North Carolina hosts a range of healthcare consulting firms that assist organizations in improving operations and patient care. These firms tackle challenges in healthcare delivery, regulation, and technology. Many consulting firms focus on specialized areas such as digital transformation, market access strategy, and reimbursement solutions. The industry's trajectory indicates growing demand for agile, tech-savvy consultants as healthcare moves towards personalization and value-based care models. With innovative solutions at the forefront, these firms are poised to reshape healthcare delivery to meet emerging patient needs and evolving regulatory landscapes.


The companies featured in this listing vary significantly in size, ranging from small teams of under ten employees to large firms with thousands of staff. They are predominantly based in metropolitan areas like Raleigh, Durham, and Charlotte, and span a range of founding years from 1983 to 2021. Each company has carved a niche in the market, focusing on expertise such as regulatory affairs, market strategy, and technology consulting. This concentration of talent showcases the dynamic nature of the consulting industry in North Carolina, tailored for modern healthcare challenges.


Continue reading to explore the top healthcare consulting companies in North Carolina.


Top 23 Healthcare Consulting Companies in North Carolina


1. Grace Federal Solutions,LLC


Grace Federal Solutions, LLC, based in Raleigh, North Carolina, is a healthcare consulting firm established in 2010. The company specializes in providing a comprehensive suite of professional services aimed at improving healthcare operations and patient care. Their offerings include digital and technology consulting, workforce solutions, health equity initiatives, and research support. Grace Federal Solutions collaborates with a variety of clients, including government agencies, healthcare organizations, and universities, to deliver tailored consulting solutions that address specific challenges in the healthcare sector. Their commitment to quality and customer satisfaction is evident in their approach to project management and service delivery. The firm also emphasizes the importance of health equity, advocating for policies and practices that ensure fair access to healthcare resources. With a team of experienced professionals, Grace Federal Solutions is dedicated to driving positive outcomes in the healthcare industry.


2. Veranex

  • Website: veranex.com
  • Ownership type: Private
  • Headquarters: Raleigh, North Carolina, United States (USA)
  • Employee distribution: United States (USA) 48%, India 28%, France 5%, Other 19%
  • Founded year: 2021
  • Headcount: 1001-5000
  • LinkedIn: veranex

Veranex is a healthcare consulting firm based in Raleigh, North Carolina, founded in 2021. The company specializes in integrated MedTech services, offering a wide range of solutions that include clinical research, regulatory affairs, product design, and commercial strategy. Veranex primarily serves clients in the medical device and pharmaceutical sectors, helping them navigate the complexities of regulatory compliance and accelerate the development of innovative healthcare products. With a workforce of over 763 employees, Veranex has established a global presence, with significant operations in the United States, India, and Europe. Their expertise is particularly valuable in clinical investigation and regulatory approval processes, making them a critical partner for companies looking to bring new medical technologies to market.


3. Ascendient Healthcare Advisors

  • Website: ascendient.com
  • Ownership type: Private
  • Headquarters: Chapel Hill, North Carolina, United States (USA)
  • Employee distribution: United States (USA) 100%
  • Founded year: 1994
  • Headcount: 11-50
  • LinkedIn: ascendient-healthcare-advisors

Ascendient Healthcare Advisors, based in Chapel Hill, North Carolina, is a private healthcare consulting firm founded in 1994. With a team of approximately 30 employees, the firm specializes in strategic planning and the implementation of innovative healthcare delivery models. They work closely with healthcare delivery organizations, public health entities, and government associations to enhance patient outcomes and reduce costs. Notably, Ascendient has been involved in promoting the Hospital at Home model, which allows patients to receive acute care in the comfort of their homes. This approach not only improves patient satisfaction but also addresses the rising costs associated with traditional inpatient care. Their insights and analyses on healthcare transformation trends, particularly in the context of the COVID-19 pandemic, demonstrate their active engagement in shaping the future of healthcare delivery.


4. Creo

  • Website: creoinc.net
  • Ownership type: Private Equity
  • Headquarters: Durham, North Carolina, United States (USA)
  • Latest funding: September 2023
  • Founded year: 2015
  • Headcount: 51-200
  • LinkedIn: creo-inc.

