OPERATIONS & STRATEGY CONSULTING
Hard problems, untangled. Growth, accelerated.
Untangle. Align. Scale.
We map how the work actually moves, then rebuild it so it scales.
Senior operating leadership for growing companies and health plans. Fast diagnosis, aligned teams, and results you can measure in weeks, not quarters.
Called in when the stakes are high and the path isn't clear.
Growth companies
Founders and CEOs scaling faster than their operations, systems and teams can keep up.
Teams that feel stuck
Leaders who know something is off, but can't see where the work is breaking down or why.
Payers & unions
Supplemental benefit design and operations, from people who have run it from the inside.
HOW WE WORK
Fast and deep. Built to last after we leave.
01
Fast deep dive
We get inside the operation quickly and see what's really happening, not what the org chart says.
02
Organizational alignment
Leaders agree on the problem, the priorities and who owns what, before anything gets built.
03
A central BI brain
One KPI dashboard everyone trusts, so decisions run on data instead of opinions. AI where it truly helps.
04
Two-week sprints
Change delivered in short, measurable cycles. You see results early and often.
Engagements
Start with the diagnosis. Go as far as you need.
Tier 1
Diagnose
A fast, honest assessment of where the operation is breaking down, with a prioritized plan to fix it.
Tier 2 · Most chosen
Diagnose + Implement
We don't hand you a deck and leave. We stay to build the fixes alongside your team, sprint by sprint.
Tier 3
Diagnose + Implement + ROI
Everything in Tier 2, plus we track and manage the return until the results are realized and sustained.
Leadership hiring & coaching
Need the right director, VP or executive? We run leadership searches, or support yours with candidate screening and interviews. Not sure you need a full-time hire? We'll help you decide whether a fractional leader is the right fit, and we can step in as one ourselves. We also coach up-and-coming leaders so they grow into the roles you need.

WHO YOU’LL WORK WITH
An operator, not an observer.
Rebecca Moore, Owner
Rebecca has run the contact center on January 2nd, untangled the claims backlog nobody wanted to own, and rebuilt the process that only one person knew how to run. She’s an architect and builder who sees operational reality fast, pictures the better version, and builds the teams and systems to get there.
Rebecca has spent more than two decades running operations from the inside:
• Grew TruHearing tenfold over 11 years, most recently as COO
• Partnered with 200+ health plans across Medicare Advantage, Medicaid, Medicare Supplement and commercial coverage, plus many of the largest Taft-Hartley trust funds
• Oversaw three mergers including the merger of Hearing Care Solutions into TruHearing as its President
• Scaled Extend Health, WTW’s Medicare exchange, from 100 to 1000+ seats across multiple sites
• Led benefits administration and payroll services at Ceridian (now Dayforce), domestic and international
Areas of expertise: Member and provider experience · Contact centers · Claims and revenue cycle · P&L ownership · Contracting and vendor management · Workflow and system design · PMO and organizational readiness · Training and development · KPI & Analytics · HR and recruiting · Client management and retention · Sales & marketing · Founder transitions
Operations at scale
Mergers & integration
Medicare Advantage
Leadership hiring