HIGH-STAKES MANDATES
Explore the mandate closest to yours. See what's at stake, what better looks like and the evidence behind the work.
WHAT WE ADVISE & LEAD
Executive decision support first, then our operating leadership to help carry your decisions into measurable results.
Decide what should advance, change, pause, or stop.
Assess business value, investment risks and strategic alternatives. Establish the evidence and decision gates needed for accountable action.
FIVE SUPPORTING OPERATING CAPABILITIES
Commercialization & Go-to-Market

AI Strategy & Value Realization
Operating Execution & Program Recovery
Governance, Controls & Evidence
Transformation & Change Management
SELECTED CLIENT CASE STUDIES

LEGAL · EVIDENCE GOVERNANCE
42 days → 2.5 days
ACHIEVED FIRST-PASS REVIEW DURATION
CHALLENGE
A fixed litigation deadline and roughly 100,000 mixed documents made the review difficult. Pleadings and allegations complicated fact searches, and the protective order prevented sending documents to public AI models.
ACTION
Directed a private review workflow for a single tenant. The team separated four types of evidence, linked findings to original documents and kept privilege decisions and final approval with counsel.
RESULT
First-pass review fell from 42 days to 2.5 days. Documented privilege tagging errors also dropped from 9.8% to 1.5%.

FINANCIAL SERVICES · GOVERNED AI
97% first-pass accuracy rate
MEASURED AGAINST AGREED WORKFLOW CRITERIA
CHALLENGE
A buy-side asset manager needed AI-supported RFP responses that stayed accurate and source-linked, used guardrails and the existing platform.
ACTION
Kept the existing RFP environment; added approved-source retrieval, question-level context checks, human review, and repeatable acceptance gates.
RESULT
97% first-pass accuracy rate · 55 sec average response · platform remained in place.

MEDICAL DEVICE · COMMERCIALIZATION
90+ → 30 days
MARKET SEGMENT VALIDATION CYCLE
CHALLENGE
A military-tested IV platform had ten plausible civilian markets but no buyer commitments. Choosing the wrong starting market risked wasted capital, retooling and regulatory costs.
ACTION
InteliGems Advisory led customer discovery across 10 segments, evaluated clinical workflows, unit economics and key opinion leader feedback and established explicit Go/No-Go gates. Urban EMS was ruled out; Large Animal Field Veterinary was prioritized.
RESULT
Validation cycle compressed from 90+ to 30 days. Leadership gained a clear advance-or-stop capital gate and a focused beachhead ($498.4M modeled field-veterinary TAM) before further regulatory investment.
Boards, investors and P&L owners facing consequential decisions, operating challenges or heightened accountability.
HOW WE WORK
We support executive mandates through focused advisory, continuing program direction or sustained senior leadership. The level of involvement depends on your needs and the scope of our work.
01 · DEFINED DECISION
Best when: A consequential investment, operating, governance or commercial decision needs to be resolved before committing further resources.
Test assumptions, compare viable options and establish the evidence and decision conditions needed to proceed.
02 · CROSS-FUNCTIONAL DIRECTION
Best when: Transformation, integration, AI initiatives, commercialization or program recovery requires continuing senior direction across teams and functions.
Resolve competing priorities, clarify decisions and dependencies, and maintain direction as client teams and providers execute.
03 · SUSTAINED LEADERSHIP
Best when: A critical transition, growth or recovery mandate requires experienced senior operating or commercial leadership without permanent executive headcount.
Provide defined leadership capacity, advance critical decisions and maintain continuity through transition or recovery.
Start with the decision or mandate. Agree on the scope, decision gates, accountabilities, timelines and expected outcomes before selecting the level of senior involvement needed to move the mandate forward.
Define the decision, business objectives, accountable sponsor, risks, assumptions and future state.
Agree on success measures, timelines, milestones, the required conditions to advance, change, pause or stop based on evidence.
Choose focused advisory, program leadership or fractional and interim operating leadership.
Support decisions, priorities and escalation through internal teams and selected providers. Establish an operating cadence and review evidence of progress against agreed measures.