Delivery & change consulting · San Francisco Bay Area & remote
I help healthcare, higher education, and growing organizations find where delivery breaks down, settle who decides and who owns what, and coach teams into the new way of working.
On the call we map what's stalling, what you've already tried, and whether a Bridge Engagement fits. You leave with a clear next step, even if that step isn't working with me.
Sound familiar?
An EHR or system implementation keeps slipping, and every status meeting adds new risks without closing old ones.
Reports exist, but nobody trusts them. Decisions wait on the next meeting, then the one after that.
Intake is informal, priorities change by hallway conversation, and the PMO carries accountability without authority.
Teams are overwhelmed, workarounds multiply, and adoption quietly stalls after go-live.
The issue isn't effort. It's structure, ownership, and trust. That's what we fix.
Signature engagement
A defined diagnostic, redesign, and coaching engagement for an initiative or portfolio that has lost momentum. Your team keeps doing the work. I fix the structure around it, without adding headcount.
Weeks 1–3
Interviews, workflow walk-throughs, and a review of how decisions actually get made, so we fix causes rather than symptoms.
You receive
Weeks 3–7
We design the structure with your leaders, so it reflects how your organization works and has owners from day one.
You receive
Weeks 7–12
Your team runs the new structure on live work while I coach, adjust, and remove friction as it shows up.
You receive
How it ends
The Bridge has a fixed end date. In the final weeks your team runs the new structure while I'm still there to coach. We close with a handoff session, a sustainment plan, and named internal owners for every process. If you want continued support after that, you choose it.
Ongoing partnership through a larger transformation: leadership facilitation, alignment work, and scoped delivery support.
Regular strategy sessions, on-call support for emerging issues, and periodic portfolio health and team dynamics reviews.
Results
Outcomes from engagements and roles across healthcare and higher education, grouped by what buyers usually need to protect.
Money
in operational savings identified through process analysis
University system office · Operational excellenceproject portfolio managed through a single intake process
Academic medical centerTime
cut from a reporting lag by redesigning the workflow behind it
Integrated health systemfaster pharmacy claims processing
Integrated health systemfaster gift processing
Public research university · AdvancementRisk & quality
issues tracked to resolution, with a custom PMO tool saving 2–3 hours a week
Academic medical centeracross IT by tightening cross-functional processes and business rules
Regional health systemPeople & adoption
faster intake turnaround across 400+ requests once ownership was clear
Academic medical centerfor governance, intake, and decisions, so teams stop waiting on each other
Across engagementsFigures are approximate and reflect work Mufaro led or contributed to in consulting and staff roles.
Thanks to her impressive expertise, attention to detail, and exemplary multi-tasking skills, the project was a resounding success. Mufaro excels at effectively communicating and documenting all needs, mastering the skills of stakeholder management with ease.Jennifer Kandler, PMP, MBA · Senior Project Manager · Regional health system
Case studies
Healthcare · Academic medical center
Result: turnaround improved by about 5 days across a ~$3M portfolio.
Large enterprise · Pre-launch
Result: the launch stayed on schedule, and both teams kept a repeatable process.
Silos don't just slow things down. They turn necessary work into resentful work.
Who I work with
Primary focus
Health systems, academic medical centers, and health IT teams with an existing PMO.
Primary focus
Universities and system offices balancing shared governance with real deadlines.
Also a fit
Established small and mid-size businesses where the owner has become the bottleneck. Same method, scoped to your size.
Outside these sectors? I've also worked with large enterprise teams on cross-functional friction and stalled launches. If the problem is structure, ownership, or adoption, it's worth a conversation.
About
Change is not a process. It's a human experience.
I've spent more than 15 years inside healthcare IT and higher education as a business analyst, consultant, and coach. I've sat in the intake meetings, rebuilt the workflows, and watched good systems fail because nobody owned the change. My background in psychology shapes how I work: structure only holds when the people inside it trust it.
I founded Nyac Consulting to give leaders a senior partner who diagnoses quickly, designs with their teams, and leaves them stronger, not dependent.
Questions buyers ask
No. I work alongside your existing PMO and teams. The goal is to strengthen the structure they work within so the improvement stays after I leave.
Every Bridge Engagement ends on a set date with a handoff session, a sustainment plan, and named internal owners for each process. Continued support through Beyond the Bridge or an Advisory Retainer is optional.
Mostly interviews and working sessions during the first weeks, then coaching built into work you're already doing. We agree on the time commitment during scoping.
Engagements are scoped to your organization's size, complexity, and timeline. After the fit call, you receive a written proposal with a fixed scope and fee.
Often, yes. The problems I solve, unclear ownership, slow decisions, and stalled adoption, show up in every sector. The fit call is the place to find out.
Consulting fit call · 30 minutes
A focused conversation about your initiative. No pitch deck, and no obligation.
Pick a time on my calendar. It opens in a new tab, and you'll get a confirmation with the meeting details.
Schedule a consulting call →