Careers
Get in Touch

Where vision
meets action

Pivot Point Consulting team collaborating with a health system client
Healthcare IT team at work — the intersection of technology and care

// Our Story

Built at the Pivot Point

Pivot Point Consulting was founded on a straightforward belief: healthcare organizations deserve a partner who gets to the root of what actually needs to change. Someone who rolls up their sleeves, embeds solutions into the culture and operations of the team, and stays until the momentum is theirs to keep.

Our uncommonly agile approach is what sets us apart. While others arrive with a packaged playbook and a fixed delivery model, we meet clients where they are. We're flexible enough to adapt to what the situation actually requires and focused enough to stay locked onto the outcome that matters.

At the pivot point of healthcare and technology, we make the impossible possible. Every associate who joins Pivot Point knows what it's like to be a patient. That's the weight behind the work, and it's what makes our commitment to your organization feel different from day one.

“We tell you what you need, not just what you want.”

// Our Impact

A decade of results
that speak for themselves

From KLAS rankings to client endorsements, these numbers reflect real organizations whose missions we helped move forward.

#1 Best in KLAS

Overall KLAS Score

Rated #1 Best in KLAS: Managed IT Services four consecutive years — 2023, 2024, 2025, and 2026 — against a segment average of 85.1.

// What We Do

Five Ways We Show Up For You

1

Strategic advisory

We help healthcare leaders make sense of complexity — shaping IT strategy, optimizing operations, and building roadmaps that hold up in the real world.

Learn more
2

EHR consulting

From go-live readiness to optimization, we embed with your team to ensure Epic delivers what your organization actually needs.

Learn more
3

Managed IT services

Steady, unwavering support that keeps your systems running, your team focused, and your patients served 24/7, without dropping the ball.

Learn more
4

ERP consulting

Our ERP consultants help healthcare organizations implement new systems, migrate off old ones, and optimize what is already in place.

Learn more
5

Analytics & AI

We help you turn data into decisions. Whether building analytics foundations or AI-enabled workflows that accelerate outcomes across the organization.

Learn more
Pivot Point Consulting team collaborating across a health system

Not sure where to start? Let's figure it out together.

Contact us

// In our clients' words

They've been top five easily of vendors that I've ever worked with in IT, and I've been in IT for over 20 years.
Carl FultonIT Director · Kootenai Health

// The Journey So Far

Key milestones

2011 — Founded
2011

Founded

Rachel Marano launches Pivot Point Consulting as a certified Epic and Cerner implementation consultant.

// The People Behind the Pivot

Meet our executive leadership team

// Our business structure

How we're built to deliver

Pivot Point is part of Innovative Consulting Group, backed by leading healthcare-focused investors. Three Managing Partners lead specialized teams across five practice areas, unified by one mission: deliver outcomes that last.

  • Three Managing Partners, one unified leadership team
  • Five practice areas: EHR, ERP, managed services, analytics & AI, advisory
  • Project-based and ongoing managed services delivery
  • Serving providers, payers, and health IT organizations
Pivot Point Consulting business structure

// Life at Pivot Point

More than a consultancy firm

We pass the torch—to each other, too.

Stay up-to-date on Pivot Point

Follow Pivot Point Consulting on LinkedIn for new insights, press, and team updates.

Follow us on LinkedIn
Work with us

Tell us where you're headed.
We'll help you get there.

Let's get started