Brian H. Munroe
Making sense of YOUR business complexity | Fractional COO Healthcare Specialized | AI Implementation Expert | Improving medspas & multi-site clinical operations for profitability & valuation.
About
Private equity invests in growth and scale, but what they often inherit is operational complexity that quietly slows everything down. Across healthcare, manufacturing, and retail, I see the same pattern play out again and again. Execution starts to drift, visibility fades, and performance becomes harder to predict.
At first, it does not look like a problem.
Growth is happening, new locations come online, and teams push harder to keep up, but behind the scenes, processes lose structure, systems stop communicating clearly, and what once worked begins to break under scale.
That is when the cracks show.
In healthcare, onboarding slows and data becomes unreliable.
In manufacturing, throughput drops and variability increases.
In retail, execution fragments across locations.
Leaders can feel the drag, but pinpointing the root cause becomes increasingly difficult.
This is typically when I get the call. Not to advise from the outside, but to step in and operate from within.
I start by creating clarity around where things actually stand, what is working, and what is not. From there, I rebuild structure around reality rather than assumptions or legacy playbooks.
We establish a single source of truth so data becomes visible and actionable, identify the true path to value, and remove what is slowing it down.
As workflows are redesigned and aligned, execution begins to stabilize. Teams gain clarity on priorities, leaders make faster and better decisions, and operations start to scale with intention instead of friction. Performance becomes predictable again.
At its core, my role is simple.
I bring clarity where there is noise and structure where there is drift.
I turn complexity into systems that scale, fixing what is breaking performance today while preparing organizations for what comes next.
I love what I do and would be honored to help replace chaos with clarity in your organization.
Contact me directly:
bmunroe@mtiglobalgroup.com
Experience
Fractional COO & Healthcare Specialized - Fixer & Systematizer
MTI Global Group LLC · Worldwide
Jan 2012 – Present(14 yrs 4 mos)
At the forefront of Healthcare transformations, Woman-Veteran owned MTI Global Group specializes in operations management, process improvement, project management, and workflow automation. Working with multi-site clinical organizations directly or with their equity partners our job is to shine a light of clarity on the remediation items and path to value objectives across all departments. Fertility | Gastroenterology | Vascular | Medical Tech | Behavioral Health | Clinical Research | Dental Marketing | Payor Relations | Insurance | Genetics | OBGYN | Oncology We bring data to life with dashboards that allow clinical organizations to make informed real-time decisions. Our expertise in journey mapping ensures organizations receive tailored solutions that give their clients a positive experience. Our healthcare services are designed to optimize clinical operations, develop robust clinical KPIs, and introduce automations that streamline processes. We offer a comprehensive suite of services, including program and project management, document management enhancements, and AI-based workflow tools. As creators of The MTI Operating System (OS), we provide a framework for overcoming corporate challenges making room for expansion and increased profitability. Our partnerships with industry leaders like Monday.com and Smartsheet enable us to deliver customized, effective solutions that drive growth. Whether you're seeking to scale for growth, improve operational efficiencies, or increase your organization's valuation, MTI Global Group stands as your trusted advisor for achieving sustainable success in the healthcare industry.
Executive Director - Las Vegas & Nationwide Business Operations Communities
M3Linked Business Operations · Las Vegas, Nevada, United States
Oct 2025 – Present(7 mos)
As the Executive Director of the Las Vegas community we bring together the best businesses in Vegas to share their stories, products and services with everyone creating a tight referral network of excellence. As the Executive Director of the Nationwide Business Operations Community it is all about bringing together businesses from across the nation to share in their operations, process, and systems challenges and mastermind and learn from each other on new ways to solve these issues we might not have ever thought about. You are not alone and do not have to operate alone - you can be part of this amazing think-tank of successful business owners.
Sr. Project Leader
Remitly · Las Vegas, Nevada, United States
Oct 2021 – May 2022(8 mos)
MTI Global Group LLC Contract Utilizing Smartsheet, developed the SOX and SOC2 assessment and remediation program for Remitly to remain compliant with financial and data security policies and procedures. Realized 3rd party security and data compliance monitoring through the data gathering and tracking of over 80 financial vendor partners, scoring each partner on their data retention risk. Enabled Remitly to achieve User Access Request compliance through development of the SOX application monthly attestation program.
