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Culture By Design

Culture By Design

By: Heather Smith
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Meet business owners and executives who recognize that employee culture is too important to be left to chance. Each week, we dive into how companies like yours transform accidental norms into purposeful strategies that accelerate growth while enabling employees to thrive. If you're eager to turn culture into a competitive advantage for your small or mid-sized business, Heather Smith, CEO of Talent Elevated, will give you practical strategies for designing culture with intention and unlocking employee potential. Find the clarity, focus, and actionable insights to build a workplace where your team is invested in their work, their colleagues, and the company mission—even when business priorities feel overwhelming.© 2026 Heather Smith Economics Management Management & Leadership Personal Development Personal Success
Episodes
  • 11. Culture Under Pressure: Dr. Amy Thompson on How to Lead When Everything Feels Too Hard
    May 21 2026

    Taking on a leadership role is hard. There are days when the mountain just feels too high, the problems too complex, and you’re not sure if you can keep going.


    Dr. Amy Thompson has keenly felt those moments of uncertainty over the last decade or so as she has moved from practicing pediatrician to her current role as CEO of Covenant Health.. I’ve been fortunate enough to work alongside her, and she is one of the most grounded and thoughtful leaders I’ve known.


    In our conversation, we talk about how she brings purpose and intention to her work, what it means to mentor well and invest in senior leadership, the real secret sauce of successful organizations, and the quiet signs that culture is breaking down.


    If you’ve ever wondered if you really have what it takes to lead, this episode will give you practical advice for carrying the weight as well as a renewed sense of what’s possible, even in the hardest seasons.


    Dr. Amy Thompson M.D. F.A.A.P has been part of Covenant Health since 2009 when she

    began with Covenant as the Chief of the Division of Inpatient Medicine at Covenant Children’s

    Hospital. She still holds this important title as well as becoming the CEO for Covenant

    Children’s Hospital in 2016, and later the Chief Executive for Covenant Health Lubbock Service

    Area in 2022.


    Dr. Thompson serves on the American Board of Pediatrics and has received numerous awards

    and honors throughout her education and career. She is a member of the American Academy of

    Pediatrics, Society of Hospital Medicine, Academic Pediatrics Association, and AAP Section on

    Hospital Medicine. She serves on the Medical Executive Committee for Covenant Children’s

    Hospital and the Quality Review Committee for Covenant Children’s Hospital.


    Listen to the full episode to hear:

    • The keys to her leadership development
    • How Covenant Health fosters deeper connections to their mission and values for everyone
    • The importance of pausing to acknowledge what’s working during challenging times
    • How breakdowns in communication signal an eroding culture and what leaders can do to help reopen the channels
    • Why team leaders are the key to making people feel connected to their organization


    Learn More About Dr. Amy Thompson and Covenant Health:

    • Covenant Health


    Learn More About Heather Smith:

    • Talent Elevated
    Show More Show Less
    46 mins
  • 10. From Inside Out: How Jamie Gier Links Culture, Brand, and Business Growth
    May 7 2026

    Have you ever looked at your customer experience metrics and thought, something feels off, but you can’t quite put your finger on why?

    Or maybe you’re trying to hire and compete for talent, and it feels like other companies just have more pull, even when you know your company offers something special.

    Here’s the hard truth: Your employer brand isn’t what you say it is. It’s what your employees prove it is, every single day.

    And if there’s a gap between the promise and the proof? Your customers feel it.

    Today’s conversation is about real decisions leaders make every day — during growth, during change, and especially during uncertainty. Culture isn’t a “soft” thing or a nice-to-have, it’s a core part of your brand and it’s a business driver.

    My guest, award-winning CMO Jamie Gier, has seen firsthand how culture and brand either accelerate growth, or quietly erode it. We talk about why your employees are actually your most credible marketers, how  to spot culture breakdowns before they show up in your numbers, and what it really takes to build a brand that attracts and retains the right people, even if you're not the biggest name in your market.

    Jamie Gier is a growth-focused marketing executive with extensive experience igniting go-to-market engines for some of the world’s leading and emerging brands—from VC- and PE-backed companies to Fortune 500 enterprises—with a focus on healthcare and education. Her expertise spans brand strategy, demand generation, corporate communications, and customer advocacy, and she is known for repositioning brands to increase equity and loyalty. Most recently, she served as Chief Marketing Officer at DexCare, and previously held executive marketing leadership roles at GE Healthcare, Microsoft Health Solutions Group, Ceros, and DreamBox Learning. She is also a founding member of CMO Huddles, a peer group of senior marketing leaders.


    Listen to the full episode to hear:

    • Why external brand messaging and internal company culture need to be in alignment for successful growth
    • The customer metrics that indicate an employer brand and culture that are out of sync
    • How to start building an intentional culture that has buy-in and support from all areas of a company
    • The importance of emotional equity and clear communication during periods of change
    • How a strong employer brand and mission make smaller companies more competitive against industry giants
    • Why every executive needs to take ownership of culture, not just HR or the CEO


    Learn More About Jamie Gier:

    • Website: http://www.jamiegier.com
    • Connect with Jamie on LinkedIn: https://www.linkedin.com/in/jamie-gier/


    Learn More About Heather Smith:

    • Talent Elevated: https://www.talentelevated.org
    Show More Show Less
    44 mins
  • 09. Leading with Urgency, Winning with Culture: Matt Kane on Scaling Teams That Last
    Apr 16 2026

    Business leaders often feel that everything is urgent in their business. The challenge is that when everything is urgent, team members are confused, important work doesn’t get done, and real priorities get lost in the shuffle.


    My guest today shares a take on approaching urgency in a way that supports progress and forward momentum.


    When Matt Kane describes the kind of urgency that benefits growth, he’s not focused on speed of action. Instead, he talks of clear, strategic and precise action focused on the ultimate goals of the business.


    In our conversation, Matt brings decades of experience scaling revenue teams to focus on the questions that matter most: How do you build a culture that holds under pressure? How do you lead with urgency without sacrificing precision? And what does it really take to scale a team without losing the people at the heart of it?


    Matt Kane is the Chief Revenue Officer at Navigate360, the leading provider of safety and well-being solutions for schools. As CRO, he is responsible for the company’s revenue-generation strategy. Over his 30+ year career, he has successfully driven companies to grow their revenue by as much as 81%, significantly expand their market share, and achieve a successful public offering.h


    Listen to the full episode to hear:

    • Why urgency doesn't mean speed — and what it actually means to move with urgency and precision
    • How the culture you build internally is the single biggest driver of what your customers experience externally
    • What most leaders get wrong about hiring during periods of rapid growth — and how to get ahead of it
    • How to lead through mergers and acquisitions without losing the cultural DNA that made the acquired company worth buying
    • What "leading from the front" really looks like across a multifaceted leadership team

    Learn More About Matt Kane:

    • Navigate360
    • Connect on LinkedIn


    Resources:

    • Tuckman Model: Stages of Group Development
    • What is the DiSC assessment?


    Learn More About Heather Smith:

    • Talent Elevated


    Show More Show Less
    43 mins
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