Creo, founded in 2015 and based in Durham, North Carolina, is a consulting firm dedicated to the life sciences and healthcare sectors. With a team of around 61 employees, Creo offers a variety of services aimed at enhancing operational efficiency and driving innovation for their clients. Their expertise includes strategy development, mergers and acquisitions (M&A), product launch and commercialization, digital transformation, and cybersecurity. Creo's clientele primarily consists of healthcare organizations and private equity firms, indicating their strong foothold in the industry. They emphasize a commitment to helping companies overcome growth challenges and achieve their goals, reflecting their mission to advance innovation in human health. The firm has served over 250 clients and has been recognized as an Inc. 5000 honoree, showcasing their impact and relevance in the healthcare consulting space.


5. ProPharma

  • Website: propharmagroup.com
  • Ownership type: Private Equity
  • Headquarters: Raleigh, North Carolina, United States (USA)
  • Employee distribution: United States (USA) 37%, United Kingdom (UK) 24%, India 9%, Other 30%
  • Latest funding: $8.6M, October 2020
  • Founded year: 2001
  • Headcount: 5001-10000
  • LinkedIn: propharma-group

ProPharma is a consulting firm based in Raleigh, North Carolina, founded in 2001. With a workforce of over 2,100 employees, the company operates globally, with a significant presence in the United States, the United Kingdom, and India. ProPharma specializes in life sciences, offering a comprehensive suite of services that includes regulatory sciences, clinical research, and pharmacovigilance. They assist pharmaceutical and biotechnology companies in navigating the intricate processes of product development and ensuring compliance with regulatory standards. ProPharma's innovative RCO (Research Consulting Organization) model provides tailored solutions across the entire product lifecycle, from early discovery to post-market monitoring. The firm has also received funding, with a notable amount reported in 2020, indicating ongoing investment in their capabilities and services. Their commitment to quality and compliance has earned them recognition in the industry, including awards for excellence in regulatory and compliance innovation.


6. CCR Consulting


CCR Consulting, founded in 2012 and based in Raleigh, North Carolina, is a private consulting firm that specializes in healthcare and human services. With a team of 32 professionals, the firm offers a range of services including program design, management, evaluation, policy advocacy, and strategic planning. Their clientele primarily consists of healthcare providers and government agencies seeking to enhance service delivery and adapt to evolving policies. CCR Consulting is known for its commitment to understanding federal and state healthcare policies, which allows them to provide tailored solutions to their clients. The firm emphasizes the importance of effective communication and business development strategies, ensuring that their clients can build long-term success in a competitive environment. Their focus on social equity and climate-conscious practices further demonstrates their dedication to addressing broader societal issues within the healthcare sector.


7. Creo

  • Website: creoconsulting.com
  • Ownership type: Private
  • Headquarters: Durham, North Carolina, United States (USA)
  • Employee distribution: United States (USA) 97%, France 3%
  • Founded year: 2015
  • Headcount: 51-200
  • LinkedIn: creo-inc.

Creo Consulting, founded in 2015 and based in Durham, North Carolina, is a consulting firm dedicated to the life sciences and healthcare sectors. With a team of approximately 64 employees, Creo focuses on addressing the growth challenges faced by healthcare organizations. Their service offerings include strategy development, mergers and acquisitions (M&A) services, product launch and commercialization, digital transformation, cybersecurity, IT quality and regulatory compliance, and analytics. The firm has worked with over 250 clients, including healthcare companies and private equity firms, to enhance operational effectiveness and drive innovation in human health. Creo's commitment to helping organizations navigate complex challenges and their experience in the industry make them a relevant player in healthcare consulting.


8. Hbr


Hbr, or Healthcare Business Reps, is a healthcare consulting firm based in Wilmington, North Carolina, founded in 2017. The company specializes in enhancing business performance for healthcare providers and organizations through a range of services, including healthcare management, clinical services, and professional services. Hbr's founders bring over 30 years of industry experience, having held significant roles in major organizations like UnitedHealth Group and IBM. This background allows them to offer insights into healthcare IT modernization and operational efficiency. Hbr has also positioned itself as a qualified vendor for COVID-19 services, providing testing kits and sanitization solutions, which highlights their responsiveness to urgent healthcare needs. Their commitment to improving healthcare outcomes is evident in their strategic analytic improvement techniques and partnerships with various healthcare entities.


