Blue Cross Blue Shield of North Carolina (BCBSNC) needed to reduce costs in IT but at the same time increase responsiveness to the business units of this Health Care services company. In February 2012, their IT infrastructure operations and data center was outsourced to Fujitsu North America, but then BCBSNC needed to figure out how to manage the huge anticipated transformation to ITIL v3 and improved services, the contract, and the demand for services. This was their first major outsourcing engagement and it brought tremendous changes to the organization, both in the IT area and also in the company at large. At the 2013 IAOP Outsourcing World Summit, the speakers discussed this project, as well as the inception of the Enterprise sourcing office which was created at the same time. The development of the governance program, creation of the governance team, selection and prioritization of processes for deployment, organizational change and transformation approach, process development, and rollout of processes to ensure compliance were covered.