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Synax.pro | Fractional Healthcare PMO & M&A Integration Leadership


Fractional Healthcare Executive Leadership

When the program
can’t afford to
slip.

Senior PMO and M&A integration leadership for healthcare organizations navigating acquisitions, transformations, and enterprise program complexity — without the timeline or cost of a full-time executive hire.

$3B+
M&A Integration Value Delivered

$9B
Program Portfolio Managed

25+
Years Healthcare & Life Sciences

500+
Enterprise Programs Delivered

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About Synax.pro

Healthcare PMO leadership,
on your timeline.

Synax.pro was founded on a simple premise: the most critical healthcare programs deserve the most experienced leaders — not junior resources from an overpriced consulting firm, and not a 6-month full-time executive search while the program drifts.

Snehal Shah brings 25 years of hands-on program and portfolio leadership across health plans, pharmacy operations, PE-backed healthcare IT, and global automation. This isn’t advisory work — it’s execution. Strategy gets built, governance gets implemented, and programs get delivered.

Engagements are time-bound, outcome-focused, and self-liquidating — Synax.pro builds what needs to be built, delivers what needs to be delivered, and transitions cleanly. No dependency, no bloat.

  • Harvard Business School Executive EducationLeadership and strategy program
  • MBA — Strategy, Finance & MISIllinois Institute of Technology
  • Project Management Professional (PMP)Project Management Institute
  • BS — Chemical & Environmental EngineeringIllinois Institute of Technology · Minor in Computer Science
  • Lean Six Sigma · Continuous Improvement (Kaizen)Certified practitioner — enterprise deployment experience
  • Healthcare & Life Sciences: 25 YearsHealth plans · Pharmacy · Healthcare IT · Global Automation

The Situations We Solve

Recognize any of these?

These are the moments healthcare organizations reach out to Synax.pro — when the stakes are high and waiting isn’t an option.

01
The acquisition just closed. The integration is already behind.
You have 90 days before synergy tracking begins. You don’t have an IMO. Day-one deliverables are slipping.
02
The PMO exists on paper only. Programs are out of control.
Projects run in silos. No portfolio visibility. Leadership can’t answer basic questions about status, risk, or spend.
03
The transformation is burning cash without a delivery plan.
ERP, cloud migration, or clinical tech implementation underway — but no one is accountable for running it.
04
The CEO needs an execution partner, not another advisor.
Strategic priorities are clear but organizational capacity to execute isn’t. The gap between planning and delivery is widening.
05
The PE firm needs portfolio-level governance — fast.
New platform acquisition or add-on. Operating partners need a seasoned operator embedded immediately to drive value creation.
06
A critical program is at risk. The team needs reinforcement now.
Milestones missed. The board is asking questions. You need experienced recovery leadership — not a post-mortem.

Core Competencies

What Synax.pro delivers.

Each competency is backed by direct, senior-level delivery experience — not theoretical frameworks or junior implementation teams.

Highest Demand

Enterprise PMO Design & Governance

Building and scaling enterprise PMOs — from blank-sheet standup to consolidation of disparate functional PMOs into a unified shared-services model with portfolio visibility, governance rigor, and measurable delivery outcomes.

  • PMO methodology and governance framework design
  • Portfolio prioritization and demand/capacity management
  • KPI dashboards, reporting cadences, and executive communications
  • Team structure, hiring, and PMO talent development

Highest Value

M&A Integration Management

Hands-on IMO standup, synergy tracking, and cross-functional integration leadership for PE-backed and strategic healthcare acquisitions — from single bolt-on integrations to multi-company simultaneous platform builds.

  • Integration Management Office (IMO) design and operation
  • Synergy identification, tracking, and financial reporting
  • IT, operations, and clinical system rationalization
  • Day-1 readiness and 100-day integration planning

Growing Demand

Digital Transformation Program Oversight

Senior client-side program leadership for ERP implementations, cloud migrations, and clinical technology deployments — bridging vendor delivery teams and internal stakeholders with full accountability for scope, schedule, budget, and benefits realization.

  • ERP, cloud, and clinical system program governance
  • Vendor management and contract performance oversight
  • Change management strategy and workforce transition
  • Benefits realization tracking and ROI reporting

High Retention

Fractional Chief of Staff to CEO/COO

Strategic execution partnership for healthcare executives who need organizational bandwidth, portfolio governance, and operational discipline — without the cost or lead time of a permanent Chief of Staff hire.

