Ongoing senior accountability
Who is senior enough, and accountable enough, to actually hold this program together?
Named senior leadership for a stalled or high-risk transformation program, at a fraction of the cost of an executive hire and without a staffing ramp. One accountable person in the operating cadence, holding decisions, dependencies, sequencing, and escalation.
3–6 month minimum
$15,000–$25,000 per month
Principal-led, one accountable senior leader
Who this is for
The buyer and the moment.
For health plans, healthcare services organizations, PE-backed provider platforms, managed-care organizations, and large provider organizations carrying a high-risk transformation program without a senior leader who owns it end to end.
- A critical program has no single accountable owner above the workstream leads.
- An executive seat is vacant, newly created, or the search will take two more quarters.
- Recovery priorities are known but nobody senior has capacity to drive them.
- Cross-functional decisions keep escalating and stalling at the same boundary.
- The board or sponsor needs credible independent visibility into delivery risk.
What you get
What the engagement produces.
- Named senior accountability inside the operating cadence
- Decision, dependency, and escalation management across workstreams
- Executive and sponsor reporting that reflects real delivery risk
- Recovery-plan execution and re-sequencing as conditions change
- Vendor and partner performance oversight
- AI and automation adoption judgment: what to fund, defer, or stop
- Capability transfer to the permanent internal owner
Scope boundaries
What this engagement is not.
Stated up front so the scope conversation is short and the proposal contains no surprises.
- This is senior leadership capacity. Staff augmentation and outsourced delivery are different purchases, and I am the wrong supplier for both.
- Engagements are part-time, and I scope them explicitly by days per month. Full-time interim leadership is a different arrangement.
- A three-month minimum applies because program recovery cannot be evidenced in less.
- TKO does not act as a licensed clinical, legal, or regulatory advisor. Those judgments stay with the client's qualified functions.
Questions
What buyers ask before committing.
How is this different from hiring a consulting firm?+
A firm sells a team and bills the ramp. This is one senior person already familiar with healthcare transformation, in the cadence from week one, accountable by name. There is no pyramid underneath and no discovery phase to fund.
How much time per month?+
Typically the equivalent of four to eight days per month, agreed in writing before the engagement starts and reviewed at each renewal.
Does this convert to a permanent role?+
It can. Several fractional arrangements exist precisely to bridge an executive search. That conversation is welcome and does not carry a placement fee.
Do you take over the program from internal leaders?+
No. The role adds senior accountability where it is missing and transfers capability to the permanent owner. Displacing capable internal leaders is a failure mode.
The other two
If this is not the right vehicle.
Fixed-scope diagnosis
Program Recovery Review
Is this program recoverable, what is actually wrong, and what should happen in the next 90 days?
3 weeks · $18,000–$25,000 fixed fee
Program Recovery ReviewFor consultancies and integrators
Specialist Subcontract
Can you put a senior healthcare transformation specialist on this account this quarter?
Engagement-dependent · $175–$250 per hour, subject to engagement
Specialist SubcontractProgram Recovery Conversation
Start with a 45-minute Program Recovery Conversation.
A structured 45-minute working conversation about one program that is behind, over budget, or about to fund automation on top of an unstable workflow.