OSUA&M Custom Preferred Provider Network (PPO) Services

Oklahoma State University & A&M System seeks a best‑in‑class Preferred Provider Network (PPN) partner to design, implement, and manage a custom‑designed, self‑funded health plan for its faculty, staff, and affiliates across the state. The vendor must provide a flexible network architecture that blends existing contracts with new/custom agreements, deliver full transparency of managed‑care contract terms, support detailed revenue‑code level repricing, and integrate data into the client’s data warehouse. The contract is initially for one year with the possibility of up to four additional one‑year renewals, and the award will be based on a best‑value evaluation covering network structure, strategy, and client service. • Design and maintain a Preferred Provider Network that can combine existing, client‑held, and consultant‑held contracts. • Provide full contract‑term transparency, audit‑integrity, fraud‑waste‑abuse detection, and rapid‑pay/payment methodologies. • Deliver repricing services at the TPA revenue‑code level and ensure data flow to OSU A&M’s data warehouse. • Offer robust provider‑relations, credentialing, and escalation support with guaranteed service levels. • Submit detailed cost and final proposals via the OK Corral portal by the sealed deadline.