Strategy, Operations & Integration Advisory

Design. Integrate. Transform.

Systems thinking. Aligned action.

I help CEOs, Boards, and executive teams turn strategy into results: designing the operating model, integrating organizations, sites, and services, and building the measures and leadership that make growth last.

1
Design
The strategy, operating model, and decision structures
2
Integrate
Organizations, sites, services, people, and partners
3
Transform
Growth and outcomes that hold, from pilot to scale
61%
Total revenue growth
in three years
58%
Public payer funding
growth in three years
99
Independently governed
agencies aligned
~20
Years of senior
leadership
What Are You Facing?

Organizations don't experience challenges as consulting categories.

They experience moments when something isn't working. Tap a card to see how I help.

About

Close to twenty years building the structure underneath big ambitions

I've led in very different rooms: US financial services, a health profession regulator, international humanitarian work, a national federation, and multi-site health care. In each one I've done the same thing: taken an organization's biggest ambitions and built the strategy, operating model, and accountability that make them real.

Most recently, as Chief Strategy and Integration Officer at a regional multi-site, multi-service health organization, I held combined strategy, operations, and finance accountability, reporting to the CEO and partnering with the Board. I led post-merger integration, scaled virtual care and mobile clinics from pilot to ongoing operation, expanded access through partner co-location instead of new construction, rebuilt financial controls with KPMG, and grew revenue 61% in three years. Through a joint executive appointment, I also integrated health and child and family services on a shared site.

Before that, as National Vice President, Strategy and Operations for a federation of 99 independently governed agencies, I aligned an entire network with no formal authority over any part of it, and directed an enterprise transformation with Bain & Company.

Today I advise leaders of hospitals and health systems, physician practices, urgent care and community health organizations, academic institutions, and growth-stage companies on integration, growth, fiscal performance, and leading change. I'm also completing a Doctor of Health Care Administration at Oklahoma State University, researching how organizations can integrate and grow sustainably while improving outcomes.

What ties it together: I don't just recommend. I build the coalition, the business case, and the operating structure that make an idea real, and I stay accountable until it holds.

Kellogg–Schulich MBA  ·  Doctor of Health Care Administration (2027)  ·  SHRM-SCP  ·  PMP  ·  CCMP  ·  Prosci  ·  Lean Six Sigma Black Belt  ·  ACHE Member
Sameer Ali
Range of Leadership
Strategy
Planning, execution, and decision support
Integration
Organizations, sites, services, and partners
Performance
Scorecards, financial models, and risk frameworks
Governance
Board committees and Board advisory
Functions Led
Finance · HR & Organizational Design · Technology · Quality & Risk · Facilities · Communications
Career Highlights
  • Chief Strategy & Integration OfficerRegional multi-site, multi-service health organization
  • National Vice President, Strategy & OperationsFederation of 99 independent agencies
  • Director, Corporate ServicesHealth profession regulator
  • Principal AdvisorIndependent strategy and organizational advisory
  • EarlierBNY Mellon Corporate Trust and Texas banking
Selected Results

What it looks like in practice

Three examples from my executive roles, each the kind of challenge growing organizations face every day.

Integration

Turning a merger into one organization

The situation

Two organizations had merged, but staff at the legacy site never fully joined the new one, and a large flagship site built with significant public investment sat underused.

What I did

Made the case to fully use the flagship rather than build new, led its renovation and the move, spoke at town halls, led the rebrand, and kept services close to the legacy community through partner co-locations instead of a new building.

One site, one operating model, one identity, with existing capital put to full use.

Growth

Growing fast on a stronger financial foundation

The situation

A growing organization with material weaknesses in its financial controls and no dedicated CFO.

What I did

Engaged KPMG to rebuild the control environment, led the audit relationship, built the business cases and funder relationships behind new services, put a scorecard and risk framework in place, and created a dedicated CFO role.

Revenue up 61% and public payer funding up 58% in three years, with clean audits throughout.

Alignment

Aligning 99 organizations without formal authority

The situation

A national federation of 99 independently governed agencies, each with its own board and leadership, and no obligation to follow the center.

What I did

Designed the strategic framework and operating model, secured the largest agencies first, won buy-in region by region, directed an enterprise transformation with Bain & Company, and guided agency leaders through COVID-19.

One strategy, shared standards, and common performance measures across the federation.

How I Help

For the moments when ambition has outgrown structure

I work with CEOs, Boards, and senior leaders as an independent advisor and a hands-on partner who stays through delivery.

Strategy & Execution

Turning ambition into a strategy the organization can execute, with priorities, owners, and measures behind it.

Integration & Growth

Bringing acquired practices, new sites, merged teams, and partner services into one operating model, brand, and culture.

Operating Model & Organizational Design

Designing the structures, roles, decision rights, and accountability needed to deliver at the next stage of growth.

Performance, Risk & Decision Support

Scorecards, financial models, scenarios, and risk frameworks that give leaders and Boards clarity before they decide.

Board & Governance Advisory

Governance that keeps pace with the organization, with the right roles, committees, and oversight.

Change & Transformation

Moving from knowing change is needed to change that people adopt and sustain.

Stakeholder & Network Alignment

Aligning physicians, partners, funders, and independent leaders around a shared outcome, without relying on authority.

Access & New Care Models

Expanding access through virtual, mobile, and partner-site models, and structuring services around the populations you serve.

Executive Advisory

Confidential, independent counsel for CEOs and Boards facing complex or high-stakes decisions.

Engagements typically run one to three quarters.

Selected Work

Selected engagements

All work is confidential. Client names are withheld under NDA, consistent with standard advisory practice.

Hospital & Health System Leaders

Advised executives on integration, fiscal efficiency, balancing budgets, and setting a new strategic direction.

Physician Practices & Urgent Care

Advised practice owners and operators on integration, partnerships, fiscal efficiency, and sustainable growth.

Health & Wellness Organization

Led a multi-stream repositioning: theory of change, strategic plan design, rebrand, and governance restructuring.

Academic & Education Institutions

Supported strategic planning, partnerships, and organizational design aligned to long-term institutional goals.

Community & Nonprofit Organizations

Redesigned governance, Board composition, and skills matrices, and rebuilt Balanced Scorecards and enterprise risk frameworks.

Growth-Stage Company & Executives

Advised founders on strategic clarity and operating structure, and coach senior executives leading through change.

Teaching & Speaking

Convening conversations that matter

I teach Organizational Behavior and Human Resource Management at the graduate and undergraduate levels, most recently at the Schulich School of Business and Durham College, bringing real executive experience into the classroom.

I'm also the founder and head curator of TEDxDonMills, where I built an independent TEDx conference from concept to stage and coached leaders to turn complex ideas into compelling talks.

  • Executive leadership workshops
  • Board and governance sessions
  • Strategic planning sessions
  • Leadership roundtables
  • Conference keynotes and panels
  • Industry and association events
Impact-Aligned Engagements

For nonprofit, charitable, educational, and mission-driven organizations, I offer flexible, impact-aligned pricing so meaningful work and learning stay accessible.

Speaking Topics
  • Integration That Holds: Growing Without Losing What Works
  • Strategy Beyond the Strategic Plan
  • Building Organizations That Can Deliver on Their Ambitions
  • Governance That Keeps Pace With Growth
  • Leading Through Complexity
  • Profit and Purpose: Growth That Improves Outcomes

Audiences leave with more than frameworks: a clearer sense of how to turn ambition into structure, align people and operations around a shared strategy, and lead through complexity without losing sight of why the organization exists.

Discuss a Speaking or Workshop Engagement