Kate Makrigiannis
I build great products,
lead strong teams, and make
delivery predictable
14 years across healthcare, defense, and enterprise. Looking for my next full-time role, and open to consulting.
“Kate is impressive - she provided value right away. She's a 'hell-yes' type of talent.”
From the playbook
Practices I teach every team I work with.
Getting Unstuck
A diagnostic framework for teams that know something's wrong but can't name it
Use this when: Your team knows something is off but can't articulate what
Story Writing
Writing stories that developers can actually build from
Use this when: Your stories keep growing mid-sprint or developers keep asking 'what do you actually want?'
AI Health Indicator
A diagnostic framework for catching AI quality problems before your users do
Use this when: You're shipping AI features but can't confidently answer 'is this working well?' or you need a structured health check before a launch
AI Maturity
A structured way to assess where your team actually is with AI - and what to work on next
Use this when: Your team is using AI tools but you're not sure if it's working or what to invest in next
Delivery Diagnostics
How to figure out why your team is slow before deciding what to change
Use this when: Velocity is declining, stories keep carrying over, or something feels off but you can't explain why
Recent writing
On product leadership, AI strategy, and building teams that ship.
June 2, 2026
Metrics to Motivation: Building Health Products That Coach
Three health products. Three different conditions. One shared lesson: the data doesn't change behavior. What you do with it does.
June 2, 2026
Share, Shape, Shift, Shine
Every creative act follows the same four moves: dump your Legos on the table, pass them to your left brain, survive opening night, and split hairs over semicolons. A framework for writing, product specs, presentations, and any work that starts messy and needs to land clean.
June 2, 2026
The Questions Before the Opinions
Most consultants walk into a room ready to prove they're the smartest person in it. The best ones walk in ready to listen. Here's the framework I built for asking better questions before offering a single answer.
Let's talk about what
you're building
I'm looking for my next full-time role and have a spot for a new consulting engagement. If you're hiring or need hands-on help, I'd love to hear from you.
Get in touch