Founders and CEOs who need senior commercial operating leverage before or between executive hires
Fractional Head of GTM for Healthcare

High-intensity fractional GTM leadership for healthcare startups that need a founder-facing operator to build the wedge, prove the motion, and scale what repeats.
Read the operating briefFrom founder urgency to a proven commercial role
- Set sprint proof gates
Define what the next 30/60/90 days must establish.
- Sharpen the wedge
Focus the ICP, buyer problem, and commercial priority.
- Govern the handoff
Connect pipeline stages to implementation ownership and readiness.
- Review with founder and CFO
Assess revenue quality, operating risk, and expansion evidence.
- Decide what follows
Choose scale, pause, or redesign; define the permanent commercial role.
The buyer problem
The issue underneath the visible activity.
This is the problem leadership must make legible before adding more pipeline, tooling, headcount, or implementation burden.
The company needs senior GTM judgment immediately, but the right full-time commercial executive may not be clear until the motion is better defined.
What gets built
A working management system, not a recommendation left in a deck.
The scope is organized around the artifacts, operating rules, and decision cadence the team needs to keep using after the engagement.
- 01
30/60/90-day commercial operating sprint with clear proof gates.
- 02
Wedge selection, ICP sharpening, pipeline governance, and implementation handoff design.
- 03
Founder/CFO decision cadence around revenue quality, risk, and expansion readiness.
- 04
Hiring and org-design implications once the repeatable motion is clearer.
Proof patterns
What leadership should be able to observe.
- 01
Focused interim/project-based mandates across behavioral health, multispecialty care, and dialysis.
- 02
Founder-to-exit operating background with regulated healthcare diligence exposure.
- 03
Provider network, payer strategy, claims intelligence, and RevOps operating fluency.
Decision questions
What the executive room must answer.
- 01
What must be proven in the next 90 days?
- 02
Which commercial role should exist after the sprint?
- 03
What operating artifact should leadership keep using after handoff?
Trust boundary
What this mandate will not pretend away.
- Do not outsource founder-level GTM judgment to generic sales activity.
- Do not hire a permanent org around an unproven motion.
- Do not let the sprint end without a clear scale, pause, or redesign decision.
Connected context
Follow the system beyond this mandate.
Start a serious conversation