Managed Care Advisors, Inc.

Managed Care Advisors, Inc., a subsidiary of Sedgwick Claims Management Services, Inc., operates as a prime contractor delivering workers' compensation medical case management, claims processing, and federal employee healthcare program administration to 27 distinct civilian federal agencies, competing without set-aside designations in full-and-open federal markets. The Bethesda, Maryland-based for-profit company holds no subcontractors and builds all delivery capability in-house across a vertically integrated model.

The vendor's customer base concentrates heavily within the Department of Homeland Security ecosystem. DHS components account for the plurality of recent awards by both count and dollar value: the DHS Immediate Office of the Secretary anchors the portfolio with four awards valued at $159.7 million combined potential value (dominated by a $71.2 million single-award BPA for workers' compensation administration through March 2031); Customs and Border Protection holds eight awards worth $109.7 million; the Transportation Security Administration carries seven awards valued at $84.3 million; and the Coast Guard, U.S. Citizenship and Immigration Services, and the Federal Law Enforcement Training Center round out the DHS component set with smaller task orders. Outside DHS, the Centers for Disease Control and Prevention represents the second-largest customer by dollar value, holding a $113.6 million definitive contract awarded in November 2021 to establish and operate the World Trade Center Health Program nationwide provider network through February 2027, with FY2025 labor performance at 95.6 FTEs and $26.6 million in invoiced revenue. The top five customers by potential value (DHS-IO, CDC, CBP, GSA Federal Acquisition Service, and TSA) account for 91% of the combined potential value across all recent awards.

Managed Care Advisors operates exclusively on the GSA Multiple Award Schedule (MAS), with 126 task orders carrying $519.8 million in combined potential value. The vendor also holds a single-award BPA—the DHS Immediate Office of the Secretary workers' compensation vehicle described above—under which subsidiary task orders are issued to individual DHS components. The MAS vehicle and the DHS single-award BPA together represent the entirety of the vendor's parent-vehicle footprint; task orders flow from civilian agencies seeking workers' compensation medical case management, claims administration, and related occupational health services on labor-hour or firm-fixed-price terms.

Recent activity has accelerated sharply: four awards in 2025 and seventeen in 2026 (through late September), compared to three awards annually in 2023 and 2024. Six awards with combined potential value of $122.3 million reach ultimate completion within the next twenty-four months, exposing the vendor to recompete activity in FY2027 and early FY2028. The most significant near-term recompete pressure comes from the CDC World Trade Center Health Program contract (ultimate completion February 2027, $113.6 million ceiling) and multiple DHS component task orders under the March 2031 single-award BPA.

Service Contract Inventory data covering FY2022–FY2025 shows SCI-reportable invoicing of $132.8 million across 61 prime contracts, with federal FTE headcount rising from 107 in FY2022 to 188 in FY2024 and declining to 154 in FY2025. Government-paid hourly rates span a median of $108.38 per hour, with entry-level analysts at approximately $86.90/hr and senior subject matter experts commanding up to $165.12/hr (90th percentile), reflecting a labor portfolio anchored in nursing case management (39 awards under Medical-Nursing PSC category) and medical-support professional services. The vendor's GSA Schedule labor rates range from $92.27/hr for analysts to $259.92/hr for senior subject matter experts with doctoral credentials; no positions require security clearances. Across all SCI-reportable prime contracts, subcontractors accounted for zero percent of contractor hours — Managed Care Advisors self-performs all delivery, though the SCI dataset names nine subcontractors across the portfolio at negligible scale.

The vendor's award history extends to May 2004, but the footprint is narrow and specialized: 94 of 99 total awards fall under NAICS 541611 (Administrative Management and General Management Consulting Services), with the remaining five scattered across professional employer organizations, wholesale drugs and sundries, health insurance carriers, and human resources consulting. The award concentration by both NAICS and PSC underscores a single-capability vendor—workers' compensation program administration—operating as a prime contractor without prime-to-sub or sub-to-prime relationships.

Health care consulting services for public and private sectors (providers and payors); program design and development for managed care initiatives (Medicaid, S-CHIP, uninsured and workers compensation populations); and technical writing.