9. Oakwolf Group

  • Website: oakwolfgroup.com
  • Ownership type: Private
  • Headquarters: Charlotte, North Carolina, United States (USA)
  • Employee distribution: United States (USA) 100%
  • Founded year: 2020
  • Headcount: 51-200
  • LinkedIn: oakwolf-consulting

Oakwolf Group, based in Charlotte, North Carolina, is a healthcare IT consulting firm established in 2020. The company focuses on providing a range of services that include EHR implementation, revenue cycle management, data management, training and development, infrastructure support, and legacy systems support. They cater primarily to large healthcare organizations across the United States, assisting them in optimizing operations and improving patient care through effective technology integration. Oakwolf Group has a proven track record of managing complex healthcare IT initiatives, which is crucial as the industry shifts towards value-based care. Their consultants bring extensive experience in navigating the challenges associated with electronic health records and other healthcare technologies, ensuring that clients can successfully implement and optimize their systems. The firm is committed to empowering healthcare providers by leveraging technology to enhance operational efficiency and patient outcomes.


10. Mercalis

  • Website: mercalis.com
  • Ownership type: Corporate
  • Headquarters: Morrisville, North Carolina, United States (USA)
  • Employee distribution: United States (USA) 100%
  • Latest funding: March 2025
  • Founded year: 2000
  • Headcount: 501-1000
  • LinkedIn: mercalisinc

Mercalis, founded in 2000 and based in Morrisville, North Carolina, is a consulting firm dedicated to the life sciences and pharmaceutical sectors. With a workforce of over 1,200 employees, the company offers a comprehensive suite of services designed to assist clients in navigating the complexities of the healthcare market. Their offerings include strategy consulting, market access intelligence, and patient support services, which aim to improve patient access and outcomes. Mercalis also engages healthcare providers through various initiatives, including contract sales teams and medical science liaisons, ensuring that their clients can effectively communicate and educate providers about their products. The firm has built a reputation for its innovative approach, combining industry expertise with technology and data analytics to drive strategic decision-making for its partners. Mercalis has established itself as a significant player in the life sciences consulting arena, supporting over 500 life sciences partners and impacting millions of patients through its programs.


11. Horvath Associates, P.A.


Horvath Associates, P.A., based in Durham, North Carolina, is a consulting firm established in 1988. The company specializes in strategic consulting, project management, and engineering services across various sectors, including healthcare. With a team of around 25 professionals, Horvath Associates focuses on enhancing operational efficiency and delivering tailored solutions to meet the unique needs of its clients. Their healthcare consulting services include addressing regulatory compliance, optimizing patient care, and integrating technology to improve healthcare delivery. The firm has worked with a range of clients, from Fortune 500 companies to educational institutions, showcasing its ability to adapt to different organizational needs. Horvath Associates prides itself on its commitment to integrity, excellence, and client satisfaction, which has helped it build long-term relationships in the industry.


12. Clarkston Consulting

  • Website: clarkstonconsulting.com
  • Ownership type: Private
  • Headquarters: Durham, North Carolina, United States (USA)
  • Employee distribution: United States (USA) 100%
  • Founded year: 1991
  • Headcount: 201-500
  • LinkedIn: clarkston-consulting

Clarkston Consulting, founded in 1991 and based in Durham, North Carolina, is a private consulting firm with a workforce of approximately 457 employees. The firm specializes in strategic and operational consulting services primarily for clients in the life sciences, consumer products, and retail sectors. Within the life sciences domain, Clarkston Consulting works with pharmaceutical companies, biotech firms, and medical device manufacturers, providing tailored solutions that address their unique challenges. Their services include business process consulting, clinical research consulting, and quality and compliance consulting, among others. Clarkston's approach emphasizes data-driven strategies and innovation, helping clients improve their operational efficiency and navigate regulatory complexities. The firm has built a reputation for its commitment to client success and its ability to deliver impactful solutions in the healthcare sector.


