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Kate Makrigiannis

Work With Me

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.

Full-time roles

Director/VP of Product or Head of Product at a company building in healthcare, defense, or complex regulated domains. Player-coach who ships, not just manages.

  • 14 years building products across healthcare, defense, and enterprise
  • Healthtech and clinical AI depth
  • Team builder: hired, coached 150+ PMs, scaled PM orgs

Consulting engagements

Fractional product leadership, delivery transformation, and team enablement. I make delivery predictable and coach your people to sustain it.

  • Product strategy, roadmap, and operating model
  • Team coaching and PM enablement (150+ PMs coached)
  • AI adoption strategy and integration

Engagement models

Fractional Product Leadership

Your team gets a seasoned product leader who ships, coaches, and builds operating rhythms, without the 6-month search or the full-time commitment. Best for startups seed through Series B.

Sprint Engagement

A focused 2-4 week engagement to unblock a specific problem: stuck roadmap, team misalignment, AI strategy gap, or delivery stall.

Product Leadership Coaching

1:1 coaching for PMs, directors, and founders navigating AI product decisions, team dynamics, or career transitions.

A different kind of engagement

Offload is my personal digital concierge service for Bay Area households and executives: email triage, photo organization, finances, and job-search ops, run by one trusted operator. Virtual everywhere, in-person Bay Area. Learn more about Offload →

Own a local business?

Local Services is digital presence work for small businesses in the South Bay: hotels, plant shops, boutiques, beauty salons. Free Digital Health Check audit to start. No contracts required. See local services →

What clients say

Mahama
Mahama
Technical Program Manager, Google

Kate is impressive - she provided value right away. She's a 'hell-yes' type of talent.

Frank
Frank
Product Designer, U.S. Air Force

When I met Kate, I didn't know what it took to create a product. She trained and led our team that had ZERO experience: she guided us through a Discovery process, planning and design workshops, helped us outline an MVP - and we delivered the first usable product in under 120 days. Kate showed a true passion for building useful software and a knack for facilitating any group meeting. Three years later, she's one of the best PMs I've been fortunate to work with - she directly contributed to my growth as a Product Designer.

Joel
Joel
Founder/Entrepreneur, Penn State Launchbox

Before our team worked with Kate, we were unsure about our product direction. We left each consultation with her confident in our next steps. Her advice got us thinking about how users might perceive our product once it was in the market, which helped us solidify our user experience and onboarding flow. I would implore you to work with Kate and trust the experience she's got.

How it typically works

1

We talk

A short conversation about what you are trying to accomplish and what is getting in the way.

2

I scope it

I will tell you honestly whether I can help and what it would look like. No sales pitch.

3

We work

I embed with your team, make delivery predictable, coach your people, and ship real outcomes.

Kate Makrigiannis

Kate Makrigiannis

Product Leader

Let's talk about what you need

Looking for my next full-time role and open to consulting engagements. The fastest way to reach me is LinkedIn. Or tell me what you're working on and I'll get back to you.