Selected Work

Operating Experience Behind High-Stakes Mandates

Selected work showing how high-stakes mandates were turned into clearer decisions, accountable execution and measurable operating evidence.

Client identities are withheld where confidentiality is part of the mandate.
OperatingLeadership$1.5BProgram Recovery at Scale20KProduct users97%Workflow Acceptance$28M → $80MStrategic Account Growth
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Selected Work

Full case library

TRANSFORMATION & PROGRAM RECOVERYPUBLIC HEALTH / MEDICAID

Restore Delivery Control in a $1.5B Medicaid/MMIS Portfolio

Re-established governance, SDLC discipline, release control, and executive KPI visibility across troubled Medicaid programs in New Hampshire and Montana. Rationalized EPMO resources and delivery staffing to address chronic delays and execution risk. 2 state programs reset under formal governance and release discipline

Results:

$30K/day contractual damages exposure brought under recovery
GO-TO-MARKETENTERPRISE

Turn a $28M Strategic Account Into an $80M Growth Path

Aligned account strategy, executive sponsorship, delivery dependencies and growth priorities around the customer’s operating requirements.

Results:

$28M → $80M reported account growth over two years
TRANSFORMATION & PROGRAM RECOVERYHEALTHCARE & LIFE SCIENCES

Modernize Clinical Trial Registry Data and Workflow

Legacy customizations and clinical workflow friction constrained growth for a real-world clinical evidence organization. Led a multi-workstream modernization; workflow, cloud data architecture, pharmacovigilance feeds and lower-cost EDC systems to free specialist capacity for new business.

Results:

More specialist capacity:
3d → 1d for intake & prep, 3+mo → <1mo form change cycle
AI STRATEGY & OPERATING MODELPRODUCT PIVOT

When Commoditization Made the Roadmap the Wrong Problem

Redirected capital, team capacity, product work and GTM from a commoditizing meeting-intelligence market into private, governed AI for control-sensitive enterprise work.

Results:

3 platform generations
GOVERNANCE, CONTROLS & EVIDENCEDEFENSE / DUAL-USE

Focus Specialist Review on the Cases That Carry Material Risk

Standardized screening and evidence assembly while preserving controlled sources, escalation thresholds, traceability and specialist decision authority.

Results:

8 hours → 5 minutes per target application
30% → 3.2% false-positive rate
GOVERNANCE, CONTROLS & EVIDENCEPUBLIC SECTOR / JUDICIAL REVIEW

Evidence-Linked Bias Analysis for Judicial Review

Applied an AI-assisted evidence workflow to verify source-linked hits, remove false positives, and classify recurring bias mechanisms. Seven bias mechanisms identified, work published.

Results:

43 verified instances of bias
AI STRATEGY & OPERATING MODELHEALTHCARE & LIFE SCIENCES

Rebuild a $1M License Case the CFO Could Test

A $1M+ license rested on ~$300K of emergency dept. avoidance value. Four pathways expanded the modeled case to $1M–$5M+ a year with a value model tool so buyer executives could test local assumptions. The results opened doors for deeper enterprise sales conversations.

Results:

2–3x modeled ROI expansion
PROGRAM, PRODUCT & WORKFLOW LEADERSHIPHEALTHCARE & LIFE SCIENCES

Patient Workflow Transformation

Field research across five sites shifted the decision from digitizing every interaction to where digital change justified the interaction cost.

Results:

5-site field research changed the rollout decision;
Digitize selectively, not every clinical interaction
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GO-TO-MARKETHEALTHCARE & LIFE SCIENCES

Pick the First Civilian Market Before More Capital and Filings

Commercialization under uncertainty: Military-tested IV platform, many plausible civilian markets, no clear beachhead. Compressed validation cycles to 30 days across 10 market segments and anchoring a $498M promising market. Validate which buyers will adopt, preserve capital for regulatory filings.

Results:

Rapid Go/No Go;
‍90 → 30 day validation
GO-TO-MARKETHEALTHCARE & LIFE SCIENCES

Define the Buyer and Use Cases Before Scaling

Structured buyer, use-case, persona, product-market-fit and sales-enablement decisions into a commercialization plan.

Results:

Prioritized commercialization plan
FRACTIONAL & INTERIM EXECUTIVE LEADERSHIPENTERPRISE OPERATIONS

Lead Operations&L

Led enterprise planning, delivery, execution and operating accountability across a $90M P&L and 1,100-person global team.

Results:

$90M P&L scope
FRACTIONAL & INTERIM EXECUTIVE LEADERSHIPHEALTHCARE TECHNOLOGY

Build and Scale a Healthcare SaaS Business Through Exit

Built and led a 100+ employee healthcare technology company across mobile applications, SaaS products and professional services through exit.

Results:

$50M+ healthcare technology exit

Bring the mandate

When important decisions need operating experience, get principal-led support.