13. Third Party Reimbursement Solutions, LLC


Third Party Reimbursement Solutions, LLC (TPR Solutions) is a healthcare consulting firm based in Charlotte, North Carolina, founded in 2008. The company specializes in Medicare and Medicaid reimbursement consulting, offering a comprehensive suite of services designed to assist healthcare providers in maximizing their reimbursement potential. TPR Solutions works primarily with hospitals and health systems, providing expert guidance through the intricate regulatory landscape of healthcare reimbursement. Their services include operational strategies, group appeals, medical education, and cost report services, among others. TPR Solutions prides itself on its deep regulatory knowledge and proprietary analytic algorithms, which help clients uncover missed reimbursement opportunities. The firm has built a reputation for transforming reimbursement challenges into actionable insights, ensuring that healthcare facilities receive the financial support they deserve. With a small team of dedicated professionals, TPR Solutions emphasizes a client-centric approach, tailoring strategies to meet the unique needs of each healthcare provider they serve.


14. Parexel

  • Website: parexel.com
  • Ownership type: Private Equity
  • Headquarters: Durham, North Carolina, United States (USA)
  • Employee distribution: India 34%, United States (USA) 17%, Romania 5%, Other 44%
  • Latest funding: $8.5B, July 2021
  • Founded year: 1983
  • Headcount: 10001+
  • LinkedIn: parexel

Parexel International, founded in 1983 and based in Durham, North Carolina, is a clinical research organization that specializes in biopharmaceutical services. With over 20,000 employees, Parexel plays a crucial role in the healthcare industry by conducting clinical trials and offering regulatory consulting. They help biopharmaceutical companies expedite the drug approval process and ensure compliance with regulations. Their services cover a wide range of clinical development phases, including early-stage trials, integrated clinical development, and market access strategies. Parexel's expertise spans various therapeutic areas, such as oncology, neuroscience, and rare diseases, allowing them to support clients in developing innovative treatments. The company has also received significant funding, amounting to $8.5 billion, which underscores its strong position in the market and its commitment to advancing healthcare solutions.


15. Relias

  • Website: relias.com
  • Ownership type: Corporate
  • Headquarters: Morrisville, North Carolina, United States (USA)
  • Employee distribution: United States (USA) 99%, Other 1%
  • Latest funding: October 2014
  • Founded year: 2002
  • Headcount: 501-1000
  • LinkedIn: relias-learning

Relias, founded in 2002 and based in Morrisville, North Carolina, specializes in healthcare workforce education and enablement solutions. The company offers a comprehensive suite of services that includes training programs, compliance management tools, and staffing solutions designed to support healthcare organizations. Their offerings cater to a wide range of clients, including hospitals, health systems, and individual healthcare professionals, all seeking to enhance care quality and ensure compliance with regulatory requirements. Relias has developed over 3,000 courses created by in-house healthcare experts, ensuring that their educational content is both relevant and effective. The company has also been recognized in the industry, being named among the top healthcare technology companies in 2023. With a workforce of over 1,000 employees, Relias continues to play a significant role in shaping the education and training landscape for healthcare providers.


16. CHESS Health Solutions


CHESS Health Solutions, founded in 2011 and based in Winston-Salem, North Carolina, is a healthcare services company that focuses on value-based care transformation. The company was established by a group of physicians who recognized the need for healthcare providers to adapt to a changing reimbursement landscape. CHESS collaborates with health systems, physician groups, and accountable care organizations to enhance patient outcomes and manage costs through innovative solutions and consulting services. Their offerings include care coordination, clinical pharmacy services, and population health analytics, all aimed at helping clients transition from traditional fee-for-service models to value-based care. CHESS also manages several Accountable Care Organizations (ACOs) and works closely with the Centers for Medicare & Medicaid Services (CMS) to implement strategies that improve quality and reduce costs. With a dedicated team of professionals experienced in healthcare delivery, CHESS is committed to transforming the healthcare experience for patients and providers alike.


17. Cesta Inc.

  • Website: cestatech.com
  • Ownership type: Private
  • Headquarters: Cary, North Carolina, United States (USA)
  • Employee distribution: United States (USA) 82%, India 18%
  • Founded year: 2003
  • Headcount: 11-50
  • LinkedIn: cestatech

Cesta Inc., founded in 2003 and based in Cary, North Carolina, is a private consulting firm with a workforce of 22 employees. The company specializes in IT services, software development, and project management, catering to various industries, including healthcare. Cesta Inc. offers a range of services tailored to the healthcare sector, such as clinical research management, regulatory management, and biostatistics. Their team of experienced professionals supports clients throughout the clinical trial process, ensuring compliance and operational efficiency. Cesta Inc. emphasizes high-quality consulting and training services, aiming to meet the unique needs of its clients in the healthcare industry. The firm has not reported any funding, indicating a self-sustained operational model.


