The Leadership Operating System for Mid-Market Companies

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Start with clarity, alignment, and action

Strong individual leaders aren’t enough.

What separates leadership teams that execute from those that stall is whether they’ve built the shared behaviors, decision frameworks, and execution rhythms to operate as one.

That’s what we help you build

Every engagement is designed around your culture, your people, and the outcomes that matter to your business. We work with a deliberately small number of organizations at a time because this work requires depth, trust, and real partnership.

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Our Offerings

Leadership Alignment Lab

The Leadership Alignment Lab is our core engagement model.

Our signature engagement for CEOs and senior leadership teams who are serious about building a leadership team that operates as one, not just a group of talented individuals.

The Leadership Alignment Lab is a 12-month engagement anchored by four quarterly, two-day in-person offsites. Between sessions, we work closely with leaders through 1:1 coaching, targeted feedback, and ongoing support to sustain momentum and reinforce what’s being built.

This is where individual leadership development and team alignment happen together because one without the other doesn’t stick.

The result: a leadership team that trusts deeply, decides clearly, and executes together even in complex, high-change environments.

We support 3–4 organizations at a time in the Leadership Alignment Lab to maintain depth and impact.

Best for:

  • CEOs building or rebuilding a senior leadership team
  • Leadership teams entering a period of growth, transformation, or significant change
  • Organizations where strategy is sound but execution keeps breaking down
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Leading with Impact: Individual leadership development grounded in honest, interview-based feedback.

At the core of this offering is our proprietary 360 feedback process conducted through confidential interviews, not surveys. Leaders get clear, actionable insight into how their behavior is affecting trust, communication, and performance across the team. Supported by 1:1 coaching over 6, 9, or 12 months, leaders translate that insight into lasting behavior change for themselves and for the team they're part of.

Best for:

Executives and senior leaders stepping into larger or more complex roles

Leadership teams investing in long-term leadership capability

Organizations seeking measurable leadership growth and sustained behavior change

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Aligned for Impact: Facilitated leadership offsites that surface the real issues and build execution momentum.

These two-day working sessions get to what's actually holding the team back, not just the items on the agenda. Teams leave with aligned priorities, clear ownership, and execution rhythms that keep things moving after the offsite ends. We maintain a small portfolio of 3–4 active organizations across our Leadership Alignment Lab and Aligned for Impact work.

Best for:

Leadership teams struggling to move from strategy to execution

Teams that need both alignment and momentum — not one without the other

Organizations navigating growth, transformation, or complexity

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Execute for Impact

Execute for Impact is the next level of engagement for organizations ready to move from alignment to sustained execution.

Execute for Impact extends the Aligned for Impact work into the day-to-day. We partner closely with leaders to drive priorities forward, support decision-making, and ensure follow-through across critical initiatives — without adding a full-time role.

We support no more than two organizations at a time through Execute for Impact.

Best for:

  • CEOs who need a trusted execution partner
  • Leadership teams managing multiple strategic initiatives simultaneously
  • Organizations that need structure, momentum, and accountability built in
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Rapid growth creates leadership disconnect—it’s inevitable. As an unbiased partner, we bring clarity, alignment, and a tailored approach to help you cut through the noise and achieve your biggest goals.

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How We Work

Our approach is built on deep partnership, focused time together, and sustained follow-through.

This work requires trust, context, and depth which is why we intentionally partner with a limited number of organizations at any given time.

We’re not here to deliver a program and move on. Our goal is to help leadership teams build the capability to align, decide, and execute together long after our engagement ends.

Assess Your Leadership Alignment

Not every leadership team needs this work, and not every organization is ready for it.

Take our short, guided assessment to evaluate whether deeper alignment is what your team needs right now. The assessment surfaces patterns related to trust, communication, focus, and execution and helps clarify next steps.

Find Out Now

Why Choose Cross Impact?

As a trusted third party, we become the eyes and the ears of your organization. So much so, your team won’t even realize we are not full time employees.

This outside perspective allows your leaders and teams to be open, honest, and transparent. We surface the real challenges, cut through internal politics, and provide clear, actionable strategies to create meaningful, lasting change

Our only desire is for you to be successful

 We’re straightforward, honest, and unfiltered. With deep experience across Healthcare, FinTech, Insurance, BioTech, and Retail, we bring pragmatic, real-world solutions that drive results through leadership coaching, team development workshops, and organizational design. No fluff, no wasted time… just impact.

