Meet Alex
I am a commercial strategy, product and operations leader with over 16 years’ experience working across regulated healthcare and digital health environments. I have held senior roles within venture-backed scale-ups, large healthcare groups and international health and wellbeing organisations, supporting growth across NHS, private, insurer and employer pathways in the UK and internationally.
My career has focused on helping organisations move from ambition to execution. This includes developing growth strategies, launching new services, forming strategic partnerships and building operating models that can scale within clinical and regulatory constraints.
I have led work across growth strategy, market access, product development, partnerships and M&A. This includes founding and leading product functions, launching digital mental health services adopted at national NHS scale, supporting acquisitions and integrations, and advising leadership teams and investors on long-term growth and delivery risk.
I work closely with founders, executives and cross-functional teams, often acting as a bridge between strategy, product, operations and commercial functions. My approach is practical and delivery-led, grounded in real-world experience of what works inside complex healthcare systems.
Today, I support early-stage and scaling organisations through Alex Kuhne & Company Ltd, working flexibly on a fractional, contract or advisory basis depending on the challenge and context.
Who I Typically Work With
Founders & Leaders
Scaling healthcare or digital health businesses and needing senior commercial or product judgement.
Healthcare Businesses
Operating across NHS, private, insurer or employer markets and preparing for growth or market entry.
Delivery Teams
Needing clarity across growth strategy, partnerships, product delivery or operating models.
Complex Organisations
Navigating regulatory, clinical or operational constraints in regulated healthcare environments.
My background
After more than 16 years working inside healthcare and digital health organisations, I began to notice a consistent pattern. Many businesses had strong ideas, capable teams and genuine demand, but struggled to turn strategy into delivery within the realities of regulated healthcare.
I worked across fast-scaling digital health companies, large healthcare groups and international wellbeing organisations. Whether operating in NHS, private, insurer or employer markets, the challenges were often similar. Growth plans looked credible on paper, but execution was constrained by delivery capacity, clinical risk, regulatory complexity, commissioning, or misalignment between product, operations and commercial teams.
In several roles, I found myself working in the space between strategy and reality. Supporting leadership teams to make practical decisions, prioritise what genuinely mattered, and build operating models that could scale without compromising delivery or quality. Over time, this shifted from informal support into a recognised need for experienced, hands-on involvement rather than generic advisory input.
I started Alex Kuhne & Company Ltd to formalise that way of working. The aim is simple: to provide senior, practical support to healthcare and digital health organisations navigating growth, partnerships and delivery, without the need for a full-time hire.
Today, I work with founders, executives and investors who value realism, clear thinking and execution. Engagements are flexible by design, whether fractional, contract or advisory, and focused on helping organisations move forward with confidence.
How Engagements Typically Work
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Initial diagnostic conversation
We start with a focused conversation to understand your objectives, constraints and context. This is not a sales call, but a working discussion to clarify where support is needed, what success looks like, and whether I am the right fit.
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Proposal and scope agreement
Following the initial discussion, I outline a clear scope of work, recommended engagement model and expected outcomes. This may be a defined piece of work or ongoing support, depending on the nature of the challenge and the organisation’s stage.
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Collaborative delivery with regular checkpoints
Engagements are hands-on and collaborative, working closely with leadership teams and delivery functions. The focus is on making practical progress, maintaining momentum, and adapting as requirements evolve within clinical, regulatory and operational constraints.