25-13 - CCRFP FOR MANAGED CARE ORGANIZATION

The New Jersey Municipal Excess Liability Joint Insurance Fund (NJMEL) is soliciting proposals from qualified firms to provide Managed Care Organization (MCO) services under a Competitive Contracting Request for Proposals (CCRFP). The selected provider will manage medical treatment, billing review, and cost containment for workers’ compensation and related claims across NJMEL’s member Joint Insurance Funds. The scope includes network administration, medical case management, compliance with HIPAA and state laws, and coordination with claims administrators to ensure timely, cost-effective, and high-quality care for injured employees.