Medical Third‑Party Administrator (TPA) and Pharmacy Benefit Manager (PBM)

Pulaski County, Arkansas is seeking a qualified vendor to serve as both the Medical Third‑Party Administrator (TPA) and Pharmacy Benefit Manager (PBM) for the county’s public health programs. The selected contractor will be responsible for administrating medical claims, managing pharmacy benefits, negotiating with providers and pharmacies, ensuring regulatory compliance, and delivering cost‑effective health‑service solutions. • Scope includes full claims processing, member enrollment, and provider network management. • Must provide pharmacy benefit design, formulary management, and rebate negotiations. • Requires robust reporting, data analytics, and compliance with state Medicaid and Medicare regulations.