Across every step of hiring, I help you make the call that holds up: the decision, the scope, the search, and the systems behind them.
Sometimes companies have a hiring problem. More often, they have a decision problem that shows up as a hiring problem.
I'm Kate Rose, formerly Smithson. I've spent nearly a decade in talent acquisition across agency, in-house, and leadership roles, with deep experience in GTM hiring (sales, marketing, legal, finance, and customer-facing leadership for companies scaling revenue). On the agency side, I ran searches for 100+ clients across technical, product, and specialized roles including electrical engineers and hardware engineers. Most recently, Head of Talent Acquisition at SCA Pharma, a PE-backed 600-person 503B outsourcing facility under FDA oversight, where I built the talent function from the ground up and led hiring across Clinical, Sales, Legal, Finance, Engineering, and Leadership. Before that, I led go-to-market talent at Redox, a VC-backed healthtech company, and delivered 75+ hires including doubling the sales team.
I build process, coach teams, help founders and leaders make better calls on who to hire, and set up the systems that make it repeatable, from kickoff to ATS selection and setup.
I also bring technical implementation experience that goes beyond TA. I've worked directly with regulated data through APIs and JSON, used AI-assisted workflows in my own work, and integrated AI data across systems. When a problem spans hiring and the systems around it, I can hold both.
I'd rather take longer to make the right hire than hit a deadline with the wrong one. That said, when I joined Redox I cut sales time-to-hire from 57 days to 20. The work I do usually makes hiring faster over time, not slower, because most of the slowness comes from shifting searches once gaps in the original scope surface. In regulated environments, a bad executive hire costs 2-3x the role's salary when you factor in failure risk. Speed matters. Speed at the expense of quality is what gets companies into trouble.
The common thread across everything I work on: regulated or complex environments where hiring mistakes cost more because the talent pool is narrower and the stakes are higher. The systems behind hiring (ATS, HRIS, data pipelines, AI workflows) have to be built deliberately, not bolted on.
A few ways to work together, priced so incentives stay aligned with quality hires, not speed to fill.
Not sure which engagement fits? Book a free 30-minute call. By the end of it you will know exactly what makes sense, or whether it does not.
Book a free callSenior talent leadership inside your company. Supporting high-stakes hiring while building the systems, sourcing structure, job briefs, structured documentation, and operational foundation needed for recruiting to scale beyond a single search. This can include coaching hiring managers, clarifying role scope, designing cleaner processes, and preparing the function to transition to a full-time internal talent leader when the time is right.
Best for: Seed through Series D startups, or PE-backed companies in the first 6 to 12 months post-investment, where hiring quality is governance, not throughput.
One role, focused work until the path is clear. I reset the role, rebuild the candidate pipeline if needed, coach the interview panel, and help you close. You end up with one hire made right, or clear evidence the role should not exist as currently defined.
Hands-on setup, integration, and configuration of the systems your hiring runs on. ATS, HRIS, reporting dashboards, candidate workflows, scorecards — the operational layer that decides whether the team can actually move.
Systems worked with: Greenhouse, Lever, Paylocity, and Bullhorn. Other ATS and HRIS platforms can be in scope on request.
I bring direct technical experience: regulated data through APIs and JSON, AI-assisted workflows, and cross-system integrations. Related software implementations beyond ATS and HRIS can be in scope when they touch the same operational layer. Light recruitment or people-ops work alongside the implementation is available if you want a single hand on both.
Best for: Teams standing up a new ATS or HRIS, mid-implementation projects that have stalled, or hiring ops that have grown without intentional configuration.
If you are not sure whether an engagement is the right fit, this is where most people start. Bring one decision. Ninety minutes. You will leave with a clear answer, and a sense of whether ongoing work makes sense.
A structured evaluation of a single hiring decision before you commit.
Best for:
You bring one hiring decision. I bring the pattern recognition from 400+ hires, regulated environments, startup hiring, and senior stakeholder work.
A single hiring decision can represent a $300K to $700K commitment when you factor in salary, ramp, and risk.
This is the review before that commitment.
Don't see an arrangement that quite fits? Engagements and fees can be tailored to specific situations. Email Kate to scope something custom.
Use this when the real question is not just who to hire, but whether the role, timing, and path make sense.
These protect both of us. I do my best work when the scope is clear and expectations are set up front.
Commitment terms vary by engagement. Retainers have a 3-month minimum, then either side can end with 30 days notice. Role Rescue and Talent Systems Manager run month-to-month from day one. Career Coaching and Decision Review are one-session bookings — pay at checkout, show up, done.
The intake call is how we decide whether an ongoing engagement makes sense. Decision Review is self-serve: book, pay, and bring one decision.
The Fractional Head of Talent and Talent Systems Manager engagements start with a 30-minute intake call. It is free, but it is not a sales call and not a working session. Role Rescue is self-serve, no intake call required.
David Millsaps · Marketing AI for Healthcare
If you're an individual navigating a job search, an offer, or a career transition, that's a different conversation.
Career coaching for sales, GTM, project managers, and software engineers lives on its own page. Same person, different audience.
Send me a note with the decision, role, or hiring problem you are working through. I'll tell you whether I'm the right fit.
Email: [email protected]
Book a 30-min intake call: calendar link →