Consultant for Pharmacy Benefits Management Services

The City of Worcester is seeking a consultant to provide expertise in pharmacy benefits management, including RFP development, actuarial analysis, and ongoing support for a period of one year, with options for two additional years.

City of Worcester Human Resources Department


General
Open
CR-8738-W7
Jul 01, 2026 10:00 AM
Jun 10, 2026 12:00 AM
1 year base + 2 × 1 year options
Request for Proposal (RFP)
Local
Original Solicitation Links
Contact
Christopher J. Gagliastro
+15087991220
Worcester City Hall, Worcester, MA, USA
Submission Instructions
Mail
Description

The City of Worcester is seeking a consultant to provide expertise in pharmacy benefits management (PBM). The scope of services includes developing a Request for Proposal (RFP) for a PBM vendor, evaluating responses, and assisting with negotiations. The selected consultant will also provide ongoing support services for the term of the contract, which may include strategic advisement, industry education, performance oversight, and vendor management. The consultant will work with the City's internal representatives and its contracted health consultant. Key responsibilities include reviewing the City's current PBM contract, claims, and plan design to identify potential cost savings, and providing ongoing support, clinical and plan analysis, and recommendations. The services will require coordination and data sharing with the City's existing health insurance carriers and pharmacy benefit manager. The City intends to award a contract and begin the PBM bid process immediately to ensure a July 2026 plan implementation date.

Classification Codes
NAICS524292Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds
PSCR409Program Review/Development Services
Smart Codes
pharmacy benefits consultingrfp developmentactuarial analysis
Specifications
Service Only
Requirements
Required
  • Public Liability — $1,000,000.00
  • Property Damage — $1,000,000.00
  • Workers Compensation
Required
  • Minimum 3 references
  • Client point of contact required for each reference
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