Pharmacy Claims Analytics and Auditing Services

The University of Kentucky is seeking a contractor to provide a secure analytics platform and ongoing auditing of pharmacy claims for KYRx, including PBM contract validation, payment-integrity analysis, cost forecasting, and reporting.

University of Kentucky > Procurement Services


General
Open
UK-2632-27
Nov 24, 2026 08:00 PM
1 year base + 4 × 1 year options
Request for Proposal (RFP)
State
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Original Solicitation Links
Contact
david.stefanic@uky.edu
+18592575792
University of Kentucky, Lexington, KY, USA
Submission Instructions
Mail
University of Kentucky, Procurement Services, Purchasing Officer David D. Stefanic, 411 S Limestone, Room 322 Peterson Service Building, Lexington, KY 40506-0005
Description

The University of Kentucky seeks a contractor to provide a secure, scalable, auditable analytics platform and related services for KYRx, a public-sector pharmacy benefits coalition. The contractor will aggregate, validate, normalize, and analyze multi-year pharmacy claims data from multiple clients and pharmacy benefit managers (PBMs), integrating medical claims and eligibility data where available. The work includes ongoing PBM contract and pricing validation, drug-cost and savings analysis, payment-integrity and fraud, waste, and abuse analytics, pharmacy/medical claims integration, pharmacogenomic analysis, forecasting and predictive modeling, legislative impact analysis, and client- and coalition-level reporting. The proposal should explain the solution, implementation and onboarding approach, data sources and dependencies, service model, security and privacy safeguards, and pricing. Proposals must include a technical proposal and a separately sealed financial proposal. The contract is for one year, renewable for up to four additional one-year periods. Kentucky-located vendors are encouraged, and a reciprocal preference applies to qualifying Kentucky resident offerors; an offeror claiming Kentucky residency must submit a notarized affidavit with its proposal.

Classification Codes
NAICS524298All Other Insurance Related Activities
PSCR704Auditing Services
Smart Codes
pharmacy claims analyticspbm contract auditinghealthcare data analytics
Specifications
Supply & Service
Timeline
Nov 3, 2026-Release of RFP
Nov 10, 2026 08:00 PM-Deadline for Written Questions
Nov 24, 2026 08:00 PM-Proposal Due Date
Requirements
Required
  • Workers' Compensation
  • Employer's Liability — $500,000.00
  • Commercial General Liability — $1,000,000.00
  • Business Automobile Liability — $1,000,000.00
  • Cyber Liability — $5,000,000.00
  • Tech E&O — $5,000,000.00
  • Commercial Crime — $1,000,000.00
Scored
  • Within the last 5 years
  • Client point of contact required for each reference
No
Location
Documents
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