Impact Ops · Strategy
Impact Ops  /  Strategy Board

The cheap back office is shrinking. We go all in on mid-size B2B.

We are leaving small consumer work, fast. Those buyers cannot pay for a senior operator, and they do not need one. AI is eating the cheap back-office jobs. Our value is helping real mid-size companies run and grow. This board says where we are, why we leave, and what we do next.

01 Where we are 02 Why we leave B2C 03 Who we sell to 04 Two-phase podcasts
Impact Ops  MedImpact International
Growth strategy board
by Qinary
Read it once
01 / An honest look

Where we are, and what we have tried.

So far we have aimed at small and mid-size consumer businesses (B2C). It takes a lot of work. It does not bring much back. Say that out loud first. Then we can fix it.

What we tried

Webinars

Slow. Long waits. Soft attention. Few yeses at the end. A lot of build for a trickle of work.

Effort
Yield
What we tried

Events

They can work. They are heavy. Travel. Getting in the room. One-to-one meetings. Little revenue. HayCon. The event with Nick. The Outdoor Business Summit. Same story each time.

Effort
Yield
Who we aimed at

Small and mid B2C

A business doing about $2M in revenue cannot afford a senior operator. It also does not need one. The buyer is too small for the work it takes to win them and serve them.

Effort
Yield

Same pattern on every path. High effort, low yield.

02 / Why we leave B2C

We leave small consumer work. The numbers say why.

This is not a gut feel. These are numbers already on this board. Cheap back-office work is being replaced by AI. A small B2C cannot pay for the kind of help Jeff and Impact Ops actually give.

$7.52B → $68.75B
AI bookkeeping and accounting software is growing about nine times: from $7.52B in 2025 to a forecast $68.75B by 2031 (44.6% CAGR). Anyone can spin up a cheap books tool. Price gets driven down. Selling that kind of work is a shrinking game.
Mordor Intelligence, AI in Accounting Market, Jan 8 2026
~14%
The IMF says BPO is the Philippine sector with the highest share of jobs at risk from AI. About 14% of those jobs are high-exposure and low-complementarity. In plain English: AI replaces the work instead of helping a person do it. Cheap offshore back-office labor is now a weak bet.
IMF Working Paper 2025/043, Cucio and Hennig, Feb 2025
16,000
AI is wiping out a net 16,000 US jobs every month in data entry, customer service, and billing. That is the exact work we used to sell as a cheap back office. It is disappearing in real time.
Goldman Sachs via Fortune, Apr 6 2026

Put it together. A small consumer company doing about $2M in revenue cannot afford, and does not need, a senior operator. We will never get paid enough for the effort we spend winning them. That is why we leave B2C fast.

What a senior operator costs A fractional CFO runs roughly $3,000 to $12,000 a month, versus $250,000 to $500,000 or more a year for a full-time CFO. That is real value, but only to a company big enough to use it. The small B2C sits below the floor where strategic operations make sense. Typical market range, K38 Consulting, Pilot, CEO Finance Academy, 2025 to 2026

The old game was selling cheap labor down-market. The new game is selling senior operations up-market.

The turn

Go all in on larger B2B. The relationships are already there. The network is already big. Skip the giant drugstores. Same effort. Faster path. Bigger work.

03 / Who we sell to

Sell up, not down. Skip the giants.

The relationships are already there. MedImpact already sits in a huge book. We do not start cold. We sell up, into a network we already serve, and we do it faster because the doors are open.

$40B+
MedImpact processes more than $40 billion in pharmacy transactions a year. That is the river we already sit in. Speed here is not a cold hunt. It is moving inside a book we already serve.
MedImpact, Who we are. More than $40 billion in pharmacy transactions annually
20M+
More than 20 million members. Employers, commercial, and government health plans. The size is already on our side. Larger B2B is the same network, not a new market we have to invent.
MedImpact, Who we are / Who we serve. More than 20 million members and consumers
$606B
US medicine spend hit $606 billion in 2025, up 10.6% in one year. Pharmacy is now about 27% of what employers spend on health, up from 21%. The industry is big. The money is already moving. That is why we go at larger B2B now, not later.
IQVIA Institute, U.S. Medicine Use Trends 2026. Business Group on Health 2025 survey, pharmacy share of employer health spend

Put it together. The doors are already open. We already know the people. The book is large enough to pay a senior operator. Same effort as a small B2C chase. A much faster path to real work.

Go here · the gold mine

Mid-size B2B partners

MedImpact partners are many, and they are mid-size. Big enough to pay. Not so big they already built this in-house. Same effort as chasing a small B2C. The deals are far bigger. This is where the work lives.

Where we show up now

Heavier LinkedIn

Write where mid-size decision-makers already read. Lead with a point of view. Do not lead with a pitch.

Specialized partner events

Small rooms built for one Impact Ops partner. Not a booth at a general summit.

