
Joel Dolisy, CTO at WellSky, joins the podcast to reveal why organizational design is the ultimate "operating system" for scaling tech companies. This conversation is a deep dive into how engineering leaders must adapt their strategies when moving between the hyper growth of Venture Capital and the disciplined profitability of Private Equity.
Building a high performing team is about much more than just hiring. Joel explains the necessity of maximizing the "multiplier effect" where the collective output far exceeds the sum of individual parts. We explore the pragmatic reality of digital transformation, the "art" of timing disruptive technology adoption like Generative AI, and how to use the Three Horizons framework to keep your core business stable while chasing the next big innovation. Whether you are leading a team of ten or an organization of hundreds, these insights on design principles and leadership context are essential for navigating the complexities of modern software delivery.
Core Insights
Shifting the perspective of software from a cost center to a core growth enabler is the fundamental requirement for any company aiming to be a true innovator.
Private Equity environments require a specialized leadership approach because the "hold period" clock dictates when to prioritize aggressive growth versus EBITDA margin acceleration.
Scaling successfully requires a "skeleton" of design principles, such as maintaining team sizes around eight people to ensure optimal communication flow and minimize overhead.
The most critical role of a senior leader is providing constant context to the engineering org, ensuring teams understand the "why" behind shifting constraints as the company matures.
Timestamped Highlights
01:12 Defining the broad remit of a CTO from infrastructure and security to the unusual addition of UX.
04:44 Treating your organizational structure as a living operating system that must be upgraded as you grow.
10:07 Why innovation must include internal efficiency gains to free up resources for new revenue streams.
15:01 Navigating the massive waves of disruption from the internet to mobile and now large language models.
23:11 The tactical differences in funding engineering efforts during a five to seven year Private Equity hold period.
28:57 Applying Team Topologies to create clear responsibilities across platform, feature, and enablement teams.
Words to Lead By
"You are trying to optimize what a set of people can do together to create bigger and greater things than the sum of the individual parts there".
Expert Tactics for Tech Leaders
When evaluating new technology like AI, Joel suggests looking at the "adoption curve compression". Unlike the mid nineties when businesses had a decade to figure out the internet, the window to integrate modern disruptors is shrinking. Leaders should use the Three Horizons framework to move dollars from the core business (Horizon 1) to speculative innovation (Horizon 3) without making knee jerk reactions based solely on hype.
Join the Conversation
If you found these insights on organizational design helpful, please subscribe to the show on your favorite platform and share this episode with a fellow engineering leader. You can also connect with Joel Dolisy on LinkedIn to keep up with his latest thoughts on healthcare technology and leadership.