Domain-First, Tech-Second
Every engagement is led by a senior practitioner who has worked inside hospital finance or government agency operations. The model serves the workflow — not the other way around.
A boutique consultancy serving small and mid-size hospitals and government agencies. We embed with your operations team and ship measurable change — no eighteen-month transformations, no slide decks that gather dust.
Shivtrust Consulting is a small, deliberately focused firm. We work exclusively with small and mid-size hospitals and government agencies because their problems are knowable, their teams are accountable, and the stakes are clear: every dollar saved is a dollar that goes back into care or community service.
Most analytics work in our space ends in a slide deck, not a savings line. We started this firm to do the opposite — embed inside finance and operations teams, ship working systems, and reconcile every dollar we claim against the GL.
Every engagement is led by a senior practitioner who has worked inside hospital finance or government agency operations. The model serves the workflow — not the other way around.
Every dollar we claim to save is reconciled against your GL. No vanity metrics, no slide-deck math — just outcomes you can defend in a board meeting.
We don't create dependencies. Documentation, runbooks, and your team's training are deliverables — so the system keeps performing long after our engagement ends.
We focus narrowly because depth matters more than breadth in this work. Each practice draws on the same toolkit — rigorous data engineering, AI applied with judgment, and a refusal to confuse activity with outcomes.
We attack denials, aged claims, and underpayments with AI-driven payer modeling and workflow automation. The work pays for itself in recovered revenue more often than not.
We find where money leaks out of day-to-day operations and where it's about to — cutting waste in spend, inventory, and process, then forecasting future usage so you buy and staff against real demand, not last year's numbers.
We build production-grade automations for prior auth, eligibility, credentialing, permit processing, and case routing — the high-volume, low-judgment work that's burning out your best people.
Whether you're scoping a project, comparing notes with your existing consultants, or simply wondering whether AI is right for your operation, we're happy to talk.
Replies come from a partner, not a sales coordinator — usually within one business day.