Aligning 900+ commercial leaders and sellers around a customer-centric strategy

BTS helped a multinational medical device company enhance their employee understanding and execution of customer-focused behaviors.
May 23, 2024
5
min read
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Client need

A multinational medical device company aiming for rapid growth adopted a new customer-centric strategy, placing patients at the heart of its sales operations. This shift sparked a strong demand from front-line staff for clear guidance on how to integrate customer-centric practices into their daily activities.

To ensure effective alignment, the company engaged BTS to facilitate the rollout of this strategic shift during their upcoming National Sales Meeting. The objective was to realign the commercial team’s behaviors to support the new patient-focused vision. BTS responded by developing a comprehensive engagement solution, including a simulation specifically designed to involve key stakeholders such as Healthcare Professionals (HCPs).

Solution

Creating a playbook: "What great looks like"

BTS worked closely with the client to pinpoint key moments in the customer journey that were crucial for fostering customer-centricity across all commercial functions. This involved evaluating both frontline interactions and the collaboration among internal teams. These pivotal moments formed the basis for a tailored playbook aimed at addressing specific organizational challenges and enhancing customer focus throughout the company.

Preparing managers for their role in the change

To align and equip managers for effectively coaching the new vision, BTS organized pre-session meetings. These sessions prepared frontline managers not only for on-the-job coaching but also to serve as crucial table coaches during the National Sales Meeting.

Activating a customer-centric change with employees

At the National Sales Meeting, BTS introduced a customized, moments-based simulation that replicated key situations from the new customer journey playbook. Over 900 participants engaged in this four-hour immersive experience, which highlighted specific moments from the playbook. The simulation challenged participants to practice new customer-centric behaviors through real-life scenarios, followed by a debriefing of each moment, sharing of success stories, and discussion of real-world challenges. At the session's conclusion, participants received a copy of the playbook to apply these insights in their daily work.

Results

Feedback from the rollout indicated that employees were fully engaged with the new strategy, actively participating in their learning and adapting their behaviors at crucial moments. The combination of the simulation and the introduction of the playbook played a key role in advancing the company's customer-centric vision.

The US Commercial Team reported significant gains in understanding their role in customer-centricity, with a 14% increase in clarity by the end of the session. Prior feedback had highlighted a demand for clearer guidance on customer-centric behaviors, which this session effectively addressed:

  • The number of participants who reported an excellent understanding of what it takes to be more customer-centric more than doubled, marking a 138% increase.
  • Those reporting partial, very little, or no clarity decreased by more than half, showing a 66% decrease.

Additionally, the leader of the sales organization observed a notable increase in the inclusion of customer stories during meetings and planning sessions, which has driven more customer-focused actions across the organization. With these positive outcomes, BTS continues to support the company in scaling customer-centric initiatives and behavioral transformations.

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July 8, 2022
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Strategy implementation at scale
BTS supports a company's single largest training program in its history, ensuring organization-wide adoption of a bold go-to-market strategy.

Client need

A cloud-based software company was experiencing rapid growth, marked by multiple acquisitions, thousands of high-performing sales transactions, and rising expectations. As a result, the company needed a more consistent go-to-market approach and customer-engagement methodology.

To meet this need, the organization’s leaders designed an immersive, simulation-based program that would cascade this new approach to all 29,000 of its sales, solutions, and customer-success group members. The organization partnered with BTS to design a simulation-based learning experience to deliver the training at a global scale in a simple, immersive modality.

If executed successfully, this program would be the single largest training program in the company’s history, ensuring organization-wide adoption of its bold new go-to-market strategy, tools, and practices.

Solution

To reach the organization’s 29,000 employees, the program was launched worldwide both virtually and in-person. The two-day experience comprised 300 sessions facilitated by 900 of the company’s sales leaders. In addition, 150 people from BTS offered supplemental support during the sessions.

Prior to starting the program, BTS held a series of workshops to equip the program facilitators with extensive resources and training to ensure a seamless experience for participants. The program was closely modeled after participants’ day-to-day work, but designed as a gamified experience that would shift mindsets.

In cross-functional teams, participants assumed crucial roles within a simulated account team. Together, the team made collective decisions, responded to critical moments, and advanced customers through the sales cycle, competing against other teams to drive customer success and run the best simulated account team.

The competitive aspects of the program kept engagement high, but—more importantly—enabled employees to interact and cooperate, prompting them to break out of silos and gain a better understanding of how to collaborate.

A virtual dashboard created by BTS tracked participants’ choices, the resulting outcomes, and kept score. The team best aligned with the new go-to-market and customer-engagement methodologies would win the competition.A team’s overall score was measured by three metrics that captured participants’ abilities to collaborate across all functions:

  • The likelihood of a deal closing.
  • The value that the team delivers to its customers.
  • How well the team works together.

