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.
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)
Turning Good Intentions into Measurable Outcomes
Most organizations mean well. But value is often managed by instinct, anecdotes, and lagging satisfaction scores. That gap between effort and impact is where adoption slows, trust erodes, and customers disengage.Customer Value Engineering (CVE) is how we close that gap.
We work with you to clearly understand how customers experience value, where friction is introduced, and why decisions are actually made. By applying behavioral science and systems thinking, CVE reveals what traditional metrics miss.
Using our Advanced CVE Toolkit, we move beyond “happiness” and quantify the real exchange between customer investment and realized value. This allows you to design interactions that align with human behavior and business outcomes, so value is not assumed, but intentionally engineered, reinforced, and sustained.
Explore the Science of CVE By Troy Wood - Dec 4th, 2025
Clinical Data & Operations Integrity
From Compliance to Confident Execution
In clinical research, compliance alone is not enough. Hidden operational friction, fragmented data, and unclear ownership quietly delay timelines and erode return on investment.We help you surface what is slowing you down.
Working alongside your teams, we look beyond checklists to understand how your clinical operations actually function from study startup through submission. Through targeted Clinical Operations, eTMF, and data integrity assessments, we identify the specific breakdowns that introduce risk, rework, and delay.
By quantifying the operational and financial impact of these issues, we give you clarity and control; so quality accelerates execution, timelines become predictable, and integrity becomes a competitive advantage.
Visualize Your Trial's Integrity By Abi Nkwa - Nov 29th, 2025
Vendor & Technology Governance
From Assumed Oversight to Real Accountability
In a distributed clinical ecosystem, work can be outsourced but risk cannot. When oversight relies on status reports and assurances, issues surface too late and accountability becomes blurred.We bring transparency where it matters most.
Partnering with your teams, we move beyond passive reporting to actively understand how vendors, CROs, CRAs, and internal systems are actually performing. Through focused performance and risk assessments, we surface the operational realities that timelines and dashboards often conceal.
By measuring what truly matters: response time, resolution speed, and systemic reliability, we help you replace assumption with evidence. The result is clearer accountability, faster remediation, and governance that protects both your data and your deadlines.
Monitor the Monitors By Juliette Griggs - Dec 17th, 2025
Total Employee Investment (TEI) Audit
From Change Fatigue to Real Adoption
Every transformation asks something of your people. Time, focus, energy, and emotional resilience are spent long before value is realized. When that investment is underestimated, even well-designed initiatives stall.We make that investment visible.
Working with your teams, we move beyond generic change plans to understand how change is actually experienced on the ground. Our TEI Audit measures the cognitive load placed on employees, where momentum breaks down, and why usage does not always translate into proficiency.
By quantifying the true cost of friction and resistance, we help you design change that respects human limits and accelerates capability so adoption is not forced, but earned, sustained, and productive.
Engineer Your Culture By Tremis Skeete - Dec 27th, 2025
CVE Competence Academy
From Onboarding to Professional Mastery
Great customer outcomes do not come from scripts or shortcuts. They come from people who understand the technology, the domain, and the business impact of their work.We help you build those people.
The CVE Competence Academy replaces traditional, high-burnout onboarding with a structured, immersive development experience. Through a focused, certification-based program, we equip your teams with the technical fluency, domain confidence, and financial perspective required to operate as true partners to the business.
The result is a team that moves beyond support motions: able to engage with credibility, influence decisions, and consistently deliver value that customers recognize and trust.
Engineer Competence and Confidence By Candice DeVane - Dec 30th, 2025
Value Ecosystem Review (VER)
From Status Updates to Shared Direction
Periodic updates are not strategy. When conversations focus on features and activity, real alignment and mutual value are left to chance.We help you change the conversation.
The Value Ecosystem Review (VER) replaces vendor-led reporting with a customer-centered strategic dialogue. Together, we validate realized value, examine total investment, and surface the next set of solvable business problems that matter most.
By anchoring every discussion in outcomes, trade-offs, and shared priorities, VER creates clarity, momentum, and trust so every engagement reinforces partnership and moves both organizations forward.
Move beyond the QBR By Nichelle Williams
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