AmplerEx — Advisor Profile

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Contact information

Full name *

Email address *

Mobile phone

Street address

City / State

ZIP / Postal code

Country

LinkedIn profile URL

Professional background

Current professional status — select all that apply

Full-Time Executive (W-2)

Independent Consultant/Advisor

Fractional Executive

Board Member

Retired Executive

Founder/Entrepreneur

Investor

Other

Most recent leadership level — select all that apply

CEO/President

C-Suite Executive

Division / Business Unit Leader

EVP/SVP

Sr. Director / Director

Founder

Clinical Leader

Physician Executive

Other

Years of professional experience

1 – 10 years

11 – 20 years

21 – 30 years

greater than 30 years

Expertise

Select the areas that best represent your experience.

Industry expertise — select up to 5 (0/5)

Acute Care

Behavioral Health

Consulting & Professional Services

Digital Health & Health Technology

Government Health Programs

Health Plan & Managed Care

Healthcare Services

Medical Devices & Biotechnology

Nonprofit & Social Impact

Pharmaceutical

Post Acute Care

Private Equity

Provider & Ambulatory Services

Public Health

Rural Health

Other

Functional expertise — select up to 5 (0/5)

Board Governance

Business Development & Partnerships

Clinical Operations

Clinical Transformation

Communications

Diagnostics & Therapeutics

Executive Leadership

Facilities Management

Finance & Financial Management

Growth & Market Development

Human Capital & Talent Management

Innovation & New Ventures

Marketing & Communications

Nursing Leadership

Performance Improvement

Physician Leadership

Policy & Advocacy

Population Health

Regulatory & Government Affairs

Research & Analytics

Revenue Cycle

Sales & Commercial Operations

Strategy & Planning

Technology & Digital Transformation

Other

Participation

AmplerEx participation interests — select all that apply

Subject Matter Expert (Projects)

Fractional Executive Roles

Coaching

Mentoring

Business Development Support

Network Connector

Thought Leadership

Board Opportunities

Project Manager

Engagement Leader

Current availability

Limited (less than 5 hours per month)

Periodic (5 – 10 hours per month)

Regular (10 – 20 hours per month)

Significant (20+ hours per month)

Geographic reach — where you’re willing to work

Local

Regional

National

International

Network & community — where you have strong relationships and influence

Local Market

Regional Market

National Network

Executive & C-Suite Leaders

Healthcare Industry Leaders

Government & Public Sector Leaders

Investors & Venture Capital

Startup Ecosystems

Boards & Directors

Other

In your words

Other areas of expertise not covered in Section 3

What unique experience, perspective, network, or capability would you bring to the AmplerEx community?

Professional profile

These deepen your profile and can be expanded on over time.

Current Focus

If the phone rang, what do you hope someone is calling you about to help them with? What do you solve for people today?

Education, certifications & board experience

Other than what is on your CV, please add any relevant education, certifications, or board experience you'd like us to be aware of.

Advisory experience

How many years have you been an advisor/consultant in the healthcare and/or health tech industry?

Fractional executive experience

Describe your experience serving in interim or fractional executive leadership roles, including the roles held, their duration, and your general responsibilities.

What differentiates you

What 3 things comprise your value proposition to a potential client, and what are a couple of areas that differentiate you from other advisors?

Resume & referral

Resume / CV *

Required — PDF, DOC, or DOCX, up to 10MB. We use it to enrich your profile.

How did you hear about AmplerEx?

Referral from AmplerEx Advisor

Website

LinkedIn Post

AmplerEx Client

Healthcare Industry Colleague

Other