We are intensely customer focused, working with you to build useful digital products and solutions.

Purpose-driven innovation is in our DNA. It is what gets us out of bed in the morning and keeps us moving throughout the day. That sense of purpose helps us make you successful and confident in your solution. It is innovation that matters.

A Highly Collaborative Community of People and Ideas

nexTier Innovations™ (NTI) is a bold, radically different idea lab where strategy meets execution. We specialize in the convergence of digital transformation, product design, AI strategy, and business insights. We are a purpose-driven, relentless community of visionaries and practitioners who work in concert to get things done right. Our ecosystem extends beyond our employees to include our customers and the communities in which we live. We are deliberately passionate and inexorably driven to make a tangible, positive difference through our work. Comprising some of the industry’s most forward-thinking strategists, architects, and designers, we are committed to delivering real business value. We believe that collective intelligence drives success; we learn from every engagement and share that knowledge to ensure your outcomes are not just successful, but sustainable.

Learn More About What We Offer

Who We've Worked With

We have worked with some amazing clients. Here are a few of them.

More About NTI

  • Dec 12th, 2025

    Customer Value Engineering (CVE)

    From Intuition to Precision
    Customer Value Engineering (CVE) represents the evolution of customer experience—moving from subjective interpretation to objective, scientific precision. We leverage the principles of neuroeconomics and value physics to decode the underlying mechanics of customer decision-making and behavior.

    By applying our Advanced CVE Toolkit, we help you move beyond traditional satisfaction metrics. We quantify exactly how value is perceived, exchanged, and retained, allowing you to engineer interactions that align perfectly with human psychology and business imperatives.

    Explore the Science of CVE: See How We Decode Value By Troy Wood
  • Dec 4th, 2025

    Clinical Data & Operations Integrity

    From Compliance to Velocity
    In high-stakes clinical research, hidden operational friction and data entropy are the silent killers of ROI. We move beyond standard compliance checklists to perform a forensic-level analysis of your trial’s operational physics.

    Leveraging our specialized Clinical Operations, eTMF, and Data Transfer Audits, we identify the specific bottlenecks and data integrity gaps that threaten your timeline. By applying Technology Business Management (TBM) principles, we quantify the hidden costs of these inefficiencies, ensuring your trial data is not just inspection-ready, but a streamlined asset that accelerates database locks.

    Visualize Your Trial's Integrity: See Our Audit Framework By Abi Nkwa
  • Nov 29th, 2025

    Vendor & Technology Governance

    From Blind Trust to Radical Transparency
    In a decentralized ecosystem, you can delegate the work, but you can never delegate the risk. We replace passive "status reporting" with active, forensic governance across your entire supply chain—from the clinical field to the server room.

    Through our specialized CRO/CRA Performance, Internal IT, and Vendor Risk Audits, we quantify the hidden liabilities in your ecosystem. We measure the actual Issue Resolution Latency of your CRAs and the Mean Time to Remediate of your digital infrastructure. By applying Technology Business Management (TBM), we convert governance from a checkbox exercise into asset protection, calculating the financial exposure of every underperforming vendor and unpatched vulnerability.

    Monitor the Monitors: View Our Governance Dashboard By Juliette Griggs
  • Dec 17th, 2025

    Total Employee Investment (TEI) Audit

    From Soft Skills to Hard Science
    Change management is often treated as an intangible soft skill, yet your workforce is the single most volatile variable in any transformation. We replace generic communication plans with a rigorous analysis of Adoption Physics.

    Our TEI Audit quantifies the "Cognitive Load" placed on your teams and measures the depth of the "Valley of Despair" (productivity loss). By distinguishing between simple usage (compliance) and true Proficiency, we apply Technology Business Management (TBM) to calculate the actual cost of resistance, ensuring your human investment yields a measurable financial return.

    Engineer Your Culture: View the TEI Framework By Tremis Skeete

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