Kate Makrigiannis

I ship AI workflows and skills that empower people to do their best work. I've modernized software delivery for the U.S. Space Force, coached 70+ product teams at Kaiser Permanente, and taught 150+ PMs at General Assembly. The thread: messy problems, high stakes, real outcomes.

Most of my work starts the same way. A team is stuck. They have smart people, good intentions, and no shared picture of what they're actually building or why. I come in, name what's happening, build just enough structure to get people moving, and stay until the work is self-sustaining.

I design AI-informed recommendation engines, build clinical trial simulators, and created the 340+ skill AI agent system that runs this site and my consulting practice. Currently available for full-time roles and consulting engagements.

14
years in product
30+
organizations served
70+
teams coached
1,150+
workshop attendees

Where I have worked

Fortrea (via Artium)

PM Lead -- Clinical Trial Simulator

Led product on Helia, an Azure-native clinical trial startup simulator for Fortrea ($2.7B CRO). Deterministic document triage and trial feasibility simulation for regulatory and site selection workflows.

Artium

Product Manager & AI Practice Lead

Built a 340+ skill AI agent system powering reusable consulting workflows and coaching templates. Shaped how product teams integrate AI into discovery, delivery, and operating models.

Rise8 / U.S. Space Force

Staff Product Portfolio Lead

Cut MVP cycle time from 6 months to 2 weeks at a defense software factory. Managed 20+ projects across 3 portfolio pillars and coached a PM through her first Discovery & Framing to production deployment.

Kaiser Permanente

Principal PM & Transformation Coach

Coached 70+ teams and 50+ PMs through outcome-driven product practices. Authored a Product Practice Guide that reached approximately 20,000 KP IT staff.

Independent Consulting

Fractional Director of Product

Shipped HIPAA-compliant AI MVPs for FLUXX Health (menopause decision support, 800+ quiz completions, 47% engagement) and Sperity Health (biomarker-driven wellness, co-designed with physicians).

Industries

HealthcareDefenseFinancial servicesHospitalityE-commerceClinical researchGovernmentSaaS platforms

Teaching and community

I build scalable coaching systems rather than relying on one-off sessions. Learning hubs, maturity assessments, and skill libraries are how I scale what I know.

  • Lead instructor at General Assembly (Product Management, Agile)
  • Conference speaker -- SpringOne 2020, AFA Air Space & Cyber 2024
  • Founded Lean Software Atlanta and Agile Gainesville meetups
  • Mentor through Black Girls CODE, Out in Tech, My Mentor Path
  • Guest lecturer at Penn State LaunchBox

Want to work together?

I work with product teams and organizations on delivery, AI adoption, and team enablement.

Work with me