EB-2 NIW Case Study: Colombian Healthcare Consultant Approved in 6 Months After RFE Through Premium Processing 

Colombia

Healthcare Strategy Consultant

Every healthcare system tells a story about what it values most. Some measure success in the number of procedures completed; others in the lives improved. But what if success were measured by outcomes instead of volume? Across hospitals and clinics, that idea is quietly redefining how care is delivered and financed. This EB-2 NIW case reflects that shift, where measurable outcomes define progress and strategy drives patient-centered reform. 

Our client built his vision on that belief. He set out to help healthcare organizations move from reactive treatment to proactive impact, from fragmented costs to integrated value. Guided by the conviction that better care begins with better systems, he developed a strategic framework that aligns financial performance with patient well-being and strengthens the foundation of American healthcare while making it more sustainable for the future. 

Through his leadership, planning, and persistence, Colombo and Hurd, under the guidance of attorney Nizar Kafrouni, secured approval for his EB2 NIW petition on September 19, 2025, within six months and fourteen days under premium processing.  

EB-2 NIW Approval for Healthcare Strategy Consultant
Client Profile

From Financial Insight to Healthcare Impact

Originally from Colombia, our client built his career through a blend of analytical discipline and social purpose. His EB2 NIW endeavor reflects this balance of a data-driven yet compassionate approach to improving healthcare systems. He holds a master’s degree in financial management and a bachelor’s degree in industrial engineering. Over more than eight years, he advanced through key leadership roles in the healthcare finance sector.  

As corporate development director at a multinational healthcare group, he guided investment and expansion strategies for medical centers across major cities. His analysis and planning drove projects exceeding 300 million U.S. dollars and generated measurable savings through the Value-Based Care model.

Building on that experience, he came to the United States to establish a firm dedicated to value-based care transformation. Moreover, he envisioned the firm partnering with hospitals, insurers, investors, and public agencies to apply outcome-driven frameworks that align patient results with financial performance. His vision is aimed at improving healthcare delivery systems, expanding access, and creating a sustainable model for growth that benefits both patients and providers. 

The Challenge

Reconciling a Business Vision with Employment Commitments

When the Request for Evidence (RFE) arrived, it focused on the clarity of our client’s business plan. The reviewing officer sought confirmation on whether he intended to continue as an employee with a U.S. company or transition fully into establishing his own consulting business. The question was mainly about alignment. 

For Colombo and Hurd, this was an invitation to refine the narrative. The RFE gave the team a chance to refine every piece of evidence and demonstrate the logic, feasibility, and unity of the petitioner’s vision. 

Reflecting on that crucial moment, Attorney Nizar Kafrouni shared, “The challenge was never about merit. It was about alignment. We had to make sure that the officer saw the consistency in the client’s plan and understood how each part of his experience and vision worked together. Once everything spoke in the same direction, the case began to take shape naturally.”

The RFE also called for greater detail on the petitioner’s influence within his field and the tangible outcomes of his work. The team needed to show what our client had achieved and how those achievements had shaped healthcare delivery in measurable ways. 

The Approach

Clarifying Intent and Strengthening the Business Plan

The response that followed was a result of careful planning and close collaboration. Attorney Kafrouni worked to clarify intent, unify evidence, and build a cohesive and credible case that reflected both vision and practicality. “This case required a tailored strategy,” said Attorney Kafrouni. “We could not rely on any template or standard format. Every step had to reflect the client’s specific path and the real-world value of his work. What made this process effective was trust. The client trusted our experience, and we trusted his openness and cooperation.”

The first step was to center the client’s own narrative. His personal statement became the foundation of the response. In it, he explained his transition from employee to entrepreneur and his plan to establish a healthcare consultation firm in the United States. The statement made clear that his temporary employment was meant to maintain lawful status while he built the groundwork for his long-term endeavor. The team then supported the response with a comprehensive business plan that demonstrated both feasibility and growth potential.  

The team structured the EB2 NIW petition to highlight practical and measurable ways his proposed endeavor could strengthen healthcare systems and serve the national interest. 

Attorney Kafrouni added, “Our responsibility was to present the facts clearly and with purpose. We never promise outcomes, but we do guarantee the most thoughtful and precise response possible. That level of care builds confidence, both for the client and for us.”

The Result

Approval Secured After a Refined and Unified Petition

United States Citizenship and Immigration Services (USCIS) granted approval within six months and fourteen days under premium processing, recognizing our client’s vision and strengthening our success in demonstrating his national contribution. The officer reviewed the revised business plan, personal statement, and expert opinion, recognizing them as clear evidence that the petitioner was well-positioned to advance his proposed endeavor. 

For Attorney Kafrouni, the result carried personal satisfaction. “What made this case special was co-operation,” he said. “The client stayed engaged throughout every step. When we finally received the approval, it felt like a shared accomplishment. He was grateful, and that moment of gratitude reminded me why we do this work.”

Looking Forward

Advancing the Future of Value-Based Healthcare

Our client prepares to launch his firm with a goal to support hospitals, insurers, and investors in applying value-based healthcare frameworks that improve patient outcomes while reducing costs. Through his firm, he will advise healthcare organizations on financial modeling, investment strategy, and outcome measurement to align business objectives with the broader goal of public health. 

 For us at Colombo and Hurd, this EB2 NIW approval stands as an example of how thoughtful advocacy can empower professionals whose work benefits both industry and community. It shows that success in immigration law is achieved through clarity, integrity, and collaboration.

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Attorney Perspective

Nizar Kafrouni

Immigration Attorney

“The success of this case came from how closely we worked with the client. We spent time early on walking him through the strategy and making sure he understood every step. This wasn’t a standard plan that could be pulled from a template. It was built specifically for him, using his statement and expert perspectives that highlighted his proven success.”