Managing Director
Avantage® Entertainment
Oct 2020 – Aug 2021(11 mos)
Avantage® Entertainment is a cutting-edge sports analysis and media company. We aim to enhance your entertainment experience with around-the-clock breaking news and premium insights on the biggest clubs and players in the world. Responsibilities: Develop and mentor the line of business (LOB) owners and managers to continue the reporting and management of LOB status, priorities, and directives. Plan, develop, implement and direct the organization’s performance based on metric trends reviewed with each LOB. Look for both positive and negative trends to address. Lead and motivate team to advance employee engagement and develop a high performing organization. Analyze and make recommendation on the impact of long-range growth initiatives, planning, and introduction of new strategies and regulatory actions. Analyze problematic situations and occurrences and provide solutions to ensure company visibility and create the path forward towards survival and growth. Create, improve, implement and enforce policies and procedures of the organization that will improve operational and financial effectiveness of the company. Communicate effectively and establish credibility throughout the organization and with the Founder as an effective developer of solutions to business challenges. Provide strategic input and leadership on decision making issues affecting the organization; specifically relating to the evaluation of potential mergers, acquisitions or partnerships. Act as a strategic advisor and consultant offering expert advice on contracts, negotiations or business deals that the corporation may enter into. Mentor and interact with members of staff at all levels to foster growth and encourage development among senior executive team and all members of staff.
Sr. Program & Customer Success Manager
Willis Towers Watson · United States
Jul 2019 – Jun 2020(1 yr)
MTI Global Group LLC - Contract Program Management of the Citrix Flex environment creation and migration. 84 concurrent projects with a user community throughout the globe moving their current Citrix 6.5 environments to Flex. This program represented just over 1,000 servers across all GEOs and each project is broken down into the various phases: • Workload Discovery - gaining a detailed understanding of the application architecture along with a technology, commercial, and compatibility review for transition to Flex • User Discovery - Establish access metrics including usernames/counts, standard/peak volumes, geography/locations, dependencies, performance • Functional Testing - Create separate environment for user testing, with identification and remediation of any reported issues • Scheduling - Build a migration plan ensuring that all impacted and interested parties are notified of potential service disruption • Service Transition - Ensure that the migration is executed out in accordance with defined and agreed procedures and thoroughly tested with stakeholder sign-off • Decommission - Retire legacy services subject to sign-off and after agreed period and satisfactory operations within the new environment All status reports, business dashboards, client executive dashboards, financial tracking, activity tracking, and team reporting is built entirely using Smartsheet for industry best practice in program monitoring and controlling.
Sr. Program Manager
Envision Healthcare · Fort Lauderdale, Florida, United States
Jan 2019 – Dec 2019(1 yr)
MTI Global Group LLC - Contract Engaged at Envision to lead two large program initiatives in the financial and HR departments. Program 1 - TAX ID (TIN) • A full discovery, organization, development, and implementation of an organizational-wide TIN registry. Starting with the creation of a standardized glossary of terms, the new TIN registry will replace all dispersed sources of TIN information with a single source of truth registry useful to all stakeholder groups for their custom reporting and data maintenance. • Conduct a full discovery of all sources of TIN data within the organization. Determine the total number of Tax Ids and sourced all spreadsheets, databases, and working files from stakeholder groups • Creation of a standardized glossary of terms used for the new TIN data process. • Development of a new centralized TIN Registry to create a single source of truth, ensuring all required data points from various stakeholder groups is considered • RACI-based workflow designed to eliminate duplicate work such as entry, changes, deletions, reporting, etc. • Implementation of the new TIN registry and corresponding workflow to all effected stakeholder groups with training to support the rollout • Monitor the usage of the TIN registry along with adherence to the new workflow Program 2 - HR Performance Management system integration - HRPM Create and implement a single source standardized HRPM system in support of 2019 performance reviews. Consolidation of over 30 different forms, rating systems, and competency trackers to a standard online tool backed by a new leadership framework. • Creation of baseline of values, and behaviors for standardized appraisals for all employees • Common review timeline – bring the organization together under a common timeline for feedback and appraisals • Creation of a management discussion guide that facilitates staff conversations around performance and wellness
Sr. Program & Engagement Manager
Citrix · Americas Consulting - Fort Lauderdale FL
Nov 2014 – May 2019(4 yrs 7 mos)
Assigned to Citrix Consulting Services (CCS) largest client projects to provide program management and governance to the project teams and ensure customer success during and post project implementation. Client industries: • National healthcare program • Several national financial/banking programs • Several technology partners programs Due to increased client demand, responsible for new CCS fixed price contract creation and negotiations ensuring both Citrix and the client are satisfied with the terms of the program. (CCS historically only did time & material contracts) Worked side by side with the sales teams to ensure the Delivery organization can deliver exactly what has been committed to each client. Led a cross functional team with managerial responsibilities within the Americas Sales and Consulting organization to create a project management practice (PMO) to qualify each sales opportunity as a project, ensure the appropriate resources are assigned, the appropriate tools and templates are created for use, ensure the appropriate training has been given to each resource, and finally the proper level of program governance is applies to each opportunity. Provided the Citrix New Hire Training program (NHT) some of my own project management training to the program to teach technology focused team members how to be an effective member of a project team, and to consider project and program management as a potential career path within Citrix. Creator of the CCS Leadership Webinar Series, responsible for each month creating meaningful leadership strategies webinar and delivering those webinars to the CCS resources and their management.