Throughout the program, participants gained a greater understanding of:

  • What it looks like to support great customer success throughout the entire account engagement process.
  • How to leverage the new methodology to accelerate deal cycles and share this knowledge with the extended team.
  • How to balance short- and long-term goals to maximize customer success and company growth.

Results

  • 30 days after the completion of the program, the organization reported a 54 percent increase in pipeline generation and a 40 percent increase in tool adoption.
  • Based on the results of the initial program, the company plans to make this program the standard training for all distribution employees.

Testimonials

“The exercises working in the group helped me think through the methodology and apply it to my everyday work"
“The [program] was a great way to immerse myself in the methodology and learn from a variety of my peers across different roles.”
“It was a genuine thrill to see how completely the [simulation] captured EXACTLY what we were looking for, and what our teams need to be successful.”

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May 14, 2026
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Building enterprise leadership in medical affairs
Learn how BTS helped a global life sciences company strengthen enterprise leadership in critical medical affairs roles through simulations, leadership assessment, coaching, and cross-functional leader development.

Client need

A leading global life sciences company was operating at the forefront of scientific innovation, delivering therapies to millions of patients around the world.

The organization's strategy called for Medical to play an increasingly visible and influential role across the enterprise, not as a scientific function operating in parallel with the business, but as a core contributor to strategic decisions spanning pipeline priorities, governance forums, and commercial direction. The ability of medical leaders to operate at that level had become a strategic imperative.

These leaders were not generalists. Many had built careers in academic and research settings, developing deep expertise in science and medicine. In their roles, they operated at the intersection of R&D and commercial, translating scientific insights into strategy, influencing governance forums, and shaping both pipeline and brand decisions. These were among the most complex and high-stakes leadership roles in the organization.

As these leaders took on broader, enterprise-facing responsibilities, the nature of their work shifted. They were expected to work across functions, influence diverse stakeholders, and contribute to decisions that balanced patient, scientific, and commercial priorities in increasingly complex, cross-functional environments.

While highly capable, many had not yet had the opportunity to develop these enterprise leadership skills. With strong competition for talent, the organization recognized the need to accelerate development from within and ensure its leaders could operate as true enterprise contributors.

Solution

BTS partnered with the organization to design and deliver a four-month immersive leadership journey focused on building enterprise leadership capability in some of its most critical roles.

The program engaged 165 leaders across six cohorts, primarily senior leaders in medical affairs, market access, and health economics. Designing an experience that would genuinely resonate with this audience required more than adapting a traditional leadership curriculum. These leaders operated in highly specialized roles, navigating governance forums, balancing scientific and commercial trade-offs, and influencing cross-functional stakeholders without formal authority.

To reflect that complexity, BTS co-created the experience with senior stakeholders across the business, grounding the journey in the actual decisions, stakeholder dynamics, and enterprise challenges participants faced in their day-to-day work. That specificity was essential to making the experience credible, relevant, and immediately applicable.

The program focused on strengthening three capabilities critical to enterprise leadership:

  • Enterprise mindet
  • Influencing across the organization
  • Communication and storytelling

To build these capabilities, the journey combined assessment, practice, and application through a set of integrated experiences:

Enterprise simulation and assessment (in-person)

The journey began with a simulation based on real governance forums and asset-level decisions. Leaders worked through role-based scenarios with assessor-coaches, navigating trade-offs and stakeholder dynamics in a realistic enterprise setting.

Each session included immediate feedback supported by:

This established clear, evidence-based development priorities tied directly to each leader's role and business context.

Experiential workshops (2 x 1.5 days)

Leaders then participated in two immersive workshops focused on decision-making and influence in cross-functional environments.

Using real business scenarios, participants practiced aligning stakeholders, navigating ambiguity, and communicating complex scientific insights with clarity and impact. The workshops emphasized active practice and real-time feedback.

Individual coaching (throughout the journey)

Each participant worked with a dedicated assessor-coach to translate insight into action.

Coaching centered on upcoming business decisions and stakeholder interactions, with manager involvement helping reinforce alignment with enterprise priorities and day-to-day application.

Peer learning and application (ongoing)

Leaders participated in small peer groups that met throughout the journey to reinforce learning and accountability.

These sessions created space to reflect, share experiences, and apply new approaches in real time, helping build consistency across the organization.

Across every element of the journey, the work remained grounded in real business challenges. Leaders built capability by practicing the same decisions, conversations, and trade-offs they faced every day.

Results

The program's success led to continued investment, with new cohorts of more than 200 critical role leaders now underway. Overall, the program strengthened how leaders think, decide, and influence, improving both decision quality and cross-functional execution.

