Write with Gemini 4 Hydrogen — ~40% less drafting time and over 5× fewer fabricated claims.

OpenSolicitation UK-2632-27

KYRx Pharmacy Claims Data Analytics and Auditing Services

Buyer
University of Kentucky
Place of performance
Lexington, KY
Submission deadline
Nov 24, 2026

Draft your response

Create a free account to draft a response using this RFP and your company documents.

1 proposal a month on Free · No credit card required

Team preparing a proposal together
0 of 5 free RFP views today

What the buyer needs

AI summary

The University of Kentucky seeks a contractor to deliver KYRx pharmacy claims data analytics and auditing services. The selected vendor must aggregate, normalize, and analyze multi-year pharmacy claims, medical claims, and eligibility data to support independent decision-making, PBM oversight, contract enforcement, and strategic cost containment. Performance will occur onsite for a one-year contract period, and eligibility is restricted to onshore USA entities. Offerors must organize proposals around offeror qualifications, defined services, a financial proposal, evidence of successful performance with an implementation schedule, and additional information. An evaluation committee will assess responsive submissions strictly against these criteria to identify the most advantageous offer. Offerors must submit the original proposal copy to University of Kentucky Procurement Services by 3:00 p.m. Lexington, Kentucky time on November 24, 2026.

Scope of work

  • Secure, scalable, and auditable data analytics platform
  • Pharmacy Benefit Manager (PBM) contract and pricing validation
  • Drug pricing and cost opportunity analysis
  • Reconciliation processes for rejected, incomplete, duplicate, or anomalous records
  • Ongoing analysis of adjudicated pharmacy claims against contractual pricing and financial terms
  • Identification and quantification of pricing variances, overpayments, or financial discrepancies
  • Prospective pharmacy cost and utilization forecasting and predictive modeling
  • Analytical and reporting tools supporting KYRx operations

How proposals are evaluated

CriterionWeight / scoring
Primary CriteriaNot specified
Secondary CriteriaNot specified
Criteria 1 - Offeror QualificationsNot specified
Criteria 2 – Services DefinedNot specified
Criteria 3 – Financial ProposalNot specified
Criteria 4 – Evidence of Successful Performance and Implementation ScheduleNot specified
Criteria 5 – Other Additional InformationNot specified

Minimum qualifications

  • Must be legally entitled to enter into contracts with the University of Kentucky
  • Must be duly registered with the Kentucky Department of Revenue to collect and remit sales and use tax
  • Must furnish certification of authority to conduct business in the Commonwealth of Kentucky from the Secretary of State prior to contract award
  • Must perform vendor onboarding and registration as a condition of award

Documents to include with your response

  • Signed Authentication of Bid and Statement of Non-Collusion and Non-Conflict of Interest Form
  • Transmittal Letter
  • Executive Summary and Proposal Overview
  • Criteria 1 - Offeror Qualifications response
  • Criteria 2 - Services Defined response
  • Criteria 3 - Financial Proposal (in separate sealed envelope)
  • Criteria 4 - Evidence of Successful Performance and Implementation Schedule
  • Criteria 5 - Other Additional Information response
  • Voluntary Product Accessibility Template (VPAT) or compliance assurance
  • Notarized affidavit affirming Kentucky residency status (if claiming residency)

How to submit

Method
Sealed hard copy
Instructions
Return original copy to University of Kentucky, Procurement Services, 411 S Limestone, Room 322 Peterson Service Bldg., Lexington, KY 40506-0005. The technical proposal should be submitted in a sealed envelope and the financial proposal in a separate sealed envelope, bound in a single volume except as otherwise specified.