William M. Randolph Jr. - Government Organizations

Ni-San (二三) Consulting LLC.

20+ Yrs in Federal & Healthcare IT Transformation

Vertical Transformation Specialist — Healthcare & Government

I don't just build roadmaps. I stay until we have completed strategy execution.

Most organizations don't fail because they lack a strategy. They fail because the strategy never gets executed all of the way.

Leadership sets a direction, transformation begins, and then — somewhere around 40% of the way through — momentum stalls. Competing priorities take over. The people leading the change move on. The initiative quietly dies.

I have spent 20+ years solving exactly that problem — inside large federal health programs, national health insurance organizations managing millions of members, and CMS-adjacent environments where the stakes are measured in hundreds of millions of dollars and the people affected are counted in the tens of millions.

I built Ni-San as a boutique firm by design — working directly with every client, on every engagement, without exception. No junior associates. No handoffs. Just focused, senior-level work from day one.

I was born in Okinawa, Japan during the month of Nisan. I am a U.S. Air Force veteran, a Johns Hopkins MBA graduate, and a lifelong student of what it takes to lead change in organizations that cannot afford to fail.

Ni-San exists for organizations that are ready to finish what they started.

I earned every one of these to be true to my craft — and to earn your confidence that what we start together, we finish together.

Strategy & Execution
MBA (Johns Hopkins) · PMP · SAFe 6.0 POPM — Every engagement is backed by graduate-level financial modeling and certified project discipline. Your roadmap will be analytically defensible, not just directionally correct.
Process & Value Delivery
Value Stream Certified · Lean Practitioner — I find where your organization is losing time and money before recommending a single change.
Legacy & Modern Systems
IBM Mainframe (MVS/TSO · COBOL) · AWS Cloud Practitioner (In Progress) — I speak both languages. The systems your organization runs today and the architecture it needs tomorrow.
Compliance & Security
HIPAA Certified — Healthcare and government data handled with the stewardship your members, beneficiaries, and oversight bodies require.
AI & Modern Methods
GenAI for PMs · AI for Business — Applied where it adds real value, not as a talking point.
Service
U.S. Air Force Veteran (Honorable Discharge) — When we commit to 23 days, we mean 23 days.

William M. Randolph Jr. — Founder, Ni-San Consulting LLC

Work That Speaks For Itself

One of the most-used member-facing tools at a major national health benefits program did not exist until we built it.

A member gets a referral for rotator cuff surgery. They need to know immediately: Is this procedure covered under my plan? What will it cost me out of pocket? Which in-network surgeons can perform it — and where are they located? What is my total financial responsibility before I schedule anything?

Before this tool existed, the answer was a 140-page benefits booklet mailed to their home and a call to a service center. We built the digital tool that answers all of those questions in one place — on demand, in plain language, without a phone call.

I managed that implementation end to end — coordinating Benefits, Legal, technology vendors, and compliance teams simultaneously, with a legal attestation framework that satisfied regulatory requirements while keeping the member experience clean and usable.

The tool now serves millions of members, ranks among the most-used features on the member portal, and has measurably reduced CSR call volume — putting benefits transparency directly in the hands of the people who need it most.

This is where healthcare is going. Transparency is no longer optional. The organizations that get there first will own the member relationship.

On the federal side:

At CMS, three waterfall teams maintained call center infrastructure serving 100 million Americans — with no roadmap, no dashboard, and no agile foundation. We built all three. The teams that resisted eventually owned it.

Why Ni-San Consulting?

Large consulting firms are excellent at strategy. They will produce a beautifully bound roadmap and present it to your leadership team. Then they will send a team of analysts to begin the transformation work. Then, when the engagement winds down, they will hand the implementation off to someone who was not in the room when the strategy was built.

Ni-San is different by design. We are a boutique vertical transformation firm. We specialize in two industries — healthcare and government — and we do not generalize. The same senior expertise that builds your strategy is present at every stage of transformation and execution. We do not disappear after the deck is delivered. We stay until the work is done. That is the Ni-San difference.