Part 4 - Iowa Medicaid Enterprise

RFP MED-12-001 | Technical ProposalIowa Medicaid Enterprise System Service Procurement | MMIS and Core MMIS OperationsIn addition to supporting the Department with the PERM project, Noridian has assisted other IME units inresponding to PERM questions. Our staff members have a wealth of experience with the IME and arewell qualified to continue to support this process, both directly and in operating the claims processingfunction accurately and timely to ensure full Department and CMS compliance.7.12 SubcontractorsRFP Section 5.12Noridian Administrative Services, LLC (Noridian), the prime contractor for this project, hasprocurement management policies in place which are used to manage and monitor the work of anyvendors or subcontractors assigned to a project. These policies are part of Noridian's corporateprocurement management procedures that we have used to successfully procure, manage, and reporton the many subcontractors we have used throughout our long history in federal and state business.Noridian is very judicious in its selection and use of subcontractors during the performance of ourcontracts. We understand the value and contributions that selective subcontractors can provide to enhancenot only our business capabilities, but also that each subcontract adds additional management processes toensure that value and ability to achieve contract obligations is met. Our ISO9001-assessed processes forvendor management help ensure that our contractors are performing at a level that not only ensurescompliance with but also meets the additional criteria for performance satisfaction. Noridian takes fullresponsibility for all contract requirements. Our processes work, and we have an excellent track record ofcontract management. Each subcontractor or vendor organization is assigned a single point of contactwithin Noridian for contractual matters. In this case, our account manager, Mr. Scott Hruska, will fulfillthat role and will be responsible for oversight of our subcontractor, CNSI, throughout all phases of thisproject. Each subcontractor will identify their own single points of contact within their respectiveorganizations for contractual matters.The Noridian procurement process requires that subcontractor performance and work be monitored andevaluated regularly to ensure it meets expectations in order to allow Noridian, as the prime contractor, tomeet or exceed customer expectations. This is accomplished through scheduled performance reports, aswell as periodic subcontractor reviews. Noridian monitors the subcontractor performance documented inthe contract by conducting regular status reviews with the managers who are responsible for managing theday-to-day project progress. The account manager uses verbal and written performance informationgathered from Noridian managers and the Quality Monitoring and Control unit to evaluate and assesssubcontractor performance. All subcontractor personnel are expected to interact with any Noridianpersonnel as needed to fulfill the agreements or subcontracts.The account manager, with support from the PMO, documents compliance against the contractualcommitments using the information gathered. If contractual commitments are not being met, the accountmanager will initiate the necessary corrective action. All subcontractor employees must comply with allrequirements of this Request for Proposal (RFP) and are subject to the same quality performance andtimeliness expectations as Noridian staff members. Noridian monitors SLA achievement and worksdirectly with its subcontractors to implement corrective action; this simplifies the management of thecontract for the Department as the Department need only interact with Noridian and is not responsible forworking with subcontractors directly.Our account manager will meet with a delegate of the subcontractor organizations to discuss any issues ofconcern to either party. The subcontractor delegate is usually a senior employee of the subcontractor whois not directly involved in the delivery of contract products or services. The purpose of these meetings isto facilitate the project and to remove any impediments to success. If a dispute occurs between the partiesof the contract that cannot be resolved by the account manager and his counterpart in the subcontractor'sorganization, the issue is submitted in writing to the corporate contract management team as identified in7 | 57