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Fractional Executives 2025-10-09T16:24:42-07:00

Hire Fractional Leaders

We work with MSK companies navigating critical growth phases. They work with us because they understand the value of flexibility, getting the right expertise at the right time without the pressure of a permanent commitment before they’re ready. We deploy proven MSK executives who deliver immediate results, help you understand your true needs, and give you the option to convert to permanent once you’ve validated the fit and the timing is right.

Deploy Proven Leaders When You Need Them Most

Why The De Angelis Group Is Different

We Know MSK
Every fractional leader in our network has deep MSK experience: orthopedics, spine, extremities, sports medicine, trauma, surgical robotics, biologics. They know sales, marketing, research & development, reimbursement, GPOs, IDNs, and all that it takes to drive enterprise value.

Proven Leaders, Not Consultants

Our fractional executives are former CEOs, VPs of Sales, Market Access leaders, and Commercial executives who’ve built and scaled MSK companies. They execute, own outcomes, and deliver results.

Transparent Process, Zero Coaching

Just like our executive search practice, we refuse to prep or coach candidates. What you see is what you get. No rehearsed answers. No misrepresentation. Just authentic leadership capability you can trust.

Rapid Deployment

We present 2-3 qualified candidates within 14 days. Someone can be onboarded and delivering value within 2-4 weeks. Our 25+ year network means we already know who the best operators are in the market.

How We Work With You

Define the Need & Outcomes: We understand what’s driving the need and define specific outcomes and timelines, whether 3 months or 18 months.

Rapid Deployment: We tap into our network of proven MSK leaders who work in fractional capacities.

Transparent Engagement: We help you interview candidates directly. No coaching. No rehearsed pitches. You see exactly who they are and whether they fit your culture.

Seamless Onboarding: We help you finalize the contract. Your fractional executive shows up ready to work with clear goals and accountability.

Ongoing Support: We stay engaged with 30/60/90 day check-ins, monitor performance, and help plan the next phase: extension, conversion to permanent, or transition to a new hire.

Frequently Asked Questions

General Management: CEO / President, General Manager, Chief Operating Officer

Commercial Leadership: Chief Commercial Officer, VP Sales, Regional Sales Directors

Product & Marketing: VP of Marketing / CMO, Product Management & Strategy Leaders, Clinical Affairs & Medical Directors

Market Access & Reimbursement: VP of Market Access, Payer Relations & Health Economics, National Accounts & Contracting

Consultants advise. Fractional executives execute. They take ownership of outcomes, manage teams, make decisions, and are accountable for results. They function as a member of your leadership team, not an outside advisor.

It depends entirely on your needs. We’ve placed fractional executives for as short as 4 weeks (bridge during a search) and as long as 18 months (product launch through early commercialization). The engagement length is defined by the outcomes you need and your timeline for making permanent decisions.

Fractional executives are engaged on a monthly retainer or day-rate basis. While the rate may be higher than a salaried employee per day, you avoid benefits, equity, severance, and long-term commitments. You’re paying for immediate productivity and proven expertise.

Absolutely. This is a common outcome. The executive proves themselves in your environment, you validate culture fit and capability, and both parties have confidence in making a long-term commitment. We structure these transitions to work for everyone.

This depends on your needs, requirements, and budget. Once we understand your need, requirement, and budget, we can identify candidates within 1-2 weeks and have someone onboarded in 2-4 weeks. Our 25+ years in MSK means we already know who the best operators are.

It depends on the role and your needs. Many work on a hybrid model, on-site for key meetings, field time, or strategic sessions, with remote work for execution.

We stay engaged throughout the assignment with regular check-ins. If there’s a misalignment with outcomes or approach, we address it immediately. Fractional engagements have defined evaluation points and flexibility to adjust scope, extend, or transition as needed.

Ready to Explore Fractional Leadership?

Whether you’re navigating a growth phase, executing a strategic initiative, or simply not sure when the timing is right for a permanent hire, fractional executives give you the flexibility to get expert leadership now and make permanent decisions when you have the data to be confident.

Contact Us

Join Our Fractional Executive Network

If you’re a proven leader in the MSK industry with a track record of driving enterprise value, we want to connect with you. Our fractional executive network is built on relationships with the best operators in the market—CEOs, VPs of Sales, Market Access leaders, and Commercial executives who’ve chosen fractional work to match their lifestyle while continuing to make an impact.

Join Us