Embedded GTM Leadership for Healthcare’s Hardest Stage
Fractional CMO work, GTM advisory, and hands-on marketing leadership for healthcare and medtech companies stuck converting pipeline into revenue
You don’t need another audit. You need someone in the room. As your fractional GTM leader, I run point on strategy, own execution, and sit inside your team for 3 to 18 months — senior leadership without a full-time hire.
1MW provides embedded GTM leadership, advisory, and focused engagements for healthcare and healthtech companies at an inflection point.
What we offer
You don’t need another vendor. You need someone in the room, running point on strategy and execution for 3 to 18 months.
A sounding board that’s actually senior. Recurring access to direct strategic counsel, no execution ownership, just answers.
Focused Engagements
A stuck deal. A board deadline. A narrow problem with a clock running. Scoped projects from a two-week audit to a 90-day Sprint.
Who I Am
I’m Damian Aguirrechu. Twenty years of commercial leadership inside healthcare, at Medtronic, Healogics, Optum, and Organogenesis, before I started doing this work independently.
Most healthtech companies don’t have a GTM problem because nobody’s tried. They have one because the customer they pitched investors isn’t the customer who can survive their onboarding, or because the story that got them funded stopped being the story that gets them the next health system deal.
I step in as embedded leadership, not a vendor with a deck. Sometimes that’s 3 to 18 months running your GTM function directly. Sometimes it’s a standing call every week. Sometimes it’s one specific, stuck problem that needs to move in the next 30 days.
Who We Work With
We partner with founders, CEOs, and revenue leaders at:
Healthcare & Medtech Companies
AI-Enabled Startups
B2B Service Businesses
Whether you're early-stage or post-Series A, if you’re ready to stop guessing what works and start leading with marketing, we can help.
What Clients Say
“Damian worked with my firm for several months, to help us craft new, more effective messaging. He helped us hone our content and deliver it, via a variety of approaches and channels. His skill lies not only in his marketing experience and expertise per se, but in seeing new ways to express meaning and value to prospects and the broader market. He’s constantly coming up with new ideas and suggestions, and enjoys piloting those alongside his clients. In addition, he’s fun to work with! Damian can help you position, adapt and polish your marketing approach.”- Ted Benson