Case Studies

Multi-Site Enterprise Transformation & Procurement Realignment

SCOPE

Multi-site health system | 40+ locations | $1B+ organization | 60-day turnaround

SITUATION

A large integrated healthcare system was operating under a decentralized, tactical purchasing model. Staff were limited to PO processing with little oversight, vendor coordination, or clinical prioritization—resulting in procurement delays, stakeholder confusion, and operational exposure.

OBSTACLES

Lack of formal procurement governance, outdated SOPs, inconsistent approval protocols, and growing compliance risks—including delayed surgical supplies, receiving bottlenecks, and $16M in unresolved purchase orders (POs) sitting on the books.

ACTIONS (Aligned to 5 Pillars of Transformation)

Governance

Centralized procurement oversight, defined RACI structures, and launched standardized approval workflows.

Operations

Restructured purchasing agent responsibilities and aligned support across 40+ sites.

Technology

Led ERP process mapping for Oracle-to-Premier integration; eliminated manual tracking systems.

Culture

Completed 44 one-on-one leadership reviews in 60 days; established frontline accountability through SOP training and escalation frameworks.

Performance

Authored defensible role justifications and transformation-aligned leadership structure to support future-state growth.

RESULTS

01

Addressed over $16M in outstanding POs, improving financial clarity and mitigating enterprise risk

02

Protected patient care while executing operational transformation

03

Reduced invoice backlog and improved three-way match performance

04

Re-established procurement accountability and eliminated ad hoc workarounds

05

Positioned the organization for long-term scalability and compliance alignment with enterprise partners

Integrated SIOP, Analytics & Forecasting Optimization

SCOPE

Mid-market organization | Healthcare & Manufacturing applicability | Scalable growth platform

SITUATION

An enterprise organization struggled with disconnected planning between sales, supply chain, and production teams. Forecasting was manual and reactive, leading to supply imbalances, excess costs, and leadership misalignment.

OBSTACLES

Limited visibility into real-time demand signals, ineffective communication across planning functions, and overreliance on manual spreadsheets caused missed revenue opportunities and urgent rework.

ACTIONS (Aligned to 5 Pillars of Transformation)

Governance

Introduced SIOP discipline across sales, inventory, and operations functions with C-suite alignment.

Operations

Standardized planning cadence and defined inputs across supply chain and production leads.

Technology

Integrated AI-powered analytics tools for demand forecasting, capacity planning, and service-level modeling.

Culture

Built engagement between operational and commercial teams to foster cross-functional ownership of service and cost performance.

Performance

Developed real-time dashboards and reporting cadence to measure forecast accuracy, inventory turns, and agility.

RESULTS

01

Increased forecast accuracy by 40%

02

Reduced inventory carrying costs by 18%

03

Enabled proactive supply planning to support clinical, commercial, and manufacturing needs

04

Established scalable, data-driven planning infrastructure to support enterprise growth

Post-Merger Integration & Organizational Realignment

SCOPE

10 mergers, acquisitions, and divestitures | Enterprise alignment across functional domains

SITUATION

A high-growth organization undergoing multiple M&A transactions faced integration fatigue, legacy system overlap, and inconsistent governance structures—threatening synergy realization and internal stability.

OBSTACLES

Fragmented operating models, leadership uncertainty, and overlapping vendor and system footprints created operational risk and delayed post-close performance tracking.

ACTIONS (Aligned to 5 Pillars of Transformation)

Governance

Designed and executed post-close integration playbooks; built future-state org charts and reporting structures.

Operations

Standardized key functions (contracting, procurement, intake, support models) across acquired entities.

Technology

Supported transition planning and infrastructure realignment to unify platforms.

Culture

Led leadership assimilation efforts and structured internal communication plans to reduce turnover and friction.

Performance

Established synergy KPIs, integration timelines, and executive scorecards for accountability.

RESULTS

01

Seamless integration of 10 transactions with no operational disruption

02

Protected core talent and minimized attrition through proactive change management

03

Accelerated synergy capture through aligned infrastructure and accountability

04

Reinforced reputation as a deal-ready organization able to scale through transition

Looking for transformation leadership that drives measurable results?

Olivia is open to executive roles, advisory work, or strategic consulting engagements focused on operational excellence, enterprise alignment, and private equity growth.