Douglas County Ionwave #CI-2026-0062

Medical ASO, TPA, and PBM Services for City of Omaha and Douglas County

This opportunity seeks vendors to provide Medical Administrative Services Organization (ASO), Third Party Administration (TPA), and Pharmacy Benefit Manager (PBM) services for the City of Omaha and Douglas County's self-funded healthcare and prescription drug plans. - Government Buyer: - City of Omaha, Douglas County Purchasing Department - Managed by the Assistant Director / Purchasing Agent - Services Requested: - Medical ASO and TPA services, including: - Claims processing and adjudication - Plan document management - Network access and clinical management - Customer service and reporting - Subrogation and coordination of benefits - Compliance with collective bargaining agreements - Performance guarantees and annual reporting - Pharmacy Benefit Manager (PBM) services, including: - Pharmacy claims repricing and formulary management - Network disruption analysis - Specialty and limited distribution drug management (NDC 11 level) - Rebates, guarantees, and contract transparency - Notable Requirements: - Vendors must interface with the City's eligibility system (INFOR) - Detailed cost proposals required - Compliance with insurance, performance bond, and responsible contractor provisions - Open to extension for use by other City and County agencies - No specific OEMs or product line items are named; the solicitation is open to all qualified service providers in these domains.

Description

The City of Omaha, through the Douglas County Purchasing Agent, is soliciting proposals from qualified vendors to provide Medical Administrative Services Organization (ASO), Third Party Administration (TPA), and Pharmacy Benefit Manager (PBM) services. The solicitation requires submission of a cost proposal as an attachment and mandates a bid bond or acceptable substitute. Vendors must comply with various terms including insurance, performance bonds, and responsible contractor compliance. The bid opening is scheduled for May 20, 2026, with a question cutoff date of May 12, 2026.

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