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Middlesex County Joint Health Insurance Fund·New Jersey

Rx Drug Consultant

Rolling / TBD close$150k – $500kRequest for Proposal
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Description

The Middlesex County Joint Health Insurance Fund is seeking a qualified Rx Drug Consultant to manage and optimize its self‑insured prescription drug program for the fiscal year 2026‑2027. The consultant will be responsible for eligibility maintenance, claim and rebate reviews, cost‑reduction analyses, 24/7 member support, and regulatory communications such as Credible Coverage Notices. Monthly and quarterly reporting is required, along with direct interaction with the plan’s third‑party administrator for exceptions and overrides. The role demands senior‑level expertise and a team capable of delivering comprehensive pharmacy‑benefits consulting services.

Attached files

Key dates

Opened
3/3/2026
Closes
Rolling / TBD
Duration
1 year

Last updated

Details

Type
Request for Proposal
Industry
Consulting Services
NAICS
541618

Budget estimate

$150,000 – $500,000

Given the breadth of services—monthly claim/rebate reviews, continuous 24/7 member support, annual regulatory notices, and extensive reporting—for a full‑year contract, a qualified consulting firm could command a fee ranging from low‑six figures to mid‑seven figures. The lower end (~$150,000) would reflect a modest staffing model, while the higher end (~$500,000) would cover a senior‑level team, advanced data analytics, and 24/7 hotline infrastructure. Factors influencing the final amount include the consultant’s experience, the size of the Fund’s membership, and the depth of analytical tools required.

AI estimate from the solicitation

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