Operating Partner / Fractional COO
Embedded operational leadership for healthcare staffing firms in the zone where the founding team has stretched, the leadership bench has not arrived, and a permanent COO is still six to twelve months out from making sense. BSG fills that gap. Two to four days a week, weekly operating cadence, and a deliberate plan to transfer the capability into the team rather than hold it inside the engagement.
Who this is for
Founder-led firms scaling past their original operating model, or building one from scratch in an early-stage venture. PE portfolio companies between platform close and permanent COO hire. Recently acquired CEOs who need an extra operator inside their structure during the integration period and beyond.
What BSG delivers
A weekly operating cadence the leadership team actually runs. Not a slide template. A real cadence with the right people, the right inputs, and the discipline that turns activity into decisions. The point is not that BSG runs it. The point is that someone on the team can run it after BSG leaves.
Hiring, onboarding, and ramp design across the functions you are scaling into. Sales, delivery, recruiting, account management, operations, leadership. The current ramp time is what it is because of the current curriculum. New curriculum, new ramp time.
Workflow design across the operating motion end to end. Sales, recruiting, delivery, credentialing, account management, finance handoffs. Concrete, documented, and held to.
KPI implementation that ties to the leadership cadence rather than living in a separate spreadsheet no one references.
Leadership coaching for the founder, the heads of each function, and the next layer of leaders coming up underneath. The bench you wish you had is built one operator at a time. BSG's job is to leave you with leaders who can develop the layer beneath them.
System rollouts and operating model transitions when the existing tech or cadence is in the way. Selection, configuration, change management discipline, and the structured approach to land the change without breaking the operating cycle.
How the engagement runs
Typical engagement runs 6 to 12 months. Two to four days a week on average, structured around the leadership cadence and the active workstreams. BSG runs to a defined exit. The engagement succeeds when the leadership team operates without the operating partner present, not before.
What changes after
A defined operating model the leadership team owns. A hiring and ramp engine that produces ramped people across every function on a predictable timeline. A leadership team that does not require the founder in every decision. A cadence the next COO can step into rather than rebuild. The capability stays in the firm. BSG does not.