Health Advocacy, Navigation, and Care Coordination Services for Employee Benefit Programs

The government authority in Long Beach, CA needs a USA-based vendor to provide offsite health advocacy and navigation services. The buyer requires personal health advocacy, medical and administrative support, care coordination, claims assistance, fee negotiations, grievance advice, pharmacy support, physician locating assistance, complex medical care assistance, and integrated call management. The selected vendor must integrate eligibility, claims, and member data—including PII and PHI—while connecting all benefit plans across the City's benefit ecosystem. The contractor must comply with the Freedom of Information Act, grant the City unrestricted data access, retain plan information for four years, and guarantee at least 99% online platform availability. The vendor must provide 24/7 customer intake with next-business-day follow-up and support communications via phone, email, direct mail, text, and push notifications. Vendors must submit all questions by October 6, 2026. The buyer is looking for proposals to determine the budget and provides no further evaluation details.