Nearshore Epic Support from Colombia, on U.S. Hours
In brief
InterScripts delivers nearshore Epic support from its Medellín, Colombia delivery center, which runs on the EST workday with overlap spanning the full U.S. business day. Bilingual Epic analysts and service desk staff work under U.S. onshore leadership from Chantilly, Virginia, with overnight scale from Hyderabad, India, on one accountable contract under HITRUST r2 controls.
- EST-aligned, English / Spanish bilingual delivery
- 180+ Epic-credentialed analysts on one bench
- Ramp inside two weeks for most roles
- HITRUST r2, SOC 2 Type II, ISO 27001:2022
What does nearshore Epic support mean in practice?
Nearshore support is Epic capacity that works the same hours as your own Epic team. The InterScripts Medellín delivery center runs on the EST workday, so stand-ups, pair sessions, build reviews and same-day issue triage happen live rather than through an overnight hand-off. Pure offshore delivery adds latency to that kind of work; nearshore removes it while keeping the cost advantage over the U.S. contract market.
Nearshore is one part of a three-hub model. U.S. onshore leadership in Chantilly, Virginia owns the relationship and governance, Medellín provides EST-aligned bilingual capacity, and Hyderabad, India absorbs overnight build-and-test scale. A hybrid onshore, nearshore and offshore model lowers total cost of ownership by 30% on average without sacrificing response SLAs, and you pay for the coverage you consume rather than the headcount you inherited.
Leadership, governance and on-site presence
The U.S. bench leads every engagement. Program managers, Epic-credentialed analysts and senior architects own the customer relationship, run go-lives, lead governance and translate workflow nuance into work the nearshore and offshore teams execute. EST hours, badged at your facilities.
EST-aligned, bilingual Epic capacity
A single-city hub (Cra 43 A # 11 # 44, Floors 2, 3, 4) that runs on the EST workday with overlap spanning the full U.S. business day. Senior bilingual English / Spanish engineers in embedded scrum and Kanban pods for real-time agile collaboration and same-day issue resolution, with lower attrition than the U.S. contract market.
Overnight build, test and scale
The Hyderabad center at Trendset Jayabheri Connect (HI-Tech City) absorbs the heavy build-and-test workload overnight, with a 400+ engineer talent pool and an Epic and Cerner certified analyst pipeline, so U.S. morning stand-ups already have something working to review.
Which Epic work does the Medellín team take on?
The nearshore team is drawn from the same 180+ Epic-credentialed bench that runs the InterScripts Epic Center of Excellence. Work is scoped by module and by hour of coverage, and the Epic lead in Chantilly stays accountable for quality, access governance and escalation.
Epic application analysts
Resolute HB/PB, Beaker, Beacon, Cupid, Stork, OpTime, Willow, Radiant, Hyperdrive, MyChart and Bridges analysts drawn from the 180+ Epic-credentialed bench, working the same hours as your Epic team.
Clinical Service Desk and clinician support
Bilingual English / Spanish capacity for clinician support and service desk operations, backed by the Epic Clinical Service Desk model that runs 24x7 Tier 1 to Tier 3.
Build, test and integration
Configuration sprints, Epic quarterly upgrade regression testing, and HL7 / FHIR R4 interface work via BIIG, planned on one shared change calendar with your Epic release cycle.
Patient-portal support capacity
The Medellín center provides bilingual capacity for MyChart and patient-portal support. On the MyChart patient service desk, every person who handles PHI is U.S.-based, so the nearshore scope is set with your compliance team during planning.
How do nearshore and offshore Epic support compare?
They solve different problems. Nearshore is for work that needs live collaboration during U.S. hours. Offshore is for volume that can run while your team sleeps. Most InterScripts engagements use both, with the U.S. bench deciding what goes where.
| Dimension | Nearshore (Medellín) | Offshore (Hyderabad) |
|---|---|---|
| Working hours | EST workday, full overlap with the U.S. business day | Overnight build, automate and test cycles |
| Best for | Embedded scrum pods, same-day triage, pair sessions | Large Epic and Cerner build teams, QA automation, cloud scale |
| Language | English / Spanish bilingual delivery | English |
| Talent pool | Senior bilingual engineers, lower attrition than the U.S. contract market | 400+ engineer pool with an Epic and Cerner certified analyst pipeline |
| Governance | U.S. onshore leadership in Chantilly, one accountable contract | U.S. onshore leadership in Chantilly, one accountable contract |
How is a nearshore Epic engagement structured?
