What is a fractional COO?

A fractional COO is an executive who runs the operations of your business on a part-time or contract basis rather than as a full-time hire. You get executive-level operational leadership — systems, team structure, decision-making frameworks, vendor management, hiring — without a full-time salary. A fractional COO stays through execution, working alongside you and your team to build the structure the business runs on.

Who needs a fractional COO?

Practice owners and firm owners who are doing two jobs — the expert work they trained for and the business operations they didn't. If every decision routes through you, your team can only see their own lane, and you're managing marketing, hiring, finances, and vendors on top of seeing patients or clients, a fractional COO takes the second job so you can focus on the first.

How is a fractional COO different from a consultant?

A consultant studies your business, delivers a plan, and leaves. A fractional COO runs the operations. They stay through execution, manage the back end of the business alongside you, build systems and processes, create decision-making structures, and handle the functions you were never trained for — then keep managing them month to month.

What industries does Operations Amplified serve?

Operations Amplified serves privately owned medical practices, law firms, and established service businesses whose owners left corporate to build something on their own terms. The focus is on owners who are experts in their field and need operational infrastructure behind the work so the business stops running through them.

Lift

Your fractional COO, running the business with you

For owners whose business has outgrown the way it runs. We work inside the business with you and your team, build the structure it’s been missing, and stay until it holds.

Book a Call

  
      What Changes
      Your team makes the calls that used to come to you.
    
Projects move because someone owns them.
Your team, your agency, and your vendors work from one plan.
Your days go to the work only you can do.
And when the business is ready for its next hire, there’s a role built for that person to step into.

  
      Who It’s For
      The business works. The team is in place. Growth is coming faster than the structure behind it.
    
An office manager knows how to run your office. They don’t know how to run your business.
You’ve hired good people, and most decisions still find their way back to you.
You’re ready to let go of the day-to-day once the right people and structure are in place.

A Second You in the Business

Someone who knows how you’d decide, holds the standard you’d hold, and handles every moving part so it lands somewhere other than your desk.

You stay the owner. We run the operations with you.

Book a Call

How It Works

Lift is the heart of the Operations Amplified Method, covering the first three phases.

Phase 1

Foundation

We learn your business the way you know it, top to bottom, and map where you want it to go.

Phase 2

Alignment

Roles, responsibilities, and who owns which decisions, so the right things land with the right people.

Phase 3

Infrastructure

The processes, tools, workflows, AI, and automations the business has been running without, built around how you operate and how you want to grow.

The last two to three months are runway. We fine-tune, test, and make sure everything holds before our work together ends.

See the full Method

Operations Is More Than SOPs

Lift looks at the whole business. Here’s where the work goes.

01

Team and leadership

Defined roles, clear decision rights, and leaders who own their areas. When it’s time for the next hire, there’s a role ready for them to step into.

02

The operating rhythm

Weekly meetings that move the work forward, a monthly look at the numbers, and a quarterly review so the plan adapts as the business changes.

03

Your numbers

Revenue, margins, capacity, and pipeline, tracked in one dashboard, so every decision starts with the data.

04

Systems and technology

Processes, CRM, scheduling, AI, and automations, chosen and built around how you operate. The tools connect, and the team knows how to use them.

05

The client experience

Every step from first contact to follow-up, designed so clients feel taken care of, come back, and bring others with them.

06

Marketing, sales, and outside partners

Your agency, bookkeeper, and IT working from one plan, with one point of contact. Marketing brings in clients, and operations is ready to deliver for them.

Engagement

Up to six months · Starting at $6,500 per month

Book a Call

What Owners Say

A partner who runs it like it’s theirs.

Tiffany is an incredibly reliable and attentive business partner to work with. One thing that stands out: she really makes the effort to understand your business from the inside out. She is a strategic thought partner just as much as a technical expert. Her problem solving comes from this deep empathy. She is looking out for her clients very genuinely and wants them to succeed. She never drops a ball and always follows up on everything. One does not often meet professionals with this level of integrity and care. “Going the extra mile” is a banal expression… until you meet Tiffany and you discover what that really means.

Savanna Jo Lurasachi

Coach, Consultant, and Small Business Owner

Bring in someone who’ll run it like it’s theirs.

Book a call. We’ll talk through where the business stands and whether Lift is the right fit.

Book a Call See All Services

Where It Leads

By the end of Lift, the business is ready for what’s next.

You hire someone to run operations day to day, and the structure is there for them to step into. You step back to focus on a new venture or the work you love, and the business keeps running. Or we stay on in an advisory role through Momentum, leading the business forward with you.

See Momentum