Understand
Objectives, stakeholders, constraints, risks, and the current environment.
Public-sector healthcare consulting
Clarity for complex Medicaid programs.
We help public-sector healthcare organizations plan, modernize, govern, and secure their most consequential programs.
4Integrated service areas
1Specialized Medicaid focus
360°Program perspective
Who we are
Specialized experience.
Senior attention.
East Cierras Solutions is a focused consulting firm specializing in Medicaid and public-sector healthcare. We help government organizations manage complex programs, strengthen governance, address security and privacy requirements, and align technology investments with operational objectives.
Our consultants work across organizational, program, and technical boundaries—collaborating with agency leaders, program teams, vendors, architects, and security professionals to deliver practical solutions that can be implemented and sustained.
Services in depth
More than staff augmentation
What we help
clients deliver.
Our engagements are shaped around the program’s goals, operating environment, and internal capabilities. Explore each service area for a closer look at the work we perform.
Program & PMO ServicesCreate one reliable view across complex programs, vendors, priorities, and delivery timelines.
We establish the governance, processes, and management discipline needed to coordinate large initiatives and give leadership clear, actionable visibility. Our teams support Waterfall, Agile, iterative, and hybrid delivery models.
What we help deliver
- Program governance and PMO operating models
- Integrated schedules, milestones, and critical-path management
- Executive dashboards and decision-ready reporting
- Risk, issue, action, and decision management
- Vendor coordination and deliverable oversight
- Standard operating procedures, templates, and process controls
Client outcome
Better alignment, earlier risk identification, consistent vendor accountability, and clearer executive decisions.
Medicaid Subject-Matter ExpertiseConnect policy, operations, technology, and federal expectations across the Medicaid enterprise.
Our specialists bring direct experience with Medicaid Enterprise Systems and the organizational realities surrounding modernization. We supplement agency and program teams with practical expertise from planning through implementation, certification, and operations.
What we help deliver
- MMIS and modular Medicaid enterprise initiatives
- Eligibility and enrollment systems
- Enterprise data warehouse and analytics programs
- Health information exchange and interoperability
- Pharmacy benefit management environments
- CMS certification readiness, evidence, and team training
Client outcome
Requirements and decisions grounded in Medicaid operations, implementation experience, and sustainable agency capability.
Enterprise & Technical ArchitectureMake technology serve the business—with a roadmap that works across modules, vendors, and years.
We bridge business objectives and technical delivery through enterprise, business, solution, data, and infrastructure architecture. Our architects help prevent duplication, reduce rework, and establish the standards needed for an integrated ecosystem.
What we help deliver
- Current-state, future-state, and transition architecture
- Strategic plans and multi-year technology roadmaps
- MITA-aligned business and modular architecture
- Solution, integration, and service-oriented architecture
- Data governance, ownership, quality, and controls
- Cloud, environment, release, test, and technical operations strategy
Client outcome
A coherent technical direction that supports program priorities, improves interoperability, and reduces long-term cost and complexity.
Security & PrivacyBuild security and privacy into the program—not around it after delivery.
We help healthcare organizations establish, assess, and operate security and privacy programs tailored to their responsibilities and risk. Our work spans governance, documentation, training, assessment, incident preparedness, and ongoing advisory support.
What we help deliver
- Independent security and privacy assessments
- Policies, standards, procedures, guidelines, and templates
- Control assessment and compliance evidence development
- HIPAA, NIST, ARC-AMPE, CMS, and related framework alignment
- Security awareness, role-based training, and communications
- Incident response planning, documentation, and governance
Client outcome
A defensible, well-documented program that improves readiness, accountability, and day-to-day security practice.
Representative experience
Across the Medicaid enterprise
We know the work
because we've done it.
Our consultants have supported Medicaid and public-sector healthcare organizations across the United States and its territories.
- Enterprise architecture for large state Medicaid agencies
- Independent security and privacy assessments
- Security and privacy expertise for health information exchange
- PMO, SME, and architecture support across MMIS, E&E, EDW, and HIE programs
- Creation and ongoing support of a Medicaid Information Security Office
- Program-wide policies, procedures, documentation, and staff training
How we work
From complex requirements
to sustainable capability.
Align
Program, operations, architecture, security, privacy, and regulation.
Deliver
Leadership, expertise, assessment, documentation, and clear processes.
Sustain
Repeatable practices and internal capabilities that endure.
Let's talk
What's your next
program challenge?
Whether you are modernizing Medicaid systems, strengthening governance, evaluating security and privacy risk, or adding specialized expertise, we're ready to listen.
Email bhansard@eastcierrassolutions.com ↗