Dental Benefit Program Management for LDH

The State of Louisiana is seeking a qualified vendor to provide comprehensive management of its Dental Benefit Program for the Louisiana Department of Health (LDH). The contractor will be responsible for overseeing all aspects of the program, including claims processing, provider network administration, compliance monitoring, reporting, and continuous improvement initiatives. This RFP calls for a partner with proven experience in health‑benefit administration, strong analytical capabilities, and the ability to deliver cost‑effective solutions while maintaining high service quality for beneficiaries. • Manage end‑to‑end dental benefit operations for LDH • Administer provider contracts and credentialing • Process claims, adjudication, and payments • Ensure regulatory compliance and audit readiness • Produce regular performance and financial reports • Implement program enhancements and cost‑containment strategies • Serve as primary liaison between LDH, providers, and beneficiaries