The problem is rarely a shortage of tactics. It is fragmented ownership. Paid media, conversion, creative, positioning, analytics, agencies, and internal teams can all be active while nobody owns the whole system. Fractional CMO leadership creates one set of priorities and one operating rhythm.
That is what a real CMO brings: not just advice, but ownership.
• Set and maintain the growth strategy • Translate company goals into measurable marketing priorities • Lead internal teams, agencies, and specialist partners • Connect acquisition decisions to CAC, LTV, margin, payback, and cash flow • Review positioning, offers, funnels, retention, and channel performance as one system • Build executive reporting and accountability • Decide what to scale, what to fix, and what to stop • Establish the first 90-day priorities and operating rhythm
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• Weekly leadership strategy meeting • Regular internal team and agency reviews • Monthly performance and growth-economics review • Quarterly strategic planning • Executive reporting and decision support • Defined asynchronous access The role is executive leadership and implementation oversight, not outsourced task management.
This is a fit when the company has traction, growth has become more complex, several people or partners touch marketing, and the CEO needs one senior operator to own priorities, economics, accountability, and implementation across the system.

Engagements start at $7,500/month and begin with a defined 90-day leadership period. Final scope reflects company complexity, team size, the number of agencies involved, and the level of implementation oversight required.
Start with an introductory conversation. If the growth constraint is unclear, we will discuss a Diagnostic. If the priorities are understood and your team needs accountable leadership, we can discuss a Fractional CMO engagement directly.
Proof, Not Promises
Over 27 years in marketing, I have worked across healthcare, medical devices, supplements, direct response, paid acquisition, funnels, and growth leadership. Recent work has contributed to $139M+ in direct revenue impact across companies operating in complex and regulated markets.
I lead strategy, priorities, budgets, performance standards, agency direction, team alignment, and executive accountability. Copywriting, creative production, media buying, development, and campaign execution are handled by your internal team, specialized partners, or separately scoped resources.
Unsure what’s holding growth back? Explore the Growth Clarity Diagnostic to understand the assessment, deliverables, and $5,000–$7,500 fee.
Fractional CMO FAQs
Clear expectations about leadership, execution, team coordination, cadence, and investment.
This engagement fits established healthcare, telehealth, MedTech, and supplement companies that need senior marketing leadership but do not need, or are not ready to hire, a full-time CMO. It is especially useful when priorities, agencies, and internal teams need stronger coordination and accountability.
Charles leads strategy, priorities, budgets, performance standards, agency direction, team alignment, executive reporting, and the operating cadence required to keep growth initiatives moving.
Yes. The engagement is designed to improve the performance of the people and partners already in place. Charles clarifies roles, sets priorities, establishes standards, and helps leadership address capability or accountability gaps.
Not by default. Copywriting, design, development, media buying, and campaign production are handled by your internal team, existing partners, or separately scoped specialists. Charles leads the strategy, direction, and performance management around that work.
The cadence is matched to the company, but typically includes a regular leadership rhythm, KPI and pipeline review, priority management, agency or team coordination, and executive decision support. The exact meeting structure is agreed during onboarding.
Fractional CMO engagements start at $7,500 per month with an initial 90-day period. Final scope depends on company complexity, the number of teams and agencies involved, and the level of leadership required.
See what 50 direct-to-consumer healthcare companies reveal about pricing, funnels, recurring revenue, async care, infrastructure, and authority.
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