Most healthcare IT roles ramp inside two weeks; complex Epic Bridges, Beaker, Beacon and Stork roles take four to six weeks. Multi-shore staffing shortens the curve by overlapping interview and onboarding tracks across time zones, and most named requests are interview-ready inside five business days.
Time and materials
Pay-as-you-go staffing for evolving scope: discovery, ambiguous workstreams and ongoing optimization.
Fixed-bid
Defined deliverable, defined price: upgrades, migrations and integration builds with agreed acceptance criteria.
Dedicated capacity pods
A stable, named team with a lead engineer, analysts and QA, booked monthly and embedded with your platform group.
Build-operate-transfer
InterScripts stands up and runs a center on your behalf, then transfers it to you in 18 to 36 months.
What security, compliance and procurement terms apply?
Nearshore staff work under the same audited control set as the U.S. bench. PHI access is governed by a Business Associate Agreement and by the scope your security team approves, and on the MyChart patient service desk every person who handles PHI is U.S.-based.
- HITRUST r2, SOC 2 Type II, ISO 27001:2022, ISO 9001:2015 and CMMI Level 3 controls on every engagement
- Business Associate Agreement signed before any PHI access
- Four-stage technical screen that fewer than 7% of applicants complete
- Criminal, education and employment verification for every consultant
- Annual HIPAA, HITRUST and security-awareness recertification
- GSA Multiple Award Schedule (MAS) and state BPAs in Utah, Michigan, Pennsylvania and Washington County
What do health systems ask about nearshore Epic support?
What is nearshore Epic support?
Nearshore Epic support is Epic application and service desk capacity delivered from a time-zone-aligned delivery center outside the U.S. InterScripts delivers it from Medellín, Colombia, where the team runs on the EST workday with overlap that spans the full U.S. business day, under U.S. onshore leadership from Chantilly, Virginia.
How is nearshore different from offshore Epic support?
Nearshore means same-hours collaboration. The Medellín center works U.S. business hours, so stand-ups, pairing sessions and same-day issue triage happen live. Offshore scale from Hyderabad, India runs overnight build-and-test cycles so U.S. mornings start with work already done. InterScripts combines both with U.S. onshore leadership in a follow-the-sun model on one accountable contract.
Who handles PHI on an InterScripts service desk?
On the MyChart patient service desk, every person who handles PHI is U.S.-based, a Business Associate Agreement is signed before any PHI access, and every engagement runs under HITRUST r2, SOC 2 Type II, ISO 27001:2022 and ISO 9001:2015 controls. The scope of nearshore work is defined with your security and compliance teams during planning.
How fast can a nearshore Epic team ramp?
Two weeks for most healthcare IT roles, and four to six weeks for complex Epic Bridges, Beaker, Beacon and Stork roles. Most named requests are interview-ready inside five business days. Every consultant passes a four-stage technical screen that fewer than 7% of applicants complete, plus criminal, education and employment verification and annual HIPAA, HITRUST and security-awareness recertification.
Can public-sector health systems buy nearshore Epic support through a contract vehicle?
Yes. Resources can be deployed through the GSA Multiple Award Schedule (MAS) and active state BPAs in Utah, Michigan, Pennsylvania and Washington County, as well as direct commercial contracts. InterScripts is a Minority-Owned and DBE-certified business (CAGE 8YC07, UEI X5LBW3NEQDK7).
Which engagement models are available?
Time and materials for evolving scope, fixed-bid for defined deliverables such as upgrades and integration builds, dedicated capacity pods booked monthly and embedded with your platform group, and build-operate-transfer, where InterScripts stands up and runs a center on your behalf and transfers it to you in 18 to 36 months.
Where can you go deeper?
The full three-continent staffing model, roles, vetting and engagement terms.
Both Centers of Excellence on one bench, one governance model and one compliance posture.
One 24x7 desk for patients and clinicians with U.S.-based analysts.
NOC, service desk and application support under contractual SLAs.
Add Epic capacity that works your hours.
Bring your module list, your coverage gaps and your release calendar. We will map which roles belong onshore, nearshore and offshore, and how the team fits your Epic governance.
Epic, MyChart and other Epic product names are trademarks of Epic Systems Corporation. InterScripts is an independent services provider and is not affiliated with or endorsed by Epic Systems Corporation.