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Results That Speak For Themselves

What clients, and thought leaders have to say about working with Cross Impact

"Cross Impact recently led a workshop for my team focused on becoming the CEO of the Program - leading with accountability, transparency, and a relentless focus on outcomes. What made the session especially impactful was the blend of mindset + craft (aka pragmatic experience) which allowed Betsy to anchor the work in real delivery discipline while pushing the team to elevate from tactical execution to strategic ownership. The session landed exactly where we needed it, and the feedback from the team has been incredibly strong. Thank you Betsy ❤️❤️❤️"
Sr. DirectorWorkday
"Meri is a supportive coach and instrumental in helping me address specific, complicated work-related problems. Would definitely recommend her and Cross Impact Coaching services!"
AVP BlueCross BlueShield of South Carolina
“Working with Cross Impact Coaching has been refreshing and fantastic. They’re easy to partner with, quickly grasp our key objectives, and help us think strategically, both near term and long term. I love how they combine group facilitation with individual 1:1 coaching. Their practical approach, understanding of our goals and challenges, and outside perspective have been invaluable.”
EVP BlueCross BlueShield of South Carolina
"Working with Cross Impact Coaching has been transformative for our leadership team. They’ve helped us break down silos, build trust, and create a shared vision for where we’re headed. Their 1:1 coaching blends empathy, accountability, and real-world business insight. It's not theory, it’s practical change you can see and feel in how our leaders show up every day."
VP BlueCross BlueShield of South Carolina
“The 1:1 coaching gave each of us the confidence and comfort to have meaningful, open conversations. Through the planning sessions, our team became more focused, aligned, and united. Personally, the experience helped me step into a bigger leadership role.”
VP OperationsUCI Medical Affiliates
"CIC brought a level of trust, candor, and accountability that we’d never experienced before. They helped us see our blind spots, tackle tough conversations, and focus on what truly matters. We’re more aligned, more confident, and leading with greater purpose because of them.”
VP BlueCross BlueShield of South Carolina
“Cross Impact Coaching has made a lasting impact on our leadership team. The leaders they’ve coached have stepped confidently into bigger roles and sustained their growth over time. Their development work continues to influence how we lead and operate across the organization.”
DirectorAllstate Insurance
“Cross Impact Coaching helped our team increase trust and candor at every level — from senior leaders to EVPs. They guided us through tough conversations, introduced tools that created powerful ‘aha’ moments, and helped us remove the baggage holding us back. Betsy and her team are adaptable, collaborative, and genuinely invested in helping us move forward.”
EVPBlueCross BlueShield of South Carolina
“This coaching experience helped me become a more transparent and authentic leader. Showing vulnerability wasn’t something I did before, but it’s made me far more effective. The 360 process provided deep perspective on how I could grow, and it helped our senior leadership team build trust and tackle our biggest challenges head-on.”
CEOUCI Medical Affiliates
“Our engagement with Cross Impact Coaching helped us grow as individual leaders and as a unified leadership team. We strengthened accountability, built trust, and navigated issues that could have easily derailed us. Betsy and her team kept us focused, grounded, and cohesive through it all.”
CEOUCI Medical Affiliates
“Betsy was an incredible coach — easy to talk to, but unafraid to challenge me when needed. Her thoughtful discussions and exercises helped me become a more confident and effective communicator with my customers.”
Principal ConsultantBlueCross BlueShield of South Carolina
“The 360 leadership impact assessment was emotionally challenging, but also one of the most valuable exercises I’ve ever done as a leader. It gave me clear perspective on how to grow. Meri is a fantastic coach, she guides and challenges with care, never dictating. Her coaching kept me focused and accountable to my goals.”
CMOUCI Medical Affiliates
“Our engagement helped us grow as individual leaders, strengthen accountability for team results, establish a framework to build our leadership team's trust and conflict avoidance challenges, and navigate some turbulent issues that could have derailed us. Betsy and her team helped keep us focused and cohesive as leaders.”
CEO$150MM Healthcare Organization
“Betsy has an amazing ability to listen and provide feedback that is spot-on, providing valuable perspective. As a result, we've become more predictable, have improved quality, and created an environment in which a diverse group of individuals understand the unique value each brings to the team.”
Dana SeehaleCIO, Cell Signal Technologies
“Betsy has an innate ability to quickly connect with everyone and create an air of safety, such that real issues can be addressed and develop a realistic action plan to support us in meeting our departmental and organizational goals."
Sr. Vice PresidentBank of America
“Betsy expertly guides conversations and pushes people out of their comfort zones without making you feel talked down to, as is the case with many consultancies I have encountered. I never feel as though I am dealing with smoke and mirrors, and the impacts that she has brought are immediate and lasting.”
DirectorAllstate Insurance
“We spent the past 3 years working with Betsy and her team of coaches. We were continuously challenged and supported to have the tough conversations, look deeper into the root cause of our organizations’ blockers, and how to successfully deliver in a highly complex environment.”
Brittany DuBoseVice President, Duke Energy
“Cross Impact is insightful, enthusiastic, relational, leadership development, partnership, and trustworthy.”
Sr. Director BSBSSC

Assess Your Leadership Alignment

Take our short, guided assessment to evaluate whether deeper alignment is what your team needs right now. The assessment surfaces patterns related to trust, communication, focus, and execution and helps clarify next steps.

Find Out Now