This global healthcare consulting and services company, delivering end-to-end solutions that help provider and payer organizations transform healthcare, was awarded an approximately 27 month contract to provide integrated, vendor-neutral, evidence-based EPMO and technical implementation support across work streams for the Centers for Medicare and Medicaid Services (CMS).
Awardee Name: TEGRIA SERVICES GROUP – US INC
Total Contract Value: $5,071,663.96
Department Name: HEALTH AND HUMAN SERVICES, DEPARTMENT OF
Funding Agency: CENTERS FOR MEDICARE AND MEDICAID SERVICES
Number of Bidders: 1
Award ID: 75FCMC26C0028
RFP ID: 75FCMC26R0070
Read the Limited Sources Justification here.
CMS requires enterprise program management office support for the ClaimsCore initiative, a large-scale modernization effort to replace legacy Medicare Fee-for-Service shared systems with a secure, near-real-time commercial off-the-shelf platform. The contractor will serve as the technical implementation backbone for the program, supporting proof-of-concept execution, dual-platform operations, and implementation readiness.
Work includes technical PMO leadership and schedule management, executive-level advisory support, enterprise and solution architecture, balanced Facets and HealthEdge proof-of-concept support, claims-parity testing, integration planning, data conversion, cutover planning and runbooks, and readiness criteria. The contractor will also support target-state architecture, integration patterns, platform-neutral guardrails, sequencing of deliverables, vendor coordination, claims-accuracy and testing strategy, and development of a technical schedule designed to minimize implementation risk and keep the program on track toward production readiness.
Congrats Team Tegria