Kate Makrigiannis
I build great products,
lead strong teams, and make
delivery predictable
14 years across healthcare, defense, and enterprise. Available for product leadership roles and select consulting engagements.
Selected work
Outcomes across healthcare, defense, and enterprise.
Launching FLUXX: An AI-Powered Menopause Platform
Director of Product (Fractional)
MVP live in under 6 months. 120 active users, 47% engagement rate, 800+ quiz completions, 38% reduction in quiz abandonment. Built a 20-member Clinician Advisory Board and validated AI recommendations against real clinical panels.
Designing a Wellness MVP for Biomarker-Driven Preventative Care
Director of Product (Fractional)
Took the product from vaporware to a functioning, HIPAA-compliant MVP with 18 early users. Built 5 member personas, service blueprints, and onboarding journey maps. Established repeatable delivery rituals that replaced founder-driven decisions.
Delivery Transformation: Reduced Cycle Times
Principal Product Coach
One portfolio cut delivery cycle time by 12 weeks via value stream mapping. Coached 70+ teams across 9 portfolios. Empowered 300+ product org members to align roadmaps, roles, and rituals. Rated 'Excellent' by leadership - called 'a visionary and a person of action.'
U.S. Space Force - Platform Delivery Modernization
Product Portfolio Lead
Reduced MVP cycle time from 6 months to 2 weeks (92% faster delivery). Cleared Operational Acceptance bottleneck for the first app to reach production. Restored trust across engineering, security, and leadership.
“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 4, 2026
From Skillet to Product Atlas
I built a structured AI skill system at Artium that grew from zero to 340+ skills. After leaving, I kept building. It's now 584 skills, 18 recipes, and the engine behind k8mak.com. The meta-lesson: building AI infrastructure is product work.
June 4, 2026
Journey Maps That Actually Change Decisions
Most journey maps end up as posters nobody looks at. The difference between a decorative artifact and one that changes product decisions comes down to three things: who's in the room, what you map, and what you do with it afterward.
June 4, 2026
The Content Architecture Problem Nobody Talks About
When your help center contradicts your onboarding flow and three teams are writing the same thing in different words, you don't have a content problem. You have an architecture problem.
Let's talk about what
you're building
Available for full-time product leadership roles and select consulting engagements. Let's see if there's a fit.
Get in touch