Teams-as-a-Service

A leading healthcare organization launched a large-scale CMS initiative to expand operations from six states in 2025 to 26 states by 2026. This initiative required strategic oversight, robust reporting capabilities, and compliance management across multiple workstreams.

To navigate these challenges, they partnered with Pyramid Consulting, leveraging our Teams-as-a-Service (TaaS) model to provide flexible, onshore program leadership. What began as a three-person Statement of Work (SOW) quickly evolved into us supporting a multimillion-dollar program at the heart of the client’s CMS expansion.

As this program rapidly scaled into new regions and technologies, the team faced urgent workforce challenges, particularly in sourcing and enabling niche technical talent across remote and emerging markets. That’s where we delivered.

Challenges

The client faced several challenges as they prepared to scale their CMS operations.

They struggled to source Program and Project Managers with the specialized compliance and CMS expertise required for such a high-stakes initiative. The program’s complexity demanded close coordination between technical execution and business analysis across multiple workstreams.

At the same time, they needed to onboard new resources rapidly without compromising on quality or compliance standards. Compounding these issues was the uncertainty around how to scale operations efficiently while staying aligned with strict CMS regulatory timelines. Any misstep in execution risked causing delays, regulatory exposure, or missed milestones in its multi-state expansion effort.

Our solution

We stepped in with a focused approach tailored to the client’s urgent needs. Within weeks, we deployed Program and Project Managers with direct CMS experience, people who understood both the technical landscape and the regulatory pressure.

To give them the flexibility they needed, we introduced our Teams-as-a-Service (TaaS) model, a delivery approach that allows clients to scale specialized teams quickly without the delays of traditional hiring. It’s a low-risk, high-speed way to get the right talent in place as priorities shift.

We also built a simple onboarding and conversion plan to support new resources as the program grew. Most importantly, we made sure our team could bridge the gap between technical execution and business priorities, keeping workstreams aligned and moving.

Business outcomes

The engagement delivered significant value to the client within a short timeframe:

• Realized $375,000+ in immediate business value through efficient team integration and reduced administrative burden.
• Our consultants were elevated to a multimillion-dollar CMS program, reinforcing the impact and reliability of the Teams-as-a-Service (TaaS) model.
• Enabled rapid scaling across multiple states without delays in compliance or coordination.
• Reduced exposure to project risk by providing governance-aligned execution and reporting support.

With us as their strategic partner, they gained more than qualified talent. They secured a program-ready team committed to precise execution and scalable growth.

Conclusion

Our partnership with the client started with a small, targeted engagement, and quickly scaled into a strategic relationship driving critical outcomes across a multimillion-dollar program. With the right talent, structure, and delivery model in place, they are now positioned to scale with confidence, knowing they have a reliable team that can adapt with their CMS expansion goals.