Pharmacy Benefit Manager Auditor Services

Overview

Financial, Legal, HR & Staffing

Saint Paul, Minnesota, United StatesPosted about 1 month agoDeadline: April 21st, 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

Minnesota seeks a vendor to audit its pharmacy benefit manager, ensuring proper administration, compliance, and effective cost control for state employee insurance programs.

KEY REQUIREMENTS

Must have at least three years of experience evaluating rebate contracts and pass-throughs between PBMs and manufacturers
Must be free of any conflict of interest with the State's current PBM vendor, CVS Caremark
Must submit response through the SWIFT Supplier Portal
Must have a current Workforce Certificate if contract exceeds $100,000
Must have a current Equal Pay Certificate if contract exceeds $500,000

BUDGET

Estimate

$150,000 – $300,000

CONTRACT DURATION

24 months

TIMELINE

RFP Published: March 30th, 2026

Vendor Questions Due: April 7th, 2026

Answers Published: April 14th, 2026

Proposals Due: April 21st, 2026

Vendor Interviews: Week of May 11th, 2026

Finalist Notification: Week of May 18th, 2026

Negotiations Complete: June 30th, 2026

Implementation Begins: July 1st, 2026

QUESTION DEADLINE

April 7th, 2026

Issuing Agency

Minnesota Management And Budget

Organization overview and procurement intelligence available on paid plans.

See Issuer Research

DESCRIPTION

The government authority in Minnesota is seeking a vendor to provide pharmacy benefit manager (PBM) auditor services. The selected firm will be responsible for conducting comprehensive auditing of the State’s PBM to ensure accurate administration of the State Employee Group Insurance Program (SEGIP) and the Public Employees Insurance Program (PEIP) pharmacy benefits.

Scope of work includes performing traditional audit services, manufacturer-derived revenue (rebate) audits, detailed analyses, and reporting. The auditor must verify that all financial and pricing terms in the State's PBM contract are correctly applied, appropriate and effective controls are in place, and that cost-containment measures are included and operational within the PBM contract. The contract term is for one year.

Source attribution

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