Nearshore & Offshore staff Augmentation Built for 24/7.
A blended delivery model. US onshore leadership, Colombia nearshore for EST-aligned bilingual capacity, and India offshore for overnight scale. Healthcare-fluent, security-cleared, and ready to ramp inside two weeks.
Global Delivery Hubs
LiveUSA
Chantilly, VA
EST
COL
Medellín
COT
IND
Hyderabad
IST
98%
Retention
<2 wk
Ramp
40%
Saved
Proven at Scale.
The numbers behind a global delivery model built specifically for US healthcare and government IT.
Employee Retention
Average Ramp Time
Cost vs. Onshore-Only
Active Consultants
The Outcomes we Deliver.
A blended onshore + nearshore + offshore model gives you the right mix of context, velocity, and cost, without forcing a tradeoff.
24/7 Follow-the-Sun Delivery
EST onshore, COT nearshore, IST offshore, three hubs handing work off across the clock so engineering and clinical projects never wait on a time zone.
Vetted, Badged, HIPAA-Trained
Every consultant clears a 4-stage technical screen, background check, and annual HIPAA / security awareness recertification before badging in.
Flexible Engagement Models
T&M, fixed-bid, dedicated capacity pods, or build-operate-transfer, pick the shape that fits the work, switch as the program matures.
How the Model Comes Together.
Each hub plays a deliberate role. None of them are an island, leadership, escalation paths, and toolchains are unified across the program.
Project leadership and on-site clinical analysts.
Headquartered in Chantilly, Virginia, our US bench leads every engagement. Program managers, Epic-credentialed analysts, and senior architects own the customer relationship and on-site presence. They sit beside clinical and operations teams, run go-lives, lead governance, and translate workflow nuance into work the nearshore and offshore teams can execute. EST hours, badged at your facilities.
- HQ in Chantilly, Virginia (DC metro)
- Senior PMs and engagement leads on-site
- Epic, Cerner, Meditech-credentialed analysts
- Clinical informaticists (former RNs)
- Solution architects and integration leads
EST-aligned hours, bilingual, deep IP-protected hub.
Our Medellín delivery center runs on the EST workday with overlap that spans the full US business day. Senior bilingual engineers, ServiceNow developers, Salesforce specialists, and full-stack .NET / Java / React teams — ideal for real-time agile collaboration, embedded scrum teams, and same-day issue resolution without the latency of pure offshore.
- Single-city hub in Medellín (Floors 2-4, Cra 43A)
- Spanish / English bilingual delivery
- Full overlap with EST business hours
- Embedded scrum and Kanban pods
- Lower attrition than US contract market
Cost-efficient scale and overnight delivery.
Our Hyderabad center at Trendset Jayabheri Connect (HI-Tech City) is built for scale — large Epic, Cerner Millennium, and AWS / Azure cloud teams plus a deep bench of RPA, data engineering, and QA automation talent. Hyderabad absorbs the heavy build-and-test workload overnight, so your US morning standups already have something working to review.
- Single offshore hub in Hyderabad (HI-Tech City)
- 400+ engineer talent pool
- Overnight build, automate, and test cycles
- Epic & Cerner certified analyst pipeline
- AWS / Azure / GCP cloud engineering at scale
From clinical informaticists to cloud engineers.
A practical mix of healthcare-fluent talent and modern engineering disciplines. Every consultant is vetted on technical fundamentals, clinical workflow context where it matters, and the soft skills to operate inside a US health-system environment. We move fast: most named requests are interview-ready inside 5 business days.
- Epic-credentialed analysts & MyChart specialists
- Cerner Millennium analysts and consultants
- .NET, Java, React, Node engineers
- ServiceNow / Salesforce developers
- AWS / Azure / GCP cloud engineers
- RPA, data engineers, ML engineers
Follow-the-Sun Coverage
Three Hubs. One Continuous Workday.
Work moves from Chantilly to Medellín to Hyderabad and back, so no ticket, build, or test cycle waits eight hours for the lights to come back on.
24-Hour Coverage
The Workday Never Stops.
Chantilly, VA · 09:00 – 18:00
US Eastern
Medellín · 09:00 – 18:00
Colombia
Hyderabad · 09:30 – 18:30
India
Four Engagement Models. your Choice.
Time & Materials
Pay-as-you-go staffing for evolving scope. Best for discovery, ambiguous workstreams, and ongoing optimization where requirements shift week to week.
Fixed-Bid
Defined deliverable, defined price. Best for upgrades, migrations, and integration builds where scope, acceptance criteria, and timeline are agreed up front.
Dedicated Capacity Pods
A stable, named team, lead engineer, analysts, QA, booked monthly and embedded with your product or platform group. Builds long-term context and velocity.
Build-Operate-Transfer
We stand up and run an offshore center on your behalf, then transfer it to you in 18–36 months. Best for organizations that want a captive long-term capability.
How We Hold The Bar
The 98% Retention Number isn't an Accident.
We treat consultants like full-time team members, career path, certifications, mentorship, and we screen the front door hard. That keeps the back door closed.
4-Stage Technical Screen
Recruiter screen, technical assessment, panel interview, scenario simulation. Less than 7% of applicants make it through.
Background & HIPAA
Criminal, education, and employment verification plus annual HIPAA, HITRUST, and security-awareness recertification.
Continuous Performance
Weekly client check-ins, monthly QBRs, and a 30-day replacement guarantee on any consultant, no questions asked.
Knowledge Continuity
Every engagement is documented in a shared runbook. If a consultant rolls off, the next one is productive in days, not weeks.
What Customers Tell Us.
The proof point is rarely the resume. It's how the team operates eight months in.
“The InterScripts pod has become indistinguishable from our internal engineering team. Same standups, same code-review rigor, same accountability, and they kept delivering through two leadership transitions on our side.”
VP, Application Services
Regional Health System (Midwest)
“The Colombia nearshore overlap was the unlock for us. Live pair-programming sessions, same-day issue triage, and a level of English fluency we hadn’t seen from other vendors. Our velocity nearly doubled in the first quarter.”
Director, Digital Health
Academic Medical Center
“We ran a build-operate-transfer with InterScripts in Hyderabad. Eighteen months in, we took ownership of a fully staffed, fully credentialed offshore center, no attrition spike, no knowledge loss. That is rare.”
CIO
National Health Plan
Ready to staff a global team that works while you sleep? Let's talk.
Tell us the roles, the timeline, and the engagement model that fits, we'll come back inside 48 hours with a named team, hourly rates, and a ramp plan you can take to your leadership.