10Pearls is an AI-native digital engineering company with a 1,400+ person global team across North America, Europe, Latin America (Costa Rica, Colombia, Peru, Mexico, Argentina, Brazil), and Asia (Pakistan). Its published case studies span healthcare (caregiver support platforms, agentic virtual assistants) and fintech (payment platforms, synthetic identity fraud detection), alongside generative and agentic AI services delivered through its ValuePath framework.
Company size
Large AI Implementation Companies
13 of the 64 AI implementation consultancies that help companies build on AI we track are large firms. Featured partner first, then alphabetical.
13 of the 64 AI implementation consultancies that help companies build on AI tracked on AI Implementation Companies are large firms, as of October 14, 2026. The featured partner, asaasin.ai, is pinned first when it qualifies; every other row is alphabetical, unpaid, and drawn from public information.
Large firms in this directory are global consultancies with AI practices inside much bigger organizations, including Thoughtworks, EPAM Systems, and Publicis Sapient. They can staff multi-year programs across several countries and handle procurement, security, and compliance requirements that smaller shops struggle to meet.
The tradeoff is access. On a large engagement you may be one account among many, and the team that pitches is not always the team that delivers. Ask for named delivery leads and a reference client of similar size.
For a narrower scope, look at mid-size firms or boutique studios. Large-organization projects are covered on the enterprise AI page. Use the comparison table and how to choose to weigh options.
Which AI implementation consultancies that help companies build on AI are large firms?
Advertiser disclosureFeatured partner pinned first and labelled; every other company is listed alphabetically. No paid placement.
| Company | Headquarters | Specialties | Size | Best for | Website |
|---|---|---|---|---|---|
|
10Pearls
North America, Europe
|
Washington, DC, USA | Large | Healthcare AI | Visit | |
|
Centric Consulting
North America
|
Dayton, USA | Large | AI Agent Integration | Visit | |
|
CitiusTech
North America, Asia
|
Princeton, NJ, USA | Large | Healthcare AI | Visit | |
|
EPAM Systems
North America, Europe
|
Newtown, USA | Large | Generative AI Consulting | Visit | |
|
Grid Dynamics
North America, Europe
|
San Ramon, USA | Large | Enterprise AI | Visit | |
|
NashTech
Europe, Asia
|
London, UK | Large | AI Strategy | Visit | |
|
Publicis Sapient
North America, Europe
|
Boston, USA | Large | AI Strategy | Visit | |
|
Quantiphi
Asia, North America
|
Mumbai, India | Large | Enterprise AI | Visit | |
|
Semantix
Latin America
|
São Paulo, Brazil | Large | Data Engineering | Visit | |
|
Sigmoid
North America
|
San Francisco, USA | Large | Data & Analytics | Visit | |
|
Slalom Build
North America, Europe
|
Seattle, USA | Large | AI Product Development | Visit | |
|
Thoughtworks
North America, Europe
|
Chicago, USA | Large | AI Strategy | Visit | |
|
Tredence
Asia, North America
|
San Jose, California, US | Large | Data Engineering | Visit |
All 13 listed
13 shownCentric Consulting is a business and technology consulting firm headquartered in Dayton, Ohio, founded in 1999. Its AI practice covers AI strategy, AI governance, and custom AI agent development, alongside Microsoft, Salesforce, and data & analytics consulting. It serves clients across North America and suits companies that want AI agent work handled by the consultancy already running their enterprise systems. Ask for agent-development case studies and how its AI governance process handles model risk and change management before deployment.
CitiusTech is a healthcare-exclusive technology services and consulting company (founded 2005, HQ Princeton NJ and Mumbai) that builds GenAI and applied-AI solutions -- including claims auto-adjudication models, diagnostic imaging AI, and healthcare-trained agentic tools -- for 140+ payer, provider, and life-sciences enterprises.
EPAM Systems is a publicly traded (NYSE: EPAM) global software engineering and digital transformation company, headquartered in Newtown, Pennsylvania and founded in 1993, that runs generative AI consulting and implementation services alongside AI strategy and enterprise AI programs. It delivers across North America, Europe, and Asia at a scale suited to large, multi-market rollouts rather than a single scoped pilot. As one of the larger, publicly traded firms in this directory, EPAM fits companies that want an AI vendor with public financial disclosures and engineering headcount to match a long-term, multi-year AI program.
Grid Dynamics is a publicly traded (Nasdaq: GDYN) digital engineering and technology consulting company that helps large enterprises implement generative, agentic, and applied AI, data platforms, and cloud-native engineering solutions.
