Alex Williamson
Fractional work across go-to-market, product, and operations. I step in where a team needs someone to own a function and get it done, then step out when the full-time hire is ready.
Go-to-market
Pipeline work at an early-stage healthcare startup: from a blank spreadsheet to a structured sales process.
Campaign Strategy
Built the outbound strategy against a defined account list: segmented targets by geography, bed count, and service mix, mapped decision-maker personas across CNOs, CNIOs, and COOs, and set the sequencing to exhaust warm paths before moving cold. Outreach wasn't sent until there was a clear reason to send it.
Pipeline Infrastructure
Stood up the CRM from zero: structured pipeline stages, built and maintained the target account list, and created a repeatable process for advancing contacts from first touch to meeting booked. Pipeline visibility went from the CEO's memory to a single source of truth.
Top-of-Funnel Execution
Owned outbound end-to-end: account research, personalized first contact, multi-touch follow-up cadencing, and meeting generation. Handled every stage from identifying the right person at the account to getting the calendar invite accepted.
Sales Collateral
Built the full asset stack from scratch: a CNO-facing pitch deck, a one-pager for leave-behinds, and a case study with defensible clinical outcome claims. Each asset was structured around what a CNO needs to build internal consensus, not what looks good in the room.
Product
End-to-end product work for a medical education app: from a messy pre-launch state to live users in a new market.
Product Audit
Mapped the full user flow from onboarding through spaced repetition to payment, then documented every critical bug, UX friction point, and gap between build and spec. Delivered a prioritized backlog with severity ratings and acceptance criteria — not a list of observations, but a dev-ready work queue.
Launch Planning
Wrote the 90-day launch plan with milestone-gated phases: each phase had defined exit criteria, not just a task list. Broke work down by workstream — product, content, dev, user research — assigned ownership, and built in checkpoints where the team could validate progress before advancing.
Payment Strategy
Evaluated three monetization paths: App Store-first, web-first, and hybrid. Produced a decision memo covering build complexity, expected conversion rates by path, regional compliance requirements, and time-to-revenue for each option. The team chose web-first based on the tradeoffs.
User Research
Ran 10 structured discovery sessions with medical students in the target market. Wrote the discussion guide, recruited participants, and synthesized findings into a short brief covering subject prioritization, willingness-to-pay range, and actual study behavior versus what the team had assumed.
Closed Beta
Designed and ran the closed beta with 20 users: structured feedback forms, weekly synthesis loops, and a bug triage process tied to severity. Defined the core launch metrics before going live — activation rate (day-1 action completion), 7-day and 30-day retention, and session frequency — so the team had a baseline to measure against at soft launch.
Business operations
Operational work across early-stage startups and large organizations: project coordination, hiring, process design, and everything that falls between functions.
Project Coordination
Managed concurrent workstreams across multiple engagements at startup and enterprise scale. Owned status tracking, ran weekly standups, escalated blockers early, and documented decisions in real time. Cross-functional work stalls at handoff points — this is the work that prevents that.
Hiring Support
Supported a hiring push at an early-stage startup during a growth period: built role scorecards, ran initial screens, and gave the founder a structured evaluation framework. Moved from reactive, gut-feel hiring to a repeatable process with defined criteria.
Vendor Management
Managed a difficult transition with an external dev team: scoped the deliverables owed, reviewed contract terms, and drafted all outbound communications. Managed the back-and-forth through to a clean handoff while protecting the company's position throughout.
Process Documentation
Built operational playbooks across multiple engagements: content production workflows, QA checklists, bug triage systems, partner tracking. Written for the person who'd inherit the process, not for completeness. Designed to be used, not filed.
Stakeholder Communications
Owned external communications across startup and consulting contexts: partner follow-up, investor updates, and client-facing status reporting. Kept communications on cadence and structured so recipients had what they needed to act — not forwarded Slack threads.
Reporting & Tracking
Built lightweight reporting systems that surfaced what actually mattered: pipeline health, sprint completion rate, open action items, budget vs. actuals. Designed for the person reading it, not the person building it.
About
I run Open Chair Advisory, a fractional practice where I step into early-stage companies and own whatever is pressing but lacking ownership. That's usually GTM, product operations, or biz ops, sometimes all three at once.
Most of my work has been in healthtech, but the problems I solve aren't industry-specific. If you need someone to build the thing, not just advise on it, that's the work I do.