Six ways to build India capability,
one standard of execution.
The right model depends on how much ownership you want today, how quickly you need to move, and whether you expect to transfer operations later. The underlying talent, security, and operating bar stays consistent.
Build Operate Transfer (BOT)
MedRec builds and operates the centre while you retain strategic control, then transfers people, systems, and operating knowledge when you are ready to own it directly.
- Client Ownership
- Strategic direction, roadmap, and leadership alignment
- MedRec Responsibility
- GCC setup, operations, hiring, infrastructure, governance, and scaling
- Typical Duration
- 3–5 years
- Transition Model
- Full operational transfer to client
- You expect to bring payroll, facilities, and IP under your own entity over time
- You want early operating complexity handled while the roadmap proves itself
- You need a clear path for repository, identity, people, and process transfer
- Customers or regulators expect a distinct in-market entity with credible controls
Dedicated GCC Teams
A named team works inside your toolchain and ceremonies while MedRec remains employer of record. This model suits companies that can lead distributed engineering and need durable capacity.
- Client Ownership
- Product priorities, delivery direction, and roadmap
- MedRec Responsibility
- Talent, operations, infrastructure, HR, governance, and team management
- Typical Duration
- 1+ years
- Transition Model
- 60-day transition notice
- You want a long-lived extension of your product or platform organisation
- You prefer predictable operating cost and flexibility as priorities change
- You need India capacity without running payroll and facilities yourself
- You have technical leadership in place and need proven execution capacity
Hybrid GCC Model
Senior roles sit close to stakeholders where needed, while India provides scalable delivery capacity. The model works through one backlog, one leadership rhythm, and explicit norms for architecture and incidents.
- Client Ownership
- Shared ownership across regions and leadership teams
- MedRec Responsibility
- India operations, delivery management, and scaling support
- Typical Duration
- 1+ years
- Transition Model
- 60-day transition notice
- Regulation or customers require senior people in market alongside India scale
- You want architecture and product leadership near headquarters with execution in India
- You are replacing fragmented delivery arrangements with a single accountable model
- You need one operating rhythm across US, UK, and India teams
Managed GCC
Useful when the roadmap is clear but management bandwidth is constrained. MedRec manages delivery rhythm, team operations, and escalation while you retain product direction.
- Client Ownership
- Business outcomes and strategic oversight
- MedRec Responsibility
- End-to-end operations, delivery, governance, talent, and infrastructure
- Typical Duration
- 1+ years
- Transition Model
- 60-day transition notice
- You can define outcomes but cannot spare leadership for day-to-day India management
- You want service levels, named escalation paths, and a single accountable partner
- You are testing India scale before deciding on a longer-term entity structure
- You need managed delivery rather than a self-managed remote office
Staff Augmentation
Named individuals join your ceremonies quickly when you already have management capacity and need specific skills. MedRec remains employer of record; you steer the work.
- Client Ownership
- Day-to-day delivery management
- MedRec Responsibility
- Talent acquisition, HR, payroll, compliance, and infrastructure support
- Typical Duration
- 6+ months
- Transition Model
- 30-day transition notice
- You need to close a specific skill gap on a defined horizon
- You already have management capacity and want engineers, not a parallel hierarchy
- You are staffing a time-bound initiative before committing to a larger footprint
- You want to evaluate individuals before expanding the model
Centre of Excellence (CoE)
A specialist India team improves how the wider organisation ships: platform, AI, security, or design systems that product teams can adopt instead of reinventing.
- Client Ownership
- Capability charter and strategic direction
- MedRec Responsibility
- Team building, capability management, operations, and domain expertise
- Typical Duration
- 2+ years
- Transition Model
- Transfer or structured exit
- You are formalising platform, security, data, or design standards consumed by many teams
- You want reference architectures and patterns others can adopt
- You value principal-level specialists who work across product lines without losing depth
- You optimise for multi-year leverage, not next-quarter feature count alone
Unsure which model fits your stage?
Walk us through the roadmap, leadership capacity, and control expectations. We will recommend one or two models and explain the trade-offs clearly enough for your leadership team to decide.