Automation uncertainty
The organization is interested in AI or automation, but needs a practical way to find where technology can create operating value.
Approach
Operator-led advisory for leaders who need execution to scale.
Scale That Works helps organizations simplify complexity, reduce variation, and build the operating discipline required to move performance.
Who this is for
Built for leaders who need the operating system to catch up with the ambition.
Scale That Works is designed for organizations where complexity, variation, growth, or execution gaps are starting to slow down performance.
Too much variation
The same work is being done differently across locations, teams, or leaders, creating inconsistent results.
Cost pressure
The business needs measurable improvement, but the highest-value operational levers are not yet clear.
Growth outpacing structure
The organization is scaling faster than its management routines, workforce systems, and operating model.
Execution drift
The strategy is directionally right, but field execution, centralized support, shared services, distributed work, or accountability is inconsistent.
Where I help
Focused support for complex operating environments.
The work is most valuable in businesses where service delivery, workforce execution, process discipline, and leadership routines directly determine performance.
AI, automation and workflow leverage
Finding where manual effort, duplicate data entry, routine review, exception queues, and rules-based decisions can be redesigned, automated, or supported by AI-enabled tools.
Healthcare services
Operating models, access, service delivery, centralized support, shared services, distributed work, and field execution.
Pharmacy and fulfillment operations
High-volume operations, automation, productivity, quality, workforce, and regulatory execution.
Multi-site field operations
Standard work, leadership cadence, operating reviews, and performance replication across locations.
Contact centers and patient access
Service performance, workforce management, quality routines, and central reporting.
PE-backed platform operations
Integration, turnaround planning, operating discipline, and readiness for the next stage of growth.
Centralized, distributed & shared services models
Identifying where work should be centralized, distributed, or shared, then building the operating infrastructure, governance, role clarity, quality controls, regulatory discipline, metrics, and cost containment needed to scale.
Representative operating impact
Credibility built from direct operating leadership.
Scale That Works is grounded in real enterprise operating experience across large, regulated, service-intensive environments.
225M+
annual prescription operations led
50
U.S. States and Puerto Rico across scaled healthcare operations
5,000+
team members across enterprise operations
30%
cost-to-fill reduction achieved year over year
60%
attrition reduction achieved through operating discipline
400M+
contacts supported through centralized service operations
How I work
A practical path from diagnosis to scale.
Engagements are designed around the operating decision, improvement opportunity, or execution challenge at hand.
Diagnose
Clarify the operating problem, performance gaps, manual work, workflow friction, root causes, and constraints.
Prioritize
Separate high-value operating and automation candidates from low-value distractions, then sequence the work into a focused action plan.
Build
Create the operating model, rules, routines, scorecards, ownership structure, requirements, and management cadence.
Scale
Help the team execute, replicate what works, realize labor and capacity benefits, and sustain performance improvement.
Operating assessment
The 180-Day Operating Assessment Checklist
A practical executive checklist for evaluating performance gaps, role clarity, workforce leverage, automation opportunity, operating cadence, and what can scale.
Get in touch
Start with a practical conversation.
There is no complicated intake process. Share the operating challenge, growth priority, integration issue, or performance problem you are working through. If there is a fit, we can schedule a focused introductory call.
How to reach me
Let’s compare notes.
Use the form to provide context, or reach out directly by email or LinkedIn. The fastest way to determine fit is a focused discussion about what is happening, what needs to change, and where outside operating support could help.
Email matt@scalethatworks.com LinkedIn Scale That Works company pageWhat to include
Make the first conversation useful.
Describe the challenge
What is not working, what needs to improve, and what has already been tried?
Clarify the operating context
What teams, processes, locations, systems, or performance metrics are involved?
Determine the right support model
Advisory, diagnostic, sprint, or fractional support can be shaped around the problem.