What the buyer needs
AI summaryThe County seeks a qualified contractor to deliver as-needed strategic contracting consulting services, performing ad hoc and annual financial revenue analyses of professional and hospital services for Medi-Cal, Medicare, and commercial populations. The selected vendor must formulate negotiation strategies, optimize revenue collection, develop training materials and playbooks for hospital leadership, create onboarding curricula, and deliver contract rate proposals. Additional responsibilities include providing rate benchmarking, analyzing fee-for-service and capitated contracts, and developing implementation workplans for assigned deliverables. Eligibility is restricted to onshore United States organizations, with work performed offsite. The resulting contract spans a two-year period. Prospective vendors must submit all questions by November 16, 2026, and submit proposals digitally via email or online.
Scope of work
- Ad hoc and annual financial revenue analysis of professional and hospital services for non-contracted payers
- Contract rate proposal options and commensurate financial modeling analysis
- Advisory and consultative support during contract negotiations with health plans, hospitals, and other payers
- Evaluation and recommendations for billing practices regarding tertiary and complex services
- Training materials for LAHS leadership on hospital contracting best practices
- Hospital leadership contract playbook and reference guide
- Payer contracting on-boarding curriculum for new staff
- Hospital fee-for-service, Medi-Cal capitation, and revenue cycle financial modeling and reports upon qualification
Minimum qualifications
- Extensive experience in Medi-Cal medical group and hospital contracts
- Project Manager must have a minimum of five (5) years within the last seven (7) years of experience negotiating private and public hospital contracts
- Project Manager must have a minimum of five (5) years within the last seven (7) years of project management experience in a health care or related setting
- Project Manager and personnel must be able to effectively communicate in English, both orally and in writing
- Qualification of Additional Minimum Requirements MMR 4.7.1 - 4.7.3 for specific contracting and financial modeling experience
- Onshore (USA Organization Only)
Documents to include with your response
- Quality Control Plan (QCP)
- Contractor's Administration form (ATTACHMENT D)
- Implementation workplan for each required project deliverable
How to submit
- Method
- Digitally via Email or Online