Managed Care Advisors, Inc.

Managed Care Advisors, Inc., a subsidiary of Sedgwick Claims Management Services, Inc., delivers workers' compensation medical case management, claims processing, and federal employee healthcare program administration services exclusively as a prime contractor on GSA Multiple Award Schedule vehicles and single-award blanket purchase agreements. The Bethesda, Maryland-based firm competes without set-aside designations in the open federal marketplace and serves 27 distinct civilian federal agencies.

The vendor's customer base is heavily concentrated in Department of Homeland Security components and specialized healthcare programs. By award count, the top five customers — DHS Coast Guard, DHS U.S. Citizenship and Immigration Services, DHS Customs and Border Protection, DHS Federal Law Enforcement Training Center, and the Equal Employment Opportunity Commission — account for 40% of all recent awards. By combined potential value, however, the distribution tilts sharply toward larger prime vehicles: DHS Immediate Office of the Secretary anchors the portfolio with four awards worth $159.7 million combined potential value, followed by DHS Customs and Border Protection ($108.1 million across seven awards), the Centers for Disease Control and Prevention ($107.3 million for World Trade Center Health Program nationwide provider network operations), and GSA Federal Acquisition Service ($105.5 million). Managed Care Advisors operates exclusively as a prime contractor; across 94 total prime awards in the source data, the vendor carries zero subcontract work and reports zero sub-hours engagement in SCI-reportable prime contracts, indicating a vertically integrated delivery model with no named subcontractor reliance.

Activity has accelerated sharply in the past twelve months. The vendor received twelve awards in 2026 alone, up from three to five annually in 2022–2025. The two largest vehicles are the GSA Multiple Award Schedule (117 task orders, $465.9 million combined potential value) and a master Human Resources & Equal Employment Opportunity Services contract (25 task orders, $107.2 million combined potential value), both enabling multi-year task order activity across federal agencies. A single-award DHS Immediate Office of the Secretary BPA for workers' compensation medical case management services, established March 31, 2026, carries a $71.2 million ceiling through March 30, 2031. Ten awards (combined potential value $117.7 million) face completion within the next twenty-four months, creating recompete exposure for the vendor and corresponding opportunity for competitors to enter the market.

Capability focus spans workers' compensation medical case management, claims coordination, return-to-work program facilitation, and program administration. Representative concrete work includes a $107.3 million definitive Time and Materials contract with the Centers for Disease Control and Prevention (awarded November 29, 2021, through November 28, 2026) to establish and operate the World Trade Center Health Program nationwide provider network, a $16.76 million DHS Immediate Office of the Secretary BPA call (awarded June 20, 2026) for centralized WC-MCMS program management, governance, analytics, and IT system security across DHS components, a $5.59 million Department of Commerce delivery order (awarded December 17, 2021) for professional human resources and case management services at the agency's Washington headquarters, and multiple smaller task orders ranging from $50 thousand to $2 million with Coast Guard, USCIS, CBP, TSA, and FLETC for medical case management and workers' compensation program support.

On SCI-reportable service contracts above the $150,000 threshold, the vendor invoiced $93 million across FY2022–FY2024 (FY2022: $23.8 million, FY2023: $35.6 million, FY2024: $33.6 million), with federal FTE headcount growing from 107 in FY2022 to 188 by FY2024. Government-paid hourly rates on prime contracts span a median of $107.85 per hour, with 10th percentile floor rates at $86.40/hr and 90th percentile senior labor commanding $169.33/hr. Active GSA Schedule labor offerings include nine categories ranging from $92.27/hr for entry-level analysts (bachelor's degree, one year experience) through $259.92/hr for senior subject-matter experts (PhD, ten years experience), with nursing case managers priced at $103.83/hr and senior consultants at $202.24/hr; no security-cleared positions are offered.

Human Resources and Equal Employment Opportunity Services is the dominant secondary vehicle (25 task orders, $107.2 million), signaling substantial work in federal employee healthcare administration beyond workers' compensation core. The vendor's NAICS footprint centers on Administrative Management and General Management Consulting Services (89 of 94 awards), with niche exposure to Professional Employer Organizations (2 awards), Health Insurance (1 award), and Pharmaceutical Distribution (1 award). PSC coding confirms medical and healthcare focus: Medical-Nursing (38 awards), Medical-Other (20 awards), Support-Professional Human Resources (8 awards), and Specialized Medical Support (5 awards).

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.