AI · Cybersecurity · Health & Human Services
We partner with agency and health leaders to modernize the systems behind eligibility, coverage and care, secure the data inside them, and bring AI into them responsibly.
Who we are
NexSolv began as a prime contractor to the State of Maryland and grew up inside the systems that run health and human services: eligibility, exchanges, Medicaid and child welfare. Today 250 professionals bring that operating knowledge to AI, cybersecurity and cloud work for state, federal and health clients.
Engineering and operations for Maryland’s MDTHINK eligibility and case-management platform and the Maryland Health Benefit Exchange.
CMMI Maturity Level 3 for Development and Services; ISO 9001:2015 and ISO/IEC 27001:2022.
AI agents and automations built and demonstrated for Medicaid and public-health operations, each with audit trails and PHI guardrails.
Customer stories
MDTHINK replaced siloed legacy systems with a shared cloud platform for eligibility, enrollment and case management. NexSolv delivered engineering and operations for the platform.
Read the story →
Continuous engineering, operations and security support for the state-based marketplace that connects residents to qualified health plans and Medicaid.
Read the story →
Eligibility, claims, appeals, prior authorization, FWA detection, a member chatbot, cost analytics, communications mining and three UiPath automations, all on synthetic data with PHI guardrails.
Watch the demos →
An AI-assisted adjudication workflow that applies program edits with readable explanations, prices claims and screens for fraud, waste and abuse before payment.
Read the story →How we help
Each practice is led by people who have delivered the same work inside agencies and health plans, under the same audits and deadlines you face.
Policy-grounded agents, RAG copilots, RPA and analytics that pass a state security review.
Learn more → 02Zero Trust, DevSecOps, GRC and compliance for IRS 1075, HIPAA and NIST frameworks.
Learn more → 03Eligibility, exchanges, Medicaid/MMIS and child-welfare systems at statewide scale.
Learn more → 04AWS and Azure migration, mainframe modernization and managed operations.
Learn more → 05Vetted teams in days, ITIL service management and IT strategy support.
Learn more →AI you can put in front of an inspector general
Watch the Medicaid Eligibility & Enrollment Agent verify an application, determine eligibility and post the decision to MMIS. Ten more demos cover claims, appeals, prior authorization, fraud detection, member services and RPA.
Trends & insights
Agencies are moving past chatbots to agents that touch eligibility, claims and appeals. The gating factor is governance: citations, confidence, audit trails and human review.
Our approach →IRS 1075 and HIPAA programs are sequencing Zero Trust by data sensitivity, with phishing-resistant MFA and micro-segmentation leading.
Zero Trust journey →CMS modularity and outcomes-based certification favor incremental replacement of MMIS components, with mainframe data unlocked through APIs and RPA.
HHS modernization →AI engineers, security analysts and eligibility business analysts are scarce. Retention, not recruiting, is what keeps programs stable.
Staffing & ITSM →Industries
Human-services agencies, CIO offices and procurement teams modernizing statewide systems under federal oversight.
State & local →Program offices across 14 federal agencies that need cleared talent and security-first engineering.
Federal →Medicaid, eligibility, exchanges, child welfare and the health plans that serve them, where HIPAA, uptime and member experience all matter at once.
HHS →Banks, insurers and fintech teams that need secure, auditable platforms, fraud analytics and cloud modernization under regulatory scrutiny.
Financial services →Online retailers and marketplaces that need resilient commerce platforms, data pipelines, personalization and PCI-grade security.
Ecommerce →Selected clients
Perspectives
An AI pilot that cannot survive the security review was never a pilot. We design for the inspector general on day one.NexSolv AI & Data practice
The controls we recommend are the controls we run. ISO 27001 is not a plaque; it is how we keep audit evidence ready.NexSolv Cybersecurity practice
Ninety-seven percent retention means the engineer who built your system is still here to run it.NexSolv Delivery leadership
Quality, security & diversity credentials
Frequently asked
Through open competition, cooperative purchasing, Maryland eMMA (vendor SUP012377) or federal awards via SAM.gov (UEI UQSCU9ZSAD65, CAGE 24YT0). We also team with primes who need Maryland MBE/DBE or Virginia SWaM participation. See Contract Vehicles.
Yes. Every use case deploys on-premises (including air-gapped Kubernetes/OpenShift) or in your own AWS, Azure or Google Cloud tenancy with private endpoints, BYOK and KMS/HSM. PHI never leaves your control.
CMMI Maturity Level 3 for Development and Services, ISO 9001:2015 and ISO/IEC 27001:2022, plus Maryland Certified MBE and DBE and Virginia SWaM. Certificates are available on request.
Vetted candidates are typically presented within three to five business days. Our 250-person bench includes Public Trust, Secret and Top Secret-cleared professionals.
Yes. We support New York, Ohio, West Virginia and Virginia HHS agencies, 14 federal agencies and 70+ commercial clients, with remote and hybrid teams nationwide.
Tell us what you are modernizing, securing or staffing. We reply within one business day with the right people on the call.