NashTech is a global IT consulting and software engineering firm headquartered in the UK, with a major delivery hub in Vietnam — including Ho Chi Minh City — alongside teams across Europe and the Americas. Part of the Nash Squared group, NashTech pairs onshore advisory and account management with offshore engineering scale to deliver AI advisory, custom software development, and AI-enabled data and automation services. Its AI practice covers strategy and use-case identification, human-in-the-loop model training, agentic AI, and integration of AI systems into existing enterprise infrastructure, with client work spanning insurance, banking and finance, retail, logistics, education, and technology sectors. NashTech has published case work involving a large Vietnamese bank's AI-assisted customer service tooling and UK enterprise clients' digital transformation and legacy modernization projects. The firm combines decades of custom software development experience with newer generative and agentic AI capabilities.
Publicis Sapient is headquartered in Boston and has been operating since 1990 as the digital business transformation arm of Publicis Groupe. What it does: it helps large, often Fortune 500 enterprises modernize legacy technology and adopt AI, across AI strategy, enterprise AI programs, and AI product development, usually inside broader transformation engagements rather than standalone AI projects. Locations and delivery: teams across North America, Europe, Asia, and remote. Best fit: companies that need AI work embedded in a wider modernization program, not a narrow point solution or a fast, small-team build.
Quantiphi is an AI-first digital engineering company headquartered in Mumbai, India, with additional offices across North America and Europe. Founded in 2013, the firm partners with cloud providers including AWS, Google Cloud, and Microsoft Azure to deliver applied AI solutions spanning generative AI, agentic AI, conversational AI, document AI, and data & analytics. Quantiphi serves enterprise clients across banking and financial services, healthcare, insurance, life sciences, retail, media, telecom, and the public sector, combining industry-specific accelerators with disciplined cloud and data-engineering practices. Its delivery model draws on engineering talent based in India — including Mumbai, Bengaluru, and Thiruvananthapuram — supporting global implementation and managed-services engagements. The company also builds proprietary AI products and platforms alongside its consulting and systems-integration work, and publishes case studies and thought leadership on applied AI adoption across regulated industries.
Semantix is a Brazil-founded AI and data intelligence company headquartered in São Paulo, with additional Brazilian offices in Londrina and Porto Alegre, plus operations in Argentina, Uruguay, Colombia, Mexico, Peru, and Chile. Founded in 2010, Semantix became the first Latin American deep-tech company to list on Nasdaq and has grown through acquisitions including Elemeno (machine learning and MLOps) and GAVB Consulting (data and machine learning), and more recently the South American operations of Atos. The company's Intelligent Platform spans data and infrastructure foundations, AI-driven business applications, AI-native digital product engineering, and secure AI-orchestrated operations for mission-critical environments. Semantix serves enterprise clients across retail, financial services, healthcare, and telecom, and holds certifications including ISO 27001, ISO 27701, SOC 2 Type II, and PCI-DSS. Its work spans AI strategy, data engineering, MLOps, and generative AI-enabled application development for large regional and multinational enterprises.
Sigmoid (also operating as StreamVector) is an AI consulting company delivering AI-first data & analytics, data engineering, agentic AI, generative AI, cloud, and machine learning solutions, serving consumer goods, financial services, and life sciences clients.
Slalom Build is the product engineering arm of Slalom, headquartered in Seattle. It builds custom software and integrates AI for enterprise clients across North America and Europe, with listed work in AI product development, AI strategy, enterprise AI, and AI integration. Because it sits inside a larger consultancy, it can pair a shipped product with Slalom's technology and change-management practices; ask about that directly if your project needs organizational rollout support too.
Thoughtworks is a global technology consultancy that helps enterprises design, build, and modernize software, offering AI/works, an agentic development platform, alongside AI strategy and data consulting services.
Tredence is a data science and AI consulting firm with delivery centers spanning North America, India, Europe, and the Middle East, including a major engineering hub in Bengaluru. Founded in 2013, the company works with large enterprises on data engineering, MLOps, generative AI, and agentic AI initiatives, alongside longer-standing analytics and data science practices. Tredence's services cover data modernization, LLMOps, digital engineering, and industry-specific accelerators for retail, CPG, telecom, media, travel, financial services, healthcare, and life sciences. The firm partners with major cloud and data platforms such as Databricks, Microsoft, and Snowflake, and operates global capability centers that combine onshore advisory teams with offshore delivery scale across multiple India locations. Tredence also builds proprietary products, including a rebate-management tool and a healthcare analytics platform, alongside its client consulting engagements.
No companies match that search.