18. Best Practices, LLC

  • Website: best-in-class.com
  • Ownership type: Private
  • Headquarters: Chapel Hill, North Carolina, United States (USA)
  • Employee distribution: India 61%, United States (USA) 39%
  • Founded year: 1992
  • Headcount: 51-200
  • LinkedIn: best-practices-llc

Best Practices, LLC, based in Chapel Hill, North Carolina, is a private consulting firm founded in 1992. The company specializes in research, benchmarking, and advisory services tailored for the healthcare industry, particularly for biopharma and medical device sectors. With a workforce of approximately 67 employees, they leverage a significant presence in India, which constitutes 61% of their employee base. Best Practices, LLC offers a range of services including benchmarking reports, a best practices database, and various research and advisory services. Their expertise spans multiple functions such as market access, medical affairs, and product launch strategies. The firm is dedicated to helping clients achieve superior market performance through data-driven insights and customized consulting solutions.


19. Tabner Inc.

  • Website: tabnerglobal.com
  • Ownership type: Private
  • Headquarters: Charlotte, North Carolina, United States (USA)
  • Employee distribution: United States (USA) 91%, India 9%
  • Founded year: 2007
  • Headcount: 51-200
  • LinkedIn: tabnerinc

Tabner Inc. is a consulting firm based in Charlotte, North Carolina, established in 2007. With a workforce of approximately 103 employees, the company specializes in business and technology solutions across various sectors, including healthcare, financial services, and retail. In the healthcare industry, Tabner focuses on delivering tailored consulting services that help organizations navigate complex challenges. Their offerings include enterprise solutions, IT consulting, and project management, all aimed at enhancing operational efficiency and aligning technology with business goals. The firm prides itself on creating partnerships with clients, ensuring that the solutions provided are not just options but the right fit for their specific needs. Tabner's approach emphasizes transparency and collaboration, making them a valuable ally for healthcare organizations seeking to optimize their processes and achieve better results.


20. SciVida

  • Website: scivida.com
  • Ownership type: Private
  • Headquarters: Raleigh, North Carolina, United States (USA)
  • Employee distribution: United States (USA) 100%
  • Founded year: 2021
  • Headcount: 11-50
  • LinkedIn: scivida

SciVida is a management consulting firm based in Raleigh, North Carolina, founded in 2021. With a team of 36 employees, the firm specializes in the life sciences sector, offering consulting services that help biopharma and biotech organizations navigate complex market dynamics. Their core service areas include Brand & Portfolio management, Business Development, Market Access, and Medical Affairs. SciVida aims to enhance product value and improve market access for its clients. The firm prides itself on a high level of client satisfaction, with 100% of clients reporting a good understanding of their business needs and expressing a willingness to work with SciVida again. Their approach combines industry knowledge with proven methodologies to deliver tailored solutions for each client. Additionally, SciVida is committed to social responsibility, donating a portion of its profits to charitable organizations aligned with its mission to improve healthcare access.


21. Aesara

  • Website: aesara.com
  • Ownership type: Private
  • Headquarters: Chapel Hill, North Carolina, United States (USA)
  • Employee distribution: United States (USA) 74%, Canada 13%, Switzerland 13%
  • Founded year: 2016
  • Headcount: 11-50
  • LinkedIn: aesara

Aesara, founded in 2016 and based in Chapel Hill, North Carolina, is a consulting agency that specializes in value and access strategies for the life sciences sector. With a team of around 50 employees, Aesara provides a range of services that include health economics, market access consulting, and educational modules tailored for biopharmaceutical companies. Their expertise lies in developing strategies that enhance product value and ensure patient access, addressing the complex needs of the biopharma industry. Aesara has successfully completed over 600 client engagements and has been involved in more than 50 global product launches. Their clientele primarily consists of businesses in the biopharma sector, reflecting their strong focus on this niche. Aesara's innovative approach, including the use of technology in their consulting services, positions them as a notable player in the healthcare consulting field.