Impact was assessed through:

  • Post-program surveys
  • End-of-journey evaluations
  • 49 structured interviews with participants and their managers

Every manager interviewed reported sustained positive behavior change. The most significant shift was in how leaders approached decision-making. Participants engaged stakeholders earlier, clarified trade-offs more effectively, and showed up with greater confidence in governance discussions. As a result, decisions moved faster and with less friction.

The impact extended beyond the Medical function itself. Colleagues across commercial, R&D, and other functions began noticing a tangible difference. Medical leaders showed up differently in joint forums, communicating complex scientific trade-offs more clearly and building alignment more effectively across competing priorities. Conversations that once required multiple rounds of clarification increasingly moved to alignment more quickly.

Leaders consistently improved in several key areas:

  • Earlier alignment before formal decision forums
  • Greater confidence navigating ambiguity and enterprise trade-offs
  • Stronger influence across cross-functional groups
  • Clearer, more concise communication of complex scientific insights

Collectively, these shifts improved cross-functional decision-making and execution across the organization. Leaders were better able to prioritize enterprise value, align diverse perspectives, and ensure medical insights were clearly understood and acted upon.

The impact extended beyond individual participants. Leaders applied these approaches within their own teams, reinforcing more consistent ways of working across the organization and helping position Medical as a strategic enterprise partner rather than solely a scientific function.

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May 13, 2026
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Driving engagement and retention with scaled coaching
Discover how Wellstar Health System scaled leadership coaching to boost engagement, retention, and measurable business impact with Sounding Board, BTS’ scaled coaching solution.

Client challenge

Wellstar Health System, one of Georgia’s largest healthcare systems, had already invested heavily in leadership development for senior leaders. But as the organization navigated rapid growth, a major acquisition, and the demands of a shifting healthcare landscape, it became clear that the greatest leadership challenges were happening at the front and midline.

“Some of the greatest leader challenges are really at the front and midline levels… we’ve invested heavily in leadership development, putting more emphasis on our front line and mid-level leadership in terms of outcomes, said Laura Dannels, Chief Talent Officer at the time.
We’re not an organization who believes in just investing in high performers… you’ve got to invest in your entire workforce.”

Wellstar partnered with Sounding Board to bring a more scalable, flexible coaching solution to leaders across the organization.

The solution

Partnering with Sounding Board, Wellstar designed a scalable, personalized coaching program to extend leadership development across the organization while maintaining the quality of one-on-one coaching.

A proprietary 360 assessment, aligned to Wellstar’s leadership behaviors, served as the foundation for each coaching engagement. This ensured development was directly tied to how leaders show up and lead in practice.

“We really wanted to ground the coaching to a framework that matters to our organization,” said Garry Gross, Executive Director of Leadership Development.
“Helping our leaders create an environment where our mission, vision, and values come to life was paramount.”

Program goals:

  • Develop leadership capabilities aligned to Wellstar’s mission, vision, and values
  • Deliver personalized, relevant development for leaders at all levels
  • Strengthen the leadership bench and support succession planning
  • Foster a culture of innovation, learning, and engagement

Program overview:

  • Personalized, one-on-one coaching for leaders at all levels
  • Capability development aligned to Wellstar’s values
    • Serve with Compassion → Builds relationships
    • Pursue Excellence → Drives results, leads teams, and plans strategically
    • Honor Every Voice → Fosters inclusion and respect for differences
  • Scalable delivery across frontline, mid-level, and clinical leaders
  • Digital tools to track goals, capture insights, and measure progress

This approach made it possible to deliver consistent, high-quality coaching across roles and locations while keeping development relevant to each leader’s day-to-day work.

Results

As the program unfolded, Wellstar began to see a shift in how frontline and mid-level leaders showed up across the organization. Leaders in these critical roles had more consistent support navigating day-to-day challenges, and managers gained better visibility into how their teams were developing. Coaching became a more practical, embedded part of how Wellstar supports leaders in a complex healthcare environment.

Higher engagement and satisfaction

  • 96% of participants said the coaching experience was worth the investment
  • 99% said they could immediately apply what they learned to their day-to-day work

Measurable leadership growth

Participants reported double-digit growth across leadership capabilities including:

  • Executive presence (+16%)
  • Organizational collaboration (+14%)
  • Strategic thinking (+13%)
  • Time management and prioritization (+13%)
  • Communication (+11%)

Stronger retention and mobility

  • Coached leaders achieved a 90% one-year retention rate
  • Retention for coached leaders was 31% higher than non-coached peers
  • 3% of participants were promoted into new roles, exceeding organizational goals and industry benchmarks

Learn more about Wellstar’s leadership coaching journey with Sounding Board in this feature in Becker’s Hospital Review.