MTI Global Contract - Sr Program Manager - MTS Fleet Technology Improvement
Metropolitan Council of the Twin Cities · St Paul, MN
Feb 2013 – Dec 2014(1 yr 11 mos)
MTI Global Group LLC Contract MTS Mobile Fleet Technology Program Program for improvement of customer service for Metro Mobility and Transit Link by adding new technology advancements and services to entire bus fleet. Installation, provisioning, training, maintenance development, technical asset tracking, support, and customer service enhancements for the following 4 initiatives: - Mobile Data Terminals (MDTs) in all buses to track real time scheduling and manifest changes, along with advance vehicle location services. - Integrated Voice Response (IVR) telephony system to enhance customer service with scheduled ride reminders and imminent ride reminders. - Mobile Validator Fare Collection (MV) system to allow the clients of these services to use the same Metro Go-To fare collection card system as regular fixed route riders in the city. - Vehicle Area Network (VAN) router system on each bus to consolidate the data transmission of all data devices. Continuity of Operations (COOP) Program Mentoring Working to mentor the COOP subject matter expert and project manager on new methods for tracking and reporting this Council-wide program. Developing new metrics tracking mechanisms for this team, and ensuring best practices program management methods are being used. Housing Rehabilitation Authority (HRA) Program Management Business and functional requirements development and gathering with the project team Formulation of the RFP for the project. Formal project management of the RFP development, response evaluation, and execution of the project and user training. PMO Development and Best Practices Mentoring Program Mentoring the growing and expanding PMO development team on project management best practices, project management workflow, and PM governance structures. Assisting in tools development by incorporating my own existing tools sets with Met Council workflow, policies and procedures.
PMO Development – Process & Framework Development and Standardization Consultant
Global Finishing Solutions LLC · Osseo, WI
Jan 2012 – Dec 2012(1 yr)
MTI Global Group LLC Contract • Needs assessment on PMO requirements for manufacturing projects in excess of $60million per year • Full review of all internal processes – what works, what doesn’t, what’s missing • Work with all divisions within the company and their senior management on stakeholder needs assessments (production, engineering, drafting, customer service, finance, logistics) • Implemented quick fix efficiency gains in a variety of areas for immediate feedback • Strengthened the communication models between all departments and the end customer • Reviewed and improved the internal and external change management process • Redesigned and developed the new GFS project management framework with all new tools, templates, policies, and procedures • Conducted project management training as well as continued coaching and mentoring with the project management team • Coach executive team on new process as well as project management best practices • Design and develop the project administration role for the project admin team • Continual testing and monitoring of all new processes being implemented • Developed a GFS governance structure for future project audits • Validate that all project requirements have been completed in accordance with the defined critical success factors • Executive level status reporting and presentations as required on progress
Volunteer - President, Chairman of the Board
PMI Troubled Projects SIG
Oct 2008 – Aug 2012(3 yrs 11 mos)
Previous board positions: VP IT 2007-2009 VP Membership 2009-2010
Education
Purdue University
Business Administration and Management, General
Cornell University
Certificate Program, Executive Leadership
Cornell University
Certificate Program, Performance Leadership
PMI - Project Management Institute
PMP - Project Management Professional designation
SRI Performance Training
NLP Practitioner, Neuro Linguistic Programming
Sir Sandford Fleming College
Bachelor's degree, Consumer Electronic Technology / Computer Systems Technology
Expertise
Specialties