22. ZenspaceIT LLC

  • Website: zenspaceit.com
  • Ownership type: Private
  • Headquarters: Charlotte, North Carolina, United States (USA)
  • Employee distribution: United States (USA) 80%, India 20%
  • Founded year: 2020
  • Headcount: 51-200
  • LinkedIn: zenspaceit-llc

ZenspaceIT LLC, founded in 2020 and based in Charlotte, North Carolina, is a private consulting firm specializing in strategic marketing and IT solutions for the healthcare and life sciences sectors. With a workforce of approximately 81 employees, the company provides a variety of services that include medical devices, pharmaceutical consulting, data analytics, machine learning, and cloud applications. Their focus on integrated solutions and expert staffing services positions them as a partner for organizations looking to improve operational efficiency and foster innovation. ZenspaceIT has made strides in the healthcare industry by offering tailored solutions that address complex challenges faced by healthcare providers and pharmaceutical companies. Their commitment to quality and technological advancement is reflected in their work, which aims to optimize processes and enhance patient care.


23. BioBridges

  • Website: biobridges.com
  • Ownership type: Corporate
  • Headquarters: Morrisville, North Carolina, United States (USA)
  • Employee distribution: United States (USA) 100%
  • Latest funding: September 2017
  • Founded year: 2005
  • Headcount: 201-500
  • LinkedIn: biobridges

BioBridges, founded in 2005 and based in Morrisville, North Carolina, is a consulting firm dedicated to the life sciences sector. The company provides a range of clinical development services tailored to the needs of pharmaceutical, biotechnology, and medical device companies. Their offerings include expertise in biostatistics, clinical operations, regulatory affairs, and quality assurance, among others. BioBridges emphasizes a collaborative approach, working closely with clients to ensure efficient and safe clinical trials. They have developed a proprietary Career Portfolio® Management model, which has been instrumental in their partnerships with over 500 companies. This model allows them to engage skilled professionals who can meet the specialized needs of their clients' clinical programs. BioBridges has not reported any recent funding, indicating a stable operational model since its inception.



Healthcare Consulting Insights: Key Companies in North Carolina


CompanyHeadquarterSizeFoundedOwnership
Grace Federal Solutions,LLCRaleigh, North Carolina, United States (USA)201-5002010Private
VeranexRaleigh, North Carolina, United States (USA)1001-50002021Private
Ascendient Healthcare AdvisorsChapel Hill, North Carolina, United States (USA)11-501994Private
CreoDurham, North Carolina, United States (USA)51-2002015Private Equity
ProPharmaRaleigh, North Carolina, United States (USA)5001-100002001Private Equity
CCR ConsultingRaleigh, North Carolina, United States (USA)11-502012Private
CreoDurham, North Carolina, United States (USA)51-2002015Private
HbrWilmington, North Carolina, United States (USA)1-102017Private
Oakwolf GroupCharlotte, North Carolina, United States (USA)51-2002020Private
MercalisMorrisville, North Carolina, United States (USA)501-10002000Corporate
Horvath Associates, P.A.Durham, North Carolina, United States (USA)11-501988Private
Clarkston ConsultingDurham, North Carolina, United States (USA)201-5001991Private
Third Party Reimbursement Solutions, LLCCharlotte, North Carolina, United States (USA)1-102008Private
ParexelDurham, North Carolina, United States (USA)10001+1983Private Equity
ReliasMorrisville, North Carolina, United States (USA)501-10002002Corporate
CHESS Health SolutionsWinston-Salem, North Carolina, United States (USA)51-2002011Private
Cesta Inc.Cary, North Carolina, United States (USA)11-502003Private
Best Practices, LLCChapel Hill, North Carolina, United States (USA)51-2001992Private
Tabner Inc.Charlotte, North Carolina, United States (USA)51-2002007Private
SciVidaRaleigh, North Carolina, United States (USA)11-502021Private
AesaraChapel Hill, North Carolina, United States (USA)11-502016Private
ZenspaceIT LLCCharlotte, North Carolina, United States (USA)51-2002020Private
BioBridgesMorrisville, North Carolina, United States (USA)201-5002005Corporate


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