Procurement Overview Vendor Management Fee Structure RFP & Procurement Pilot Strategy Implementation Roadmap Success Metrics Risk & Mitigation Enterprise Expansion

Benefits & Procurement · RFP & Procurement

RFP & Procurement Process

The end-to-end procurement lifecycle: needs assessment, market scan, RFP, evaluation, negotiation, implementation, and ongoing performance management.

Sample dataObserved

Procurement process timeline

1. Needs Assessment

Completed4 weeks

Define program scope, eligible population, clinical objectives, and success metrics.

Owner: Benefits DirectorDeliverables: Program requirements document · Eligibility criteria · Success metrics framework

2. Market Scan & Vendor Identification

Completed3 weeks

Survey the market for integrated GLP-1, clinical platform, and care navigation vendors.

Owner: ProcurementDeliverables: Vendor longlist (12 vendors) · Capability matrix · Market analysis

3. RFP Issuance & Proposal Collection

Completed6 weeks

Issue RFP to shortlisted vendors; collect and validate proposals.

Owner: ProcurementDeliverables: RFP document · 5 vendor proposals · Clarification responses

4. Evaluation & Scoring

Completed4 weeks

Score proposals on clinical capability, cost, technology, and service quality.

Owner: Cross-functional committeeDeliverables: Evaluation scorecards · Vendor comparison matrix · Recommendation memo

5. Contract Negotiation

Completed5 weeks

Negotiate fee structure, at-risk terms, SLAs, and data governance provisions.

Owner: Procurement + LegalDeliverables: Master services agreement · SLA schedule · Data processing agreement

6. Implementation & Onboarding

In Progress8 weeks

Vendor onboarding, system integration, eligibility file setup, and pilot launch.

Owner: Program ManagerDeliverables: Integration complete · Eligibility loaded · Pilot live

7. Ongoing Performance Management

ActiveOngoing

Quarterly business reviews, SLA monitoring, outcome tracking, and contract renewal decisions.

Owner: Benefits DirectorDeliverables: Quarterly QBRs · SLA dashboards · Annual performance review

RFP evaluation criteria

Observed

Clinical capability & outcomes30%

Evidence-based protocols, provider network, demonstrated outcomes

Total cost & value25%

Per-member cost, at-risk structure, ROI projection

Technology & integration20%

Platform features, API integration, data export, reporting

Service quality & SLAs15%

Response times, fulfillment rates, member satisfaction guarantees

Data security & compliance10%

HIPAA, SOC 2, data governance, privacy controls

Vendor comparison matrix

Measured

Vendor	Clinical	Cost	Tech	Service	Compliance	Total
PayRX (Selected)	92	85	90	88	95	90.2
Vendor B	84	90	78	82	88	84.4
Vendor C	88	72	85	80	90	83.8
Vendor D	78	88	82	85	85	82.6

PayRX (Selected)Selected

Integrated platform, value-based pricing, strongest outcomes data

Vendor B

Lower cost but fragmented — separate pharmacy and clinical vendors

Vendor C

Strong clinical but higher cost and limited integration

Vendor D

Good service but weaker clinical evidence base

Procurement summary

Total process duration

22 weeks

Needs assessment through contract signing

Vendors evaluated

12 → 4

Longlist to finalists

Contract value

$14.76M

3-year total (all vendors)

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