The operating blueprint with Zach

Show a partner how the business scales. Then run it with them.

04 / The ecosystem

The whole universe we can sell into.

MedImpact sits at the centre, and Impact Ops is its delivery engine. Around it orbit three rings: the family companies Jeff and Zach can open from the inside, the mid-size partners next door, and the people upstream who steer who gets chosen. Hover any player to see the angle.

Inner MedImpact family, warm cross-sell Middle External mid-market partners Outer Upstream steerers, Zach BD
MedImpactMI
$40B+ pharmacy transactions a year20M+ members. Impact Ops is the delivery engine
Downstream · fulfilmentUpstream · who steers selection →

Content radiates outward. It starts the conversation upstream with the consultants, coalitions and payers who decide who gets picked, and it warms every buyer below them on the way back down.

04.1 / The engine behind it

A content series, not one person's feed.

One shoot becomes a library, and the library feeds every orbit. Zach anchors it, but Jeff and each partner guest widen it, so the engine never rests on a single voice.

Capture

One shoot

A single Tampa content day. Executives on camera, saying yes to a platform they would never take a cold call for.

Multiply

A library

60+ finished assets cut into clips, long-form, posts and stills. Zach alone runs to 40+; Jeff and partner guests widen it.

Distribute

Every channel

LinkedIn thought leadership, partner events, landing pages and nurture. The series carries the argument, not the ask.

Convert

Warm the orbit

Each guest is a buyer or a door. The content starts upstream and pulls the whole ecosystem into the conversation.

Ready to drop in · Zach, Tampa Final assets in hand · placeholders below

Placeholders hold the layout. Swap each for a real Tampa asset as we stage them, so this section grows into a live reel the moment the platforms are ready.

05 / The two-phase play

Podcasts first. Doors second.

This is not a side project. It is a two-step plan. First we earn the right to be heard. Then we use that trust to start talks we could not start cold.

Phase 1

Earn authority

Podcasts give us proof on social and online. They also give us proof inside the MedImpact and Impact Ops network. People hear the work. They see who we sit with. That is how we stop looking like a cheap labor shop.

Phase 2

Open doors we could not open cold

That authority is the intro. It lets us talk with partners we could not reach with a cold email. The show is how we get in the room. The room is how we sell up.

Where we are today. One podcast is done. We have 48+ clips ready. We wait until two more guests are in alignment. Then we roll.

Immediate intros from Zach
  • Jon Schlosser — CEO and founder of ALTTRAX
  • Steve Saft — CEO of WellDyne (Tampa)
Longer tail
  • Martin Payne — founder and CSO, LucyRx
  • Mostafa Kamal — President and CEO, Prime Therapeutics (ex-Medco)

Thought-leadership intros from Zach (Buck email, Aug 20). Not a published roster. Do not treat this as a public guest list.

06 / How we win

We are the senior operator. Not the cheap labor shop.

Jeff and Impact Ops help companies grow through customer experience, call centers, IT that can scale, financial modeling, and bookkeeping. The hard-to-copy part is human judgment, culture, SOPs, and knowing how to flex a business up and down.

The frame AI-helped, not AI-replaced. We use AI on our own backend. We run it with extraordinary Philippines and Cebu talent. Human plus AI. Never AI-only.
▪ Customer experience ▪ Call centers ▪ IT scalability ▪ Financial modeling ▪ Bookkeeping ▪ SOPs and culture ▪ Flex up and down
Why human plus AI wins

AI-only underdelivers. Customers know it. They still want a way to reach a person. The winning model is human judgment with AI as leverage. Not a chatbot standing in for the operator. That is the seat Impact Ops already sits in.

The proof
24%
Only 24% of service and support leaders saw positive financial returns from their AI use cases. Customers still expect the option to reach a human.
Gartner, 2026
07 / What we do next

Four moves. Same buyer.

Build trust at a higher level. Put the time where the deals actually are. Webinars and general B2C events stay on the high-effort, low-yield list.

01

Tampa content

Build trust, awareness, and attention at a higher level. Earn the room before the room exists.

Trust · authority · awareness · attention
02

LinkedIn-led thought leadership

A clear point of view where mid-size decision-makers already watch. The take first. Substance behind it.

Executive point of view · the main channel
03

Specialized partner events

Events built for specific Impact Ops partners. Fewer rooms. Better rooms. Each one aimed at a real relationship.

Specific partners · high intent
04

The blueprint with Zach

Show partners how a business scales. Then operate it with them. Strategy and doing the work, in one offer.

Blueprint · operations · scale
The one line everything serves

The gold mine is mid-size B2B. That is where the attention goes.

Leave B2C. Sell up to MedImpact partners. Skip the giant drugstores. Win as the senior operator: human plus AI. Use podcasts to earn trust, then open doors we could not open cold.

Qinary Impact Ops · strategy board