Workers’ Compensation Cost Containment and Pharmacy Benefit Management Services

The buyer requires a vendor to deliver comprehensive workers’ compensation cost containment and pharmacy benefit management services. Requested scope includes a dedicated 24/7 nurse triage and claim intake hotline, utilization review, bill review with PPO networks, and complete pharmacy benefit management services such as point-of-service claim adjudication, formulary management, and mail order fulfillment. Eligibility is limited strictly to USA-based onshore organizations, and the contractor will perform all work offsite. Interested applicants must submit their responses digitally through email or online, and the buyer expects vendors to provide a budget proposal within their submission.