Credentialing Technology and Software

Overview

Healthcare Services, Wellness & Biotech

Orange, California, United StatesPosted 7 days agoDeadline: May 29th, 2026

Fit Score

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SUMMARY

California is seeking an NCQA-certified provider for credentialing software and related verification services for a three-year contract.

KEY REQUIREMENTS

Must be certified as a CVO by the NCQA
Must maintain NCQA CVO certification throughout the contract term
Must have 5 years of industry experience as a CVO
Must have experience with a California Medi-Cal network, Medicare or Medicare Advantage plan, and ACA exchange networks
Must be able to perform credentialing, recredentialing, and associated services
Must provide credentialing software with cloud architecture and 99% monthly uptime
Must comply with all applicable federal, state, and local laws and regulations
Must maintain required insurance policies including cyber-insurance

BUDGET

Estimate

$500,000 – $1,500,000

CONTRACT DURATION

60 months

TIMELINE

Deadline for Questions & Comments: May 11th, 2026

Proposal Due Date and Time: May 29th, 2026

Interviews/Presentation Dates: June 15th, 2026 – June 19th, 2026

Vendor Selection (Tentative) Date: June 22nd, 2026

QUESTION DEADLINE

May 11th, 2026

Issuing Agency

Caloptima Health

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DESCRIPTION

A state agency in California seeks a vendor to provide credentialing technology and software, as well as related services. The selected vendor must offer credentialing software and be an NCQA-certified Credential Verification Organization (CVO) with demonstrated understanding of California's regulatory credentialing requirements.

Responsibilities will include implementing a new credentialing software solution, performing credentialing and recredentialing activities, and assisting the agency in vetting practitioners—both those applying to provide services and those already serving agency members—who may not need traditional credentialing or recredentialing. The contract will span three years with all questions regarding the RFP to be submitted by May 11, 2026.

Source attribution

This Settle analysis is based on the issuing organization’s public RFP listing.