USA (North Carolina) – Web-Based Data Management Credentialing Verification Organization Solution

(1) Vendor needs to provide web-based data management credentialing verification organization solution.- Centralized provider data management and credentialing verification organization (PDM/CVO) solution that will support the Agency’s provider data management functions including data intake, data management, enrollment, credentialing, data sharing and data archiving throughout the provider life cycle.- Consolidate all provider data to reduce administrative redundancy for providers.- Simplify enrollment, data maintenance and revalidation processes.- Allow for delegated enrollment and credentialing.- Solution will replace and modernize provider enrollment and management functionality provided by the legacy medicaid management information system (MMIS).- Solution will leverage integrated, automated workflow to ensure that data and documentation are routed to the appropriate unit responsible for decisions on provider applications or findings.- Self-service portal will solicit and receive data entry from applicants and providers according to business rules and shall be the primary point of interface between the provider and the PDM/CVO solution. - Provide IT solutions to manage all aspects of the process, provide staffing for operations, and coordinate with multiple payers, health plans, and other stakeholders.- Solution must maintain and make affiliations between a delegated entity and its rostered providers viewable to the department in real time and through standardized reports.(2) All questions must be submitted no later than June 26,2026.(3) A pre-bid meeting will be held on June 17,2026.(4) The contract period will be for five years. 

Onshore (USA Organization Only);

Performance of the work will be Offsite.