The Department of Administrative & Financial Services, Office of Employee Health & Wellness (Department) is seeking health and wellness benefits consulting services as defined in this Request for Proposals (RFP) document. This document provides instructions for submitting proposals, the procedure and criteria by which the awarded Bidder will be selected, and the contractual terms which will govern the relationship between the State of Maine (State) and the awarded Bidder. PART II SCOPE OF SERVICES TO BE PROVIDED The Department is seeking an advisor to provide qualified, licensed employee benefit consulting services for medical, dental, vision, pharmacy and wellness programs. This advisor shall perform a full range of consulting services related to the design, maintenance, communication, and improvement of the aforementioned benefit programs. In particular, the advisor must be able to demonstrate experience in the strategic development, oversight, and direct contracting negotiations with health provider organizations. It is also expected that the advisor has experience with risk sharing arrangements within ACO contracting. The consultant must be able to provide or have access to, as part of their services, actuarial, underwriting and data analytic service resources. It is expected that the advisor take a proactive, strategic approach in working with the State of Maine to identify trends, both industry-wide and within our individual programs, and provide us with the tools to successfully effect positive, value-based change in the States’ health programs as well as be a leader in driving change with the Maine health care market.
