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Case Study: Healthcare Tech Organization
Scaling Leadership Capability in a 700-Person
Healthcare Tech Organization

Industry: Healthcare
Function: Technology
Company size: ~700 tech employees
Engagement length: 12 months
Audience: First-time and experienced people leaders

The Situation

Rapid growth created a leadership gap.
The organization had promoted many high-performing subject matter experts into people leadership roles. Technically strong, they were now expected to:

  • Lead difficult conversations

  • Navigate conflict

  • Communicate change

  • Solve problems instead of escalating them

The result wasn’t a lack of effort — it was leaders operating without shared leadership behaviors while the system around them was scaling fast.

Why This Became a Business Risk

Without shared leadership behaviors in place, early signs of strain began to appear:

  • Inconsistent leadership decisions across teams, slowing execution

  • Escalation instead of ownership, pulling senior leaders into operational issues

  • Unable to communicate change effectively, which created too much organizational noise

  • Cross-team relationships were weakening just as collaboration had become more critical

None of these showed up as a single “problem.” Together, they signaled a system under pressure.

What Leadership Needed?

The Innovation and Talent team recognized that a one-time intervention wouldn’t close this gap.
What was needed was:

  • A shared set of leadership behaviors that enable growth and development at scale

  • A way for leaders to practice needed behaviors in real work

  • A structure that could scale across a large, distributed tech organization

  • An approach that respected leaders’ time and didn’t pull them away from their day-to-day responsibilities

That insight shaped the approach.

Our Approach

We partnered with the Innovation and Talent team to design a year-long peer-to-peer leadership program for all tech leaders.
The design centered on:

  • Short, focused learning moments aligned to real work

  • Peer coaching with colleagues at the same leadership level

  • Immediate application through live leadership challenges during program sessions

Each leader was paired with a peer coach and met regularly for 30-minute coaching conversations, focused on real situations they were navigating with their teams - both during sessions and in between.
The program was fully remote and designed for active participation, not passive consumption.

What Changed

Leadership behavior shifted at scale
Executive leaders observed more leaders taking ownership of problem-solving, consistently applying communication practices, and addressing conflict directly rather than escalating issues.

Peer coaching became self-sustaining
Leaders consistently named peer coaching as the most valuable element of the program. Many began using the same coaching approach with their own teams, without being prompted.

Engagement remained high across the year
Despite being remote, leaders participated actively, shared openly, and stayed engaged throughout the program.

“We’ve never experienced this level of engagement or practical impact from a leadership program — especially at this scale.” — Executive Leader, Technology Organization

Why This Worked

This wasn’t about teaching leaders what to do.
It worked because leaders practiced leadership behaviors together, in real time, on real work; creating shared language, shared accountability, and stronger relationships as the organization continued to grow.

Who This Is For

Organizations that:

  • Promote technical experts into leadership roles

  • Are scaling faster than leadership capability

  • Need leaders to solve problems, not escalate them

  • Want leadership development that shows up in day-to-day work

Case Study: This Dot
Annual Leadership Coaching for Organizational Alignment

Learn More About  This Dot

Background

This Dot, a software consultancy dedicated to fostering innovation and community within the tech industry, recognized the need for ongoing leadership development and team alignment. To maintain a thriving organizational culture of innovation and connection. To empower their leaders, This Dot sought the guidance of renowned leadership and executive coach Noa Ronen.

The Gap:

As This Dot scaled, leaders faced stretched roles, new dynamics, and the need to keep communication, collaboration, and alignment strong. They needed a partner to bring structure, sharpen relationships, and ensure every voice contributed to growth.

Our Approach

We partnered with the leadership team to design an annual program that resets alignment each year:

  • Learning Circles – A space to practice real conversations, strengthen collaboration, and build trust across the team.

  • Team Strengths Assessment – Clear insight into how each leader works best, turning differences into alignment.

  • 1:1 Leadership Coaching – Ongoing growth for executives, focused on peak performance and sustained impact.

Results:

  • Leaders realigned on priorities and worked with greater clarity.

  • Teams understood each other’s strengths and built stronger trust.

  • Employees grew their skills and engagement, fueling company-wide growth.

The Ripple Effect.

Annual coaching became part of This Dot’s leadership rhythm—turning growth and change into opportunities for alignment, connection, and stronger results.

Woman in blue lace dress with pearls standing against a stone wall

Tracy Lee, CEO of This Dot

“Noa supported our executives through group sessions, offered individualized coaching at all levels, and helped reveal the subtle interpersonal dynamics among our staff. By highlighting our diverse personalities' strengths and challenges, Noa enables us to understand each other better and collaborate more effectively..”