Form

Request For Partnership

To request to join our talent network and vendor panel, please complete the following RFP with the most updated and detailed information as possible. Please provide a point of contact for this RFP and that contact’s information for questions we may have regarding this submission.

Company and Contact Information

Company Name*

RFP Contact Name*

RFP Contact Title*

RFP Contact Email*

Company Overview*

Tell us a little more about your business.

Company Values*

Please explain how and why your company fits with our organizational values.

Services Offered*

Please list the services your organization offers and describe the depth and breadth of these offerings.

Technology Capabilities*

Please list the technological capabilities your organization offers, including your integration and API capabilities.

Reporting Capabilities*

What metrics and data are you able to collect and offer clients and partners?

Credentialing*

Tell us more about the credentialling operations at your organization. What do you collect? How do you manage them? How do you update clients?

MWBE Status*

Is your organization a Minority- and/or Women-owned Business Enterprise? Let us know your designation and please upload any necessary certifications confirming your status.

Certification

Experience & Expertise*

How long has your organization been operating? What kinds of clients do you serve? Please describe your organization’s strengths and experiences.

References*

Please provide 2-3 client references and include name, title, email address and company name.

Compliance & Legal Requirements*

How does your organization manage compliance? What legal requirements are prerequisite for your organization? What requirements has your organization accommodated or complied with previously?

Are your contractors W-2 employees of your organization?*

Specialties and Roles

What are the top five specialties you are currently supporting in the following categories?

Allied*

Nursing*

Locums*

Geographic Coverage

In which states are you currently licensed to operate?*

Are there any regions where you have a particularly strong presence or network?*

Headquarters and Branches

Where is your headquarters located?*

Where do you have branch offices?*

Current Staffing Volumes

How many healthcare professionals are you currently staffing across all specialties? Please break out clinical vs locums.*

Capacity and Availability

How many healthcare professionals do you have available in the specialties we are targeting?*

What is your average time-to-fill for these roles?*

What is your average time-to-candidate submission?*

How quickly do you present the first qualified candidate?

Average Time-to-Start*

How long it takes for a candidate to begin work (including credentialing)?