What the buyer needs
AI summaryThe Maryland Department of Health requires a contractor to establish and support an operational, three-tier data analytics framework that incorporates deterministic rules, statistical outlier modeling, and network analysis. The awarded vendor will evaluate state-approved data sources and develop tools and dashboards to detect risks, anomalies, and billing irregularities across claims, utilization, and financial data for a one-year term. Performance of the work will take place onsite, and eligibility is restricted to onshore USA entities. Offerors must register on eMaryland Marketplace Advantage and submit proposals digitally via email to Rodney Spence or online. The buyer will hold a pre-proposal conference on November 4, 2026, at 4:00 PM EST, and questions are due by November 5, 2026, at 4:00 PM EST.
Scope of work
- Implement the JCR three-tier claims analytics framework while maintaining State review and due-process safeguards
- Evaluate existing analytical capabilities, tools, processes, workflows, and identified gaps
- Identify and prioritize analytical questions and use cases based on DDA needs and available data
- Assess data readiness, availability, quality, completeness, timeliness, and relationships across data sources
- Recommend and implement analytical approaches appropriate to business questions and available data
- Deliver actionable analytical products, tools, reports, and dashboards
- Provide documentation, knowledge transfer, and repeatable analytical workflows
- Provide technical and project support for transition assistance and a draft Transition-Out Plan
How proposals are evaluated
| Criterion | Weight / scoring |
|---|---|
| Offeror’s Technical Response to Requirements and Work Plan | Not specified |
| Experience and Qualifications of Proposed Staff | Not specified |
| Offeror Qualifications and Capabilities, including proposed subcontractors | Not specified |
| Economic Benefit to the State of Maryland | Not specified |
| Financial Proposal / Total Proposal Price (ranked lowest to highest; technical factors receive greater weight than financial factors) | Not specified |
Minimum qualifications
- Minimum 3 years of demonstrated experience within the past 5 years providing data analytics services involving large, complex datasets
- Description of at least 1 relevant project completed or substantially performed within the past 5 years identifying client, scope, and capabilities delivered
- Demonstrated experience providing data analytics services supporting healthcare, Medicaid, public health, or health and human services programs
- Description of at least 1 relevant engagement demonstrating experience working with healthcare or human services data
- At least two (2) client references for projects demonstrating relevant experience
- Proposed software solution must be operational and generally available by the proposal due date, not under development
Documents to include with your response
- Volume I – Technical Proposal
- Volume II – Financial Proposal (Attachment B - The Price Form)
- Attachment L – Reference Checks
- Work Plan including Implementation Schedule
- Draft Problem Escalation Procedure (PEP)
- Resumes and letters of intended commitment for Key Personnel
- Organizational Chart
- Affirmative statement of compliance with Non-Compete Clause Prohibition
- Attachment D-1A MBE Utilization and Fair Solicitation Affidavit
- Attachment E-1 VSBE Utilization Affidavit and Subcontractor Participation Schedule
How to submit
- Method
- Electronic submission
- Instructions
- Sent via email to [email protected]; offerors must first register on emma.maryland.gov. Two-part submission with Volume I Technical Proposal and Volume II Financial Proposal in searchable Adobe PDF format and eMMA spreadsheet.