A Tiered Path From Diagnosis to Full Partnership
Ella VIP Consulting's service model is structured as a deliberate engagement path — each tier designed to meet your organization where it is and move it forward. Whether you need clarity on what's broken, rapid rescue from a stalled project, or ongoing executive-level operations leadership, there is a defined engagement built for that moment.
Every tier is purpose-built for healthcare organizations, medical software companies, medical practices, healthcare startups, and professional services firms that require operational precision without the overhead of a full-time C-suite hire. Choose the level that fits your current need — or start at Level 1 and let the findings guide the next step.
Level 1
Operational Assessment
One-Time Engagement
The Operational Assessment is the ideal entry point for any healthcare organization that suspects operational gaps, inefficiencies, or missed AI opportunities but hasn't yet had the executive bandwidth to surface them. In a structured diagnostic engagement, Veronica Amaro reviews your current operations, technology stack, and workflows — then delivers a concrete roadmap for what to fix and in what order.
What You Receive:
- Executive Report
- Risk Assessment
- AI Opportunities Identification
- 90-Day Roadmap
One-Time · Entry-Level Engagement
Best for organizations ready to understand where they stand before committing to a larger engagement.
One-Time Engagement
Scope-dependent pricing. Engagements begin within days of confirmed scope — not weeks.
Level 2
Implementation Rescue
One-Time Engagement
When a critical project has stalled, a software implementation has gone off the rails, or an operational crisis is threatening patient care or business continuity — Implementation Rescue is rapid, expert intervention designed to stabilize, diagnose, and recover. Veronica steps in as the executive operator, identifies root causes, and drives the recovery plan to completion.
This engagement is right for you if:
- A software or EHR implementation is behind schedule or failing
- A key operational process has broken down and is affecting revenue or care delivery
- A vendor relationship has deteriorated and needs executive escalation
- You need an experienced COO-level operator on-site or remote within days
Level 3 — Most Popular
Fractional COO
Monthly— Ongoing Retainer
The Fractional COO retainer gives your healthcare organization the full strategic and operational leadership of a seasoned Chief Operations Officer — without the $250K+ annual salary. Veronica embeds as your executive operations partner, driving weekly accountability, AI integration, process optimization, and technology strategy on a continuous basis. Built for organizations ready to operate at the next level with a goal of 5 active clients.
Weekly Executive Leadership Meeting
Regular strategic alignment with your leadership team to drive decisions and accountability.
KPI Dashboard
A real-time operations dashboard tracking the metrics that matter most to your business.
AI Process Improvement
Identify and implement AI-driven automation and efficiency gains across your workflows.
SOP Development
Build and document the standard operating procedures your team needs to perform consistently.
Project Oversight
End-to-end management of critical operational and technology projects.
Vendor Management
Executive-level oversight of technology vendors, contracts, and performance accountability.
Executive Coaching
One-on-one coaching for your operations, technology, or administrative leadership.
Technology Strategy
Assess, plan, and execute your healthcare technology roadmap aligned with your operational goals.
Operational Assessments
Ongoing reviews of processes, workflows, and performance to surface improvements continuously.
Process Optimization
Eliminate bottlenecks, reduce waste, and build scalable processes across your organization.
Level 4
Executive Advisory
Monthly Custom Scope
Executive Advisory is the highest tier of engagement — a dedicated, ongoing strategic partnership reserved for larger healthcare organizations, health systems, and multi-site medical enterprises that require senior C-suite counsel on an ongoing basis. This is not a monthly check-in. It is a sustained executive relationship that integrates deeply into your leadership structure.
Engagements at this level are scoped individually to the organization's complexity, strategic priorities, and the depth of operational integration required. Pricing begins at $10,000/month and is commensurate with the scope of executive involvement.
Designed for:
- Health systems and multi-site practices scaling operations
- Healthcare technology companies navigating enterprise growth
- Organizations undergoing M&A, regulatory change, or major digital transformation
- Executives who need a trusted strategic peer, not a vendor
Per Month · Custom Scope
Reserved for healthcare enterprises where operational excellence and strategic leadership at the executive level are non-negotiable.
Common Questions About These Engagements
If you're evaluating whether Ella VIP Consulting is the right fit, these are the questions most prospective clients ask before reaching out.
How long do engagements typically last?
Level 1 (Operational Assessment) is a one-time engagement typically completed within 2–3 weeks. Level 2 (Implementation Rescue) is scoped to the crisis — most engagements resolve within 30–90 days. Level 3 (Fractional COO) is a monthly retainer with no fixed end date; clients stay for as long as the engagement adds value, typically 6–24+ months. Level 4 (Executive Advisory) is ongoing and scoped individually.
How is a Fractional COO different from hiring a full-time COO?
A full-time COO carries a base salary of $200,000–$350,000+ annually, plus benefits, equity, and onboarding time. A fractional engagement delivers the same level of executive leadership and decision-making authority at a fraction of the cost — with no benefits overhead, no long hiring process, and the ability to scale involvement up or down as your organization's needs evolve.
What industries do you serve?
The primary focus is healthcare — including medical practices, healthcare startups, medical software companies, and healthcare organizations of all sizes. Secondary focus includes law firms and professional services organizations that share similar operational complexity and compliance considerations.
How quickly can an engagement begin?
Level 1 assessments can typically begin within one week of contract execution. Level 2 rescue engagements are designed to mobilize rapidly — often within 2–5 business days when urgency demands it. Level 3 and Level 4 engagements begin with a scoping call and structured onboarding, typically starting within two weeks.
Do you work remotely or on-site?
Engagements are primarily remote, with structured weekly touchpoints via video conference and asynchronous collaboration tools. On-site availability can be arranged for Level 2 and Level 4 engagements where physical presence accelerates outcomes.
Can I start at Level 1 and move to a higher tier?
Yes — and it is often the recommended path. The Level 1 Operational Assessment surfaces the findings and priorities that naturally inform whether a Level 2, Level 3, or Level 4 engagement is the right next step. Many ongoing retainer clients began with a diagnostic.
Ready to Choose Your Engagement Level?
Whether you're starting with an Operational Assessment to build clarity, or you're ready to bring on a Fractional COO today — the next step is the same. Submit an inquiry and Veronica will be in touch within one business day to discuss fit, scope, and timing.