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Reimagining frontline leadership at scale in global manufacturing
How a manufacturing leader scaled frontline leadership development to 1,600+ leaders, driving measurable quality improvements and business impact through behavior-based coaching programs.

Client need

For a 175-year-old technology company, competitive advantage isn’t just built on technical innovation: it’s built on leaders who know how to get the best thinking from every person around them. That culture of drawing out ideas, developing people, and driving innovation through engaged teams had been a defining feature of the organization for generations. And it depended on having the right infrastructure to keep developing frontline leaders at scale.

In 2020, that infrastructure was disrupted. The COVID-19 pandemic forced the organization to pivot its in-person development to virtual almost overnight, risking the erosion of frontline leadership capability while simultaneously needing to navigate the broader shocks of the pandemic: supply chain volatility, shifting materials costs, and a workforce managing profound uncertainty.  

Stalling frontline leadership development meant risking productivity, employee engagement, talent retention, job performance, and downstream impacts on quality and operating margin, at a moment when the organization could least afford it.

The question now was how to reimagine frontline leader development to equip thousands of global leaders to continue supporting their teams through disruption, and to ensure the next generation of managers could help their people do their best work under any conditions.

Solution

The client partnered with BTS to reimagine frontline leader development from the ground up, equipping leaders globally with the practical skills, tools, and mindset shifts needed to support their teams in doing great, innovative work.

The partnership began in 2019, and over five years has reached over 1,600 frontline leaders capturing 700+ documented behavior change actions. In 2022, BTS collaborated with the organization to refresh the program to reflect their evolving strategy and develop a sharper focus on supporting a culture of continuous improvement and innovation with coaching and feedback.  

The blended program experience combined the following elements:

  • Immersive leadership simulations: Scenario-based experiences placing leaders in realistic situations, surfacing Multiplier and Diminisher tendencies in real time and making the learning immediately personal and actionable
  • Multipliers and Diminishers framework: A structured exploration of how leaders either amplify or diminish the intelligence of those around them, including specific “experiments” leaders could use to better understand their own leadership approaches
  • Custom leadership frameworks: Including a structured, step-by-step process for having significant feedback conversations, a tool to understand and flex to communication preferences, and a coaching approach designed to help leaders guide team members toward their own solutions, building capability and long-term ownership.
  • Structured application sessions — on-the-job practice components designed to bridge the gap between the program experience and day-to-day behavior, giving participants specific frameworks to apply immediately with their teams
  • Peer networking and breakout groups — cohort-based learning that participants identified as a standout feature, both for deepening the learning and for building cross-functional relationships that extended beyond the program
  • A commitment-capture platform integrated into the program to log participant actions and reinforce behavior change after the program ended; over 670 participant actions were captured across the program’s delivery

Throughout the program, leaders examined the impact of their own behaviors, recognizing where they were unintentionally diminishing their teams, and built new habits around challenging, creating space for mistakes and learning, listening, questioning, giving developmental feedback, and creating ownership. The feedback model gave participants a practical process for the positive and constructive conversations that actually change performance.

Results

More than 1,600 frontline leaders and individual contributors have participated in the program—the population closest to daily execution, quality, and operations. A recent impact study told a clear story about the effects of the program across participants:  

100% of participants reported actively applying what they learned. 59% reported producing significant, measurable business impact, with concrete evidence to describe it.

The results weren’t theoretical. One engineering leader restructured how his team developed project plans, creating space for debate and ownership instead of coming in with the answer. His team exceeded their quality target by 10 percentage points and accelerated the project timeline by +4 months.

One production leader used the feedback model to coach a struggling supervisor and cascade the process across his entire leadership layer. His unit reached #1 performance in its division, improving a key quality KPI by more than 18% year-over-year. A department head with over a decade in leadership set new production records after learning to flex his communication style and draw out quieter team members. And a development lab supervisor used the program to clarify her leadership identity, earn a promotion, and coach her direct report to one as well.

The study also confirmed that when managers actively supported participants post-program, the likelihood of significant business impact increased substantially, shaping the organization’s next phase of reinforcement and cohort follow-up.

For an organization whose competitive advantage rests on the innovation and intelligence of its people, the program gave its leaders something technical training rarely delivers: the confidence, the tools, and the self-awareness to make everyone around them better.

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“The program gave me greater confidence to try new things as a leader. It helped me realize what I do and what I don’t do.”  - HR Leader
“The skills I learned in the training helped me be more efficient. It helped me do the right thing, right away.” - Production Manager
“Feedback is very important to create a positive environment; and how to [give] feedback is a specific skill I learned from this training and how to share constructive feedback.” - Production Leader