, and stop loss coverage services for a one-year contract period. The buyer needs the selected vendor to manage a provider network with competitive pricing, process medical and prescription claims, and collaborate with the revenue department to streamline prior authorizations for in-house providers. Additionally, the scope mandates providing member support through online tools and customer service, promoting preventive care programs with wellness initiatives and incentives, and delivering utilization reports with actionable insights to optimize plan design. The buyer accepts digital responses via email or online and invites vendors to submit proposals regarding the budget. Vendors must submit all questions no later than September 14, 2026.