Workers Compensation Managed Care Consultant Service

The City requires a vendor to provide workers compensation managed care consultant services to optimize program savings, conduct evaluations, and implement an employee disability program. The requested scope includes analyzing and monitoring the managed care program, evaluating medical bill reviews and large loss bills, recapturing overcharges, performing financial and fee structure analyses, identifying deficiencies, and developing corrective strategies. Additionally, the vendor must track utilization reviews, establish baseline savings and fee goals, evaluate proposals for the City's Third Party Administrator services, assist with contract negotiations and enforcement, attend periodic meetings, and deliver prompt statistical reports. The City specifies that eligible vendors must be onshore USA organizations, and the vendor will perform all work offsite. The contract period spans one year. The City is looking for proposals regarding the budget, and the source text provides no additional evaluation criteria or key dates.