I find where spend and effort are leaking, build the systems that fix it, and stay with you while you scale.
I’m Melanie, a three-time founder with three exits. You work with me directly, start to finish.
Specialties
In practice
What this looks like in each.
Growth-stage
Founders who are still the bottleneck: clear owners, a weekly rhythm and repeatable processes.
Clear owners, a weekly rhythm and systems before they are urgent.
Healthtech
Healthtech and care organizations: member experience, onboarding, compliance and the operations behind quality care.
Member experience, onboarding, retention.
Medicaid
Minnesota HCBS and 245D providers: day-to-day operations, staffing and documentation that hold up as you grow.
Scalable operations and vendors, licensing reviews with repeatable documentation.
Where it leaks
Five places money and time quietly drain.
At Joshin, I owned every vendor and budget and cut operating costs 20% while revenue grew 30% over a twelve-month period.
Handoffs
Work stalls between people and teams.
Rework
The same thing gets fixed twice.
Tools
Overlapping software nobody fully uses.
Manual steps
Work repeated by hand every week.
Compliance gaps
Audits and security reviews that catch you off guard.
One agency: find the leaks · fix the systems · grow with support
Contact
Build well. Grow well.
Start with a conversation. I’ll find where spend and effort are leaking, and what it will take to fix it.
Get in touch