Specifications include, but are not limited to: UNMH is seeking a highly qualified actuarial firm and consulting firm or combination thereof to assist with consulting and actuarial services with respect to: efficient delivery of healthcare for a safety-net hospital, employee benefits, employee health plans, health plans generally, and related matters. Consultation and actuarial review of claims processing and accuracy. Assistance with provider management as it relates to a health plan or healthcare network. Assistance with evaluation of uncompensated care costs and operational efficiency. Extensive experience and knowledge relating to reimbursement from health plans, Medicare and Medicaid is preferred. Knowledge and Experience working with New Mexico Medicaid is preferred. The agreement will be a master services agreement with hourly rates stipulated, with scope of work addenda negotiated and prepared on a project by project basis during the term of the agreement. Project’s may include, but not be limited to, review of employee plan claims, preparation of actuarial reports, etc.