Strategy doesn’t fail.
Execution does.
BL3 Advisory & Consulting helps healthcare organizations and healthcare-focused agencies align teams, systems, and operations so strategy turns into scalable execution.
Build. Lead. Leverage. Last.
Becky Imbimbo
Meet the Founder
Trusted advisor for healthcare organizations navigating growth or complexity
I bring almost 20 years of experience across healthcare, marketing, and operations—helping organizations turn strategy into execution. I’ve worked across health systems, agencies, and cross-functional teams, where complexity is the norm and clarity is often missing.
I don’t just advise on the “what” and “why.” I step in to lead the “how”, aligning teams, defining ownership, and building the operational structure required to deliver consistently. From campaign execution to enterprise initiatives, my focus is always the same: create systems that actually work in the real world.
Known for seeing around corners, I help teams identify what’s breaking before it becomes a bigger problem, then build the structure to last.
Our Services
Embedded Operational Leadership
Step-in executive support for organizations that need experienced leadership to align teams, stabilize execution, and build scalable operations.
You step in as:
Fractional COO / VP of Operations
Strategic operator across marketing + delivery
Leadership partner to CMO / CEO
Fractional Leadership
Initiatives That Actually Move Forward
For organizations navigating high-stakes work—where execution matters just as much as strategy.
This includes:
Program & project leadership
Post-M&A integration
System implementations
Go-to-market operationalization
Service/product launches
Execution & Transformation
Systems That Scale and Stick
Design and optimization of workflows, systems, and processes that improve efficiency, alignment, and long-term performance.
This includes:
Process optimization
SOP development
Change management
Marketing operations infrastructure
Cross-functional alignment
Operational Design
Our Approach
Build
Build what’s missing… structure, systems, and clarity.
Lead
Lead the work forward, not just advise from the sidelines.
Leverage
Optimize systems, tools, and workflows already in place.
Last
Make it stick, so you’re not fixing this again in six months.
Problem
Execution is slowing—despite strong teams and clear goals.
Work is moving, but not efficiently.
Systems exist, but aren’t fully leveraged.
And priorities compete instead of align.
Your team is busy, but progress feels inconsistent.
And too often, you’re the one holding it all together.
Reframe
This isn’t a resourcing issue.
More people won’t fix it.
More tools won’t solve it.
What’s missing is structure— clear ownership, aligned workflows, and a model for execution that actually holds.
Solution
This is where BL3 Advisory & Consulting steps in.
We bring structure to the work behind your growth.
Aligning teams, systems, and priorities— and leading execution forward so things move faster, cleaner, and with far less friction.
Not just strategy.
Execution that lasts.
Most organizations don’t need more strategy. They need clarity on the why, and a partner who can lead the how all the way through execution.
BL3 operates across both.
We bring strategic perspective to define what matters, and then step in to implement, align, and move the work forward.
Our work is supported by AI-enabled operational workflows that help accelerate analysis, documentation, process development, and execution, allowing organizations to move faster without sacrificing strategic thinking or human oversight.
We stay in it.
Building, leading, and executing alongside your team, until systems are working, adoption is real, and progress is sustainable.
Build. Lead. Leverage. Last.
Why We Are Different
We don’t stop at, recommendations.
Your Questions, Answered
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Marketing is often blamed for performance issues that are actually operational: unclear ownership, tool overload, inconsistent workflows, and no cross-functional alignment. I help marketing teams eliminate friction, improve execution, and build systems that scale — so they can focus on creativity, impact, and performance.
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“Fractional” means you get executive-level operations leadership without hiring a full-time VP or COO. I step in part-time or on a project basis, giving your business access to high-level strategy, structure, and systems—without the overhead of a full-time salary.
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Not quite. A consultant typically advises and provides recommendations, while a fractional leader executes alongside your team. I don’t just tell you what to do, I help you get it done. Fractional leaders will drive implementation, adoption, and embed change so your team can sustain success long after our engagement ends.
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Pricing depends on the type and length of engagement:
Operational Audits start at $500, and vary based on size and scope of the organization. Audits can include a full or partial assessment of your organization and roadmap.
Fractional Leadership is scoped by time commitment and deliverables. Typical engagements start at $2500 per month and vary based on the size and complexity of the organization.
Program- or Project-Based Consulting is scoped by time commitment and deliverables. Typical engagements start at $350 per hour and vary based on the size and complexity of the organization.
After your Strategy Call, you’ll receive a proposal outlining investment, timelines, and payment schedule. Most clients choose a monthly retainer or project-based structure.
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Typically within 2–4 weeks after your Strategy Call, depending on scope and capacity. If you need to move faster, I’ll do my best to accommodate urgent engagements.
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Yes. I’ve worked with 10-350+ person agencies, and local, state and regional healthcare organizations. My framework scales to your stage of growth, whether you’re building foundational systems or managing change across departments.
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That’s okay. Start with an Operation Audit or download one of my free resources to uncover where your systems may be breaking down. Many clients begin with a short-term engagement before moving into fractional support.
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Most range from 3 to 12 months, depending on your goals. My focus is building systems that last, so we work together long enough to create clarity, align your team, and embed new ways of working that stick.
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Yes. For leaders who need a targeted solution, a workflow redesign, SOP cleanup, or adoption plan, I offer short-term project consulting or workshops. These are great options if you want quick wins or internal team enablement.
