Your legacy work deserves a partner who listens first. Together we bridge strategy to outcomes — co-creating solutions that fit YOUR organization, not ours.

Every engagement starts with your voice.

We bring the framework. You bring the knowledge of your organization. Together we build a roadmap that actually gets executed.

A Boutique Consulting Firm for Healthcare & Government

Your strategy isn't the problem. Consistent execution is.

THE PROBLEM

Most organizations know something is wrong. They just don't know exactly where — or what it's costing them.

Maybe your teams are working without a clear roadmap. Maybe there's tech debt nobody has formally documented. Maybe your members or beneficiaries can't access something they're already paying for.

These aren't small problems. They compound quietly — until they become expensive ones.

The hardest part is not fixing the problem. The hardest part is knowing exactly where it is and what it's worth to solve it.

WORK THAT SPEAKS FOR ITSELF

These are the kinds of problems the

23-Day Assessment is built to find.

Member Benefits Transparency:

Federal Health Benefits Program

Members couldn't see what their plan covered, what a procedure would cost, or which providers could perform it — without calling a service center or reading a 140-page booklet. We built the digital tool that answered all of those questions in one place. It now serves millions of members and ranks among the most-used features on the member portal. CSR call volume dropped measurably from day one.

Agile Transformation:

Centers for Medicare & Medicaid Services

Three waterfall teams maintaining infrastructure for 100 million Americans — no roadmap, no dashboard, no agile foundation. We built all three. The teams that resisted eventually owned it. The first-ever program roadmap was delivered. Long-term agile capability was built into the program — not borrowed temporarily and then lost.

WHY NI-SAN CONSULTING?

What makes Ni-San different

Principal-Only:

You work with William. Always.

No junior associates. No handoffs. The person who builds your strategy is the same person who stays through execution. Senior expertise at every stage — not just at the kickoff.

Vertical Specialists:

Healthcare and Government. That's it.

We don't generalize. Every framework, every tool, every approach is built specifically for the environments healthcare insurers and federal agencies actually operate in. Deep specialization beats broad consulting every time.

Stay Until It's Done:

We don't deliver a deck and disappear.

Large firms produce beautifully bound roadmaps and hand implementation to someone who wasn't in the room when the strategy was built. Ni-San stays until the work is done. That is the only way transformation actually finishes.

Start with what you know. End with what to do about it.

The 23-Day Assessment is your fastest path from uncertainty to a prioritized action plan

In 23 business days, we assess your highest-priority opportunity area — the one with the most impact and the clearest path to results. You get a Current State Assessment, a Gap Analysis, a Prioritized Opportunity Register, and a Value Realization Summary showing exactly what the problem is worth to solve.

Fixed scope. Fixed investment. Approvable without a lengthy procurement process.

And at Day 7, we stop and present our findings to your leadership before any further work begins. If it isn't meeting your expectations at that point, you pay nothing further. No questions asked.

Most organizations know something is wrong. They just don't know exactly where — or what it's costing them.