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Paul
Redfern
COO/CPO
Big Picture Medical
Paul is a product leader with deep expertise in healthcare technology, digital transformation, and enterprise product strategy. As Chief Product Officer at Big Picture Medical, he led the vision, strategy, and delivery of an interoperable healthcare platform that enables the secure exchange of clinical data across health systems, supporting better care coordination and laying the foundation for AI-enabled healthcare. Drawing on extensive experience building and scaling complex technology products, Paul has a strong track record of translating customer and market needs into impactful product outcomes. He is passionate about creating innovative digital solutions that improve patient outcomes, empower clinicians, and drive meaningful change across the healthcare ecosystem.
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28 October 2026 10:15 - 10:45
From startup sprints to enterprise systems: Matching dev velocity to company stage
The right operating model for a product team shifts with company size. What works for a five-person product org running on instinct and speed breaks down at fifty without structure, and what keeps a scale-up aligned becomes bureaucratic drag at enterprise scale. This session looks at how PM teams should calibrate autonomy and pace to their company's actual stage, not an aspirational one. This session covers: - How product teams can move fast and work autonomously without losing sight of company-level goals - Which alignment mechanisms (OKRs, roadmap reviews, stakeholder syncs) actually earn their keep at each company size, and which ones are just theater - How to build a strategic operating rhythm for product management that scales with headcount instead of fighting it Attendees will leave with a practical framework for matching PM team autonomy to company size, so speed and strategic alignment stop being a trade-off.