  • Strategic planning and OKR/goal alignment
  • Executive portfolio governance and priority management
  • Cross-functional initiative coordination and delivery
  • Board and investor reporting support

Delivered Results

Outcomes, not
engagements.

Every number below represents a real outcome delivered in a real organization. Client names are anonymized per confidentiality obligations — details available under NDA.

$3B+
Post-Merger Integration Value
Delivered across major healthcare post-merger integrations including operational rationalization, IT consolidation, and workforce realignment.

$9M
Synergies in 9 Months
IMO standup and integration of five PE-backed healthcare IT companies post-acquisition — on time, on budget, with measurable synergy realization.

30%
Reduction in Contractor Spend
Enterprise PMO reorganization at a Fortune 10 healthcare retailer with simultaneous 10% improvement in program delivery outcomes.

125%
Increase in Project Throughput
Year-over-year delivery improvement through portfolio methodology redesign and resource optimization — while delivering 20% under budget on average.

Fortune 10 Healthcare Retailer — Enterprise PMO ConsolidationMerged multiple functional PMOs into a unified enterprise shared-services model. 275+ staff, $40M budget, $8B program portfolio.
10% delivery improvement

National Health Plan — COVID-19 Business Model TransformationLed crisis management, resource reallocation, and enterprise transformation impacting 80K staff. Maintained SG&A targets and regulatory compliance throughout.
80K staff transitioned

PE-Backed Healthcare IT Platform — Multi-Company IntegrationStood up IMO from scratch, integrating five companies and rationalizing IT systems across a network reaching 190M patients and 900K prescribers.
$9M synergies · 9 months

Global Automation Portfolio — $1B+ Implementation ProgramLed 500+ concurrent implementation projects across Fortune 50, DoD, and VA. Delivered $38M in program savings in first 15 months.
$38M savings · 15 months

Engagement Models

How we work together.

Structured for flexibility. Every engagement is scoped to your specific situation, timeline, and organizational capacity.

Diagnostic Sprint

30-day intensive assessment of your PMO maturity, program health, or integration readiness. Deliverable: executive report, prioritized action plan, implementation roadmap.

Timeline: 30 days · Fixed fee

Low risk entry

Project-Based Engagement

Scoped deliverable with defined outcomes, milestones, and timeline. Ideal for PMO buildouts, IMO standup, program recovery, or transformation governance.

Timeline: 3–12 months · Milestone-based

Most common

Fractional Retainer

Ongoing embedded partnership — 2–3 days per week — for organizations needing continuous senior execution capacity without a full-time hire.

Timeline: 6–24 months · Monthly retainer

Highest retention

Advisory & Expert Counsel

Strategic guidance for boards, PE operating partners, or executive teams navigating acquisition diligence, PMO strategy, transformation sequencing, or program risk.

Timeline: Flexible · Hourly or monthly

PE & board level

How It Works

From first call to first deliverable
in under two weeks.

1
Discovery Call
30-minute conversation. You describe the situation — no prep required. We determine if there’s a fit and what form it takes.

2
Scope Alignment
Within 48 hours: proposed engagement structure, deliverables, timeline, and investment. One revision cycle.

3
Agreement & Kickoff
Standard consulting agreement via DocuSign. Kickoff meeting within 5 business days of agreement signature.

4
Embedded Delivery
Work begins. Weekly status. No junior team. No account management layer. You work directly with Snehal.

Get in Touch

Let’s talk about
your situation.

The best engagements start with a candid conversation about what’s actually happening — not a polished RFP process. Reach out directly and describe what you’re navigating. Response guaranteed within one business day.

Synax.pro engages with healthcare organizations, private equity operating teams, and executives directly. All initial conversations are confidential and no-obligation.

Response TimeWithin 1 business day, guaranteed

Schedule a Discovery Call

Tell us what you’re working through. No obligation.


All conversations are confidential. No obligation.

Fractional Healthcare PMO & M&A Integration Leadership · Schaumburg, IL
© 2025 Synax.pro LLC · All rights reserved · snehal@synax.pro