Description
The City of Long Beach is seeking a single qualified firm to deliver comprehensive health‑advocacy and navigation services for its eligible employees, retirees, and their families. The contractor will provide dedicated health advocates, a secure multi‑language digital portal, 24/7 intake, and coordination with existing benefit carriers, while meeting strict HIPAA/HITECH, accessibility, and reporting requirements. The contract is a two‑year base term with up to three one‑year extensions (maximum five years) and a target go‑live date of March 1 2027.
• Provide member‑level assistance – care coordination, provider search, claims dispute resolution, fee negotiation, grievance handling, and second‑opinion facilitation.
• Deliver a secure, ADA‑compliant online portal and mobile app with multilingual support, 24/7 intake, and proactive outreach (e.g., preventive‑service reminders, chronic‑condition alerts).
• Supply quarterly and ad‑hoc utilization/engagement reports, maintain HIPAA‑compliant data handling, and support audit rights and data transfer to any successor vendor.
• Meet performance metrics such as ≤99% platform uptime, ≥11% digital member registration, and implementation within 60‑90 days of award.
• Must have ≥5 years experience delivering health‑advocacy/navigation services to large government or municipal clients, and maintain required insurance coverages.