Medical Plan Administration and Medical Provider Network Services

Overview

Healthcare Services, Wellness & Biotech

Colorado Springs, Colorado, United StatesPosted 7 days agoDeadline: June 1st, 2026

Fit Score

Settle Intelligence

Settle helps teams find, evaluate, and respond to public RFPs. We continuously surface new opportunities, score them against your company strengths, and draft proposal responses so you can focus on the work that wins business.

SUMMARY

The City seeks a provider for medical plan administration and network services, encompassing case management, transparent cost tools, strong provider access, and employee wellness support.

KEY REQUIREMENTS

BUDGET

Estimate

$1,500,000 – $3,000,000

CONTRACT DURATION

60 months

TIMELINE

Issue Request for Proposal: April 30th, 2026

Pre-Proposal Conference: May 7th, 2026

Cut Off Date for Questions: May 14th, 2026

Proposal Due Date: June 1st, 2026

Interviews: July 2026

Award of Contract: July 2026

Notice to Proceed: August 2026

QUESTION DEADLINE

May 14th, 2026

Issuing Agency

City Of Colorado Springs

Organization overview and procurement intelligence available on paid plans.

See Issuer Research

DESCRIPTION

The City is seeking a vendor to provide comprehensive medical plan administration and medical provider network services. Required offerings include medical plan administration, case management, utilization review, disease management, and virtual healthcare options. The successful provider must also supply tools and resources for cost and quality transparency.

Key requirements encompass competitive administrative fees, attractive network discounts, and strong member access to providers along the care continuum while minimizing provider disruption. Vendors should demonstrate industry-leading claim processing capabilities, effective auditing for fraud, waste, and abuse, and robust large claim review. Additionally, the provider is expected to offer implementation or transition credits to help offset costs associated with changing vendors and provide funds for wellbeing and employee engagement initiatives.

The vendor should ensure seamless integration with the City's other service providers through reliable interfaces and supply a dedicated customer service team. User-friendly internet and mobile app support is also required to enhance the member experience.

Source attribution

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