The Misalignment Tax: How Internal Silos Sabotage Growth

How internal misalignment sabotages growth and what growth-stage healthcare companies can do about it.

I once worked with a SaaS healthcare company where Product and Marketing called it a "tool," Sales called it a "platform," and Customer Success called it a "solution."

Customers couldn't quite articulate what the product did or how it integrated into their existing workflows. Not because the product was complex, but because every internal team was telling a different story.

Sales cycles stretched. Adoption crawled. Utilization stalled.

Why This Matters as You Scale

You might think, "It's just semantics, and easy to fix." 

While this may appear to be a simple messaging issue, it reveals a more fundamental challenge that many internal teams face when they aren’t aligned on the customer journey or have a coordinated approach to product positioning.  

At early stages, organizations can absorb these inefficiencies. By Series C, these cracks become chasms that directly impact growth and revenue.

To support customers, internal teams must support each other first.

This means developing a shared understanding of the end-to-end customer journey and each function's role in delivering a seamless experience.

Setting The Foundation For Growth

You cannot deliver an exceptional customer experience without exceptional internal collaboration.

Here is how I helped the SaaS company set that foundation for growth. 

1. Unified Customer Training Journey 

I created the end-to-end customer experience on how the customer will interact with the product,  the support they need to understand value as quickly as possible. I brought together every function from Product, Marketing, Sales, Customer Success, Training, and their role in the journey. 

2. Coordinated Touchpoint Design

Each customer interaction was built on previous ones, creating a coherent narrative. Made sure that Marketing's messaging, and customer profiles aligned with sales conversations, which aligned with the customer success and training support.  

3. Weekly Stand-Ups

In weekly standups, each team discussed the journey which was the blueprint to align on current goals, challenges and feedback. 

Building the Ecosystem

Organizations that master this don't just see incremental improvements. They experience compounding returns:

  • Sales cycles compress because messaging is consistent and prospects develop clarity faster

  • Adoption accelerates because the transition from sales to onboarding is seamless

  • Utilization increases because training addresses real objections and use cases

  • Retention improves because customers experience a coherent, value-driven journey

  • Advocacy grows because confident, successful customers become vocal champions

Most importantly, these companies scale more efficiently. They don't need to constantly increase headcount to maintain service levels because their systems support both customers and employees.

Webinar

On Thursday, January 29th, 2026, Kelly Macdonald and I are hosting a working session on exactly this topic: Building an Ecosystem for Sustainable Growth.

We'll explore:

Brand Messaging Alignment: How to create messaging that resonates consistently across every customer touchpoint, so prospects and customers instantly understand your value proposition

Strategic Education Design: Why education extends far beyond onboarding content, and how to leverage it as the primary driver of long-term engagement, adoption, and expansion

Cross-Functional Frameworks: The specific systems and rhythms that align Marketing, Customer Success, and Product teams around the customer milestones that actually predict success

Intentional Touchpoint Architecture: What it looks like to design a customer journey that systematically guides users from "figuring it out" to becoming confident, vocal advocates

Who Should Attend

This session is specifically designed for:

  • VP and C-level executives at growth-stage healthcare companies

  • Strategic advisors and board members focused on operational excellence

  • Leaders responsible for customer experience, revenue operations, or cross-functional initiatives

If you're serious about retention, advocacy, and building a scalable growth engine, this conversation will provide both strategic perspective and tactical tools.

Why This Matters Now

A connected adoption ecosystem transforms how customers experience your product, how your teams collaborate, and how efficiently your organization scales.

In an increasingly competitive healthcare technology landscape, this kind of operational excellence becomes a sustainable competitive advantage.

Looking forward to the conversation,


Manasi

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