Most Leadership Searches Fail Before They Start. We Fix The Problem Upstream.
Growth-stage digital health and life sciences companies waste 6-9 months on searches that were broken from the beginning. The problem isn't finding talent. It's that hiring teams never aligned on what "good" looks like.
We do the upstream work that prevents searches from failing
25 years of experience · 92% completion · 95% retention
THE PATTERN WE SEE (AND FIX)
The Pattern We See (And Fix)
A senior leadership role opens up at a growth-stage health tech or life sciences company.
Job description gets written. Search kicks off. Internal talent teams execute against the spec. Or an external firm delivers exactly what was asked for.
Candidates start flowing through.
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And that's when it falls apart.
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Because the five people doing the interviews have five different definitions of success.
The CEO wants "strategic thinking." The CTO wants "someone who can get in the weeds." The Head of Product wants "proven scale experience." The Board wants "been there, done that." The CFO just wants someone who won't blow the budget.
Nobody's wrong. They're just not aligned.
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And that misalignment was always there. It just doesn't show up until you're six months in, 47 candidates deep, and everyone's exhausted.
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Internal talent teams can't solve this—their job is to execute on the spec, not challenge it.
Most external firms won't solve it—they deliver against the JD without pressure-testing whether the hiring team actually agrees.
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We solve it upstream, before the search starts.
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HOW WE'RE DIFFERENT
How We're Different
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We don't start with resumes. We start with alignment.
Before we approach a single candidate, we facilitate the conversation most firms skip: getting your leadership team aligned on what success actually looks like.
Not just job requirements. Not just "nice to haves."
We ask the uncomfortable questions:
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What problem are we actually solving with this hire?
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What does success look like in 6 months? 12 months? 24 months?
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When you say "strategic," what specifically do you mean?
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What are you willing to trade off? (Because you can't have everything)
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If stakeholders disagree on a candidate, what's the framework for deciding?
This work is uncomfortable. It surfaces disagreements that were always there but nobody wanted to name.
But it's the difference between a search that takes 4 months and ends in a great hire, versus one that drags on for 9+ months and ends in regret.
Once alignment exists, the search moves fast. Because everyone knows what "right" looks like.
With 25 years in this space, we know where the talent lives, how to approach them, and what it takes to close. We take fewer engagements by design—typically 8-10 per year—so each search gets the depth and focus it deserves.
Our Process
We don’t rely on assumptions. We align stakeholders and define success before the first candidate is approached.
Align Before You Search
Most firms start with candidates. We start by making sure your hiring team actually agrees on what "right" looks like.
Outcome: A search brief built on alignment, not assumptions.
Map The Market
We research where your ideal candidates live—target companies, adjacent markets, passive talent who fit the profile.
Outcome: A focused list of candidates who match what you need.
Engage & Calibrate
Direct, personalized outreach. No spray-and-pray. We present the opportunity tied to real business impact.
Outcome: Qualified candidates who genuinely understand and want the role.
Deliver & Support Through Close
Focused shortlist evaluated against your aligned criteria. Structured interviews, negotiation support, post-hire check-ins.
Outcome: A hire that sticks. 95% retention rate.
Our process keeps stakeholders aligned and candidates evaluated against a shared definition of success.
WHO WE WORK WITH
Who We Work With
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We partner with growth-stage digital health and life sciences companies—typically PE or VC-backed—where leadership decisions have long-term consequences.
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Our clients typically:
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Are scaling from Series A to growth equity stage
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Need senior leadership across GTM, product, clinical, or market access
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Have tried other approaches (internal recruiting, contingent firms) without success
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Recognize that speed matters, but alignment matters more
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Industries Served
Where We Focus
We work with growth-stage companies across digital health and life sciences, where hiring decisions carry long-term consequences.
Digital Health
From virtual care to digital therapeutics, we support teams navigating scale, adoption, and real-world impact.
Life Sciences
Partnering with biopharma and medtech teams building commercial and clinical leadership for growth.
Data & Analytics
Precision-focused on RWD, HEOR, and advanced analytics supporting evidence-based decisions.
Tech Platforms
Supporting SaaS and data-driven platforms that sit at the center of healthcare workflows.
Trusted by Leaders Across Stages
From pre-seed innovators to global, PE-backed companies, our clients rely on us when precision matters most.
CEO, Digital Health Company (Pre-Seed)
Building Blocks helped us strengthen our leadership bench at a critical stage of growth.
VP, RWD Analytics (Series C)
Troy defined and built a specialized analytics team that became essential to client success.
SVP, Global Sales, Life Sciences Data Company (PE-Backed)
With Troy’s support, we built out a North American sales organization that scaled fast.
Ready To Start With Alignment, Not Assumptions?
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If you're about to kick off a senior leadership search—or if you're already in one that's not working—let's talk about the upstream work that makes searches succeed.
Schedule a 30-minute discovery call to discuss your hiring challenge and whether our approach is the right fit.