Practice
Senior advisory
One operator, end to end. No handoff to a junior team.
A senior advisory practice working with leadership teams in the layer where strategy and execution have to happen at the same time. The plan and the work are the same thing — built together, refined together, delivered together.
The layers don't work in sequence. They work together — each one reinforcing the next, compressing the distance between insight and impact.
Most organizations treat strategy and execution as separate phases — and the client lifecycle as a relay race. One team sells, another delivers, and another manages the relationship. Stratum Reach helps you do both at the same time — building the plan while running it, adjusting as conditions change. And in a moment when AI is reshaping how organizations operate, that continuity matters more than it ever has.
Josh Kaffee has spent 25 years moving between strategy and the work of actually delivering it. Not as separate disciplines. As the same job.
He has operated on both sides of complex commercial relationships — building the strategy, then delivering it; shaping the solution, then running it. Healthcare is where most of that experience was earned — across health plans, providers, and specialty health businesses — and it remains the area he goes deepest on for industry-specific work. But the problem underneath is the same in every industry: the gap between what gets decided and what actually gets built. That gap is where most of his work has lived.
The common thread is a question most organizations underinvest in: what it actually takes for people and teams to work differently, not just to be asked to. It is the work he has found most useful, and most necessary.
Diagnose what's actually true — operationally, commercially, organizationally — before building a plan around it. This includes how your teams are already working with AI, where the gaps are, and what the market is telling you about fit.
Develop the plan while the first deployments run. Shape the solution while validating fit. Pivots are inflection points, not failures. Senior delivery on the work itself — not a handoff to someone who wasn't in the room.
For AI and operating-model change, especially: technology is rarely the hard part. How people actually work with it is. We build the measurement and feedback loops that prove value over time and keep the gains from sliding back.
If you're an organization trying to move something complex forward — scale a function, build AI capability that sticks, or get senior support across the full arc of a client relationship, that's the conversation.