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30+ years inside healthcare commercialization.
I've spent my career helping healthcare companies navigate the decisions between promising innovation and commercial scale.
Across product marketing, enterprise sales. go-to-market and executive leadership. I've built global teams, launched products, shaped markets, managed complex portfolios and helped companies navigate growth, expansion, M & A , and exit.
Today, I bring that experience to women's health founders and commercial leaders navigating their own next stage of growth.
Julie Spence
I built Bostonia because growing startups shouldn't have to settle.
As companies scale, commercial complexity often grows faster than commercial capability.
The market changes. Buyers change. Product portfolios expand. New channels emerge. Investor expectations rise. And decisions that once felt straightforward become increasingly interconnected.
Yet growing companies are often forced to choose between building an entire commercial function in-house or cobbling together agencies, consultants and fractional resources that each own one piece of the problem.
Bostonia gives founders and commercial leaders access to experienced healthcare commercialization leadership and the capabilities to act on it when and where they need it.
I've sat on multiple sides of the commercial table.
COMMERCIAL LEADERSHIP
Led across marketing, revenue and GTM, making decisions about markets, growth, investment, teams and commercial performance.
ENTERPRISE SALES
Spent years directly across the table from healthcare buyers—seeing what creates urgency, what builds conviction, and what moves complex decisions forward.
PRODUCT MARKETING
Building functions, managing portfolios, positioning products,
launching new offerings, and equipping commercial organizations.
AGENCY + ADVISORY
Built and led outside partnerships—bringing executive-level strategy and specialized capabilities to companies when and where they need them.
I've led growth from more than one seat at the table.
Commercial growth rarely belongs to one function. It requires decisions across market strategy, product, sales, marketing, customer growth and organizational leadership.
My perspective comes from having led across those intersections-and being accountable for what happened next.
Market intelligence • Category Development • Strategic Narrative • Positioning •
Thought Leadership
Creating the market understanding and conviction that determines where a company competes and why buyers should care.
Product marketing • GTM strategy • Sales enablement • Enterprise pipeline • Acquisition
Turning market opportunity into repeatable commercial execution and measurable growth.
Revenue influence • Partnerships • Expansion • Portfolio growth •
M&A integration
Making and executing the commercial decisions required as products, markets and organizations become more complex.
Function building • Team leadership •
Talent development • Executive alignment
• Operating models
Creating the market understanding and conviction that determines where a company competes and why buyers should care.
The advantage isn't experience in any one discipline.
It's knowing how the pieces work together when the stakes are high.
SPEAKING
Keynotes
Panels
Fireside Conversations
Bringing an experienced commercial
perspective to conversations about healthcare innovation. commercialization and growth.
JUDGING
Pitch Compeitions
Innovation Challenges
Demo Days
Evaluating innovation through the lens of market opportunity, commercial viability and readiness to scale.
TEACHING
Guest Lectures
Workshops
Executive Education
Translating three decades of commercial experience into practical frameworks for future leaders and innovators,
MENTORING
Office Hours
Pitch Readiness
Commercialization Guidance
Helping emerging founders sharpen market strategy, strengthen their commercial story and prepare for what comes next.
INTERESTED IN WORKING TOGETHER?
Discuss program, event or community collaboration.
Backing the people building what comes next.
Bringing experienced commercial judgment to the decisions that shape how promising healthcare innovations enter the market, gain traction and grow.
Senior expertise stays close to the work.
Bostonia brings together experienced commercial leadership and specialized expertise around engagement giving innovators the right level of support for the work ahead.
PARTNER-LED
Executive judgment, strategic direction and senior client leadership on every engagement.
COMMERCIAL ADVISORS
Experienced operators who translate strategy into commercial action and measurable growth.
SPECIALIST EXPERTISE
Targeted expertise brought in when the opportunity requires deeper or specific capabilities.
ANALYTICAL SUPPORT
Research, market intelligence and analysis that strengthen every recommendation.
Perspective shaped by experience.
Commercial observations on the forces shaping women's health innovation, growth and scale.
Women's Health Has Entered It's Era of Scale. Is Commercialization Ready?
Capital is accelerating. Expectations are rising. The next challenge for women's health isn't simply innovation— it's building companies capable of commercial scale.
Why Promising Healthcare Innovation Stalls
The distance between product-market promise and commercial performance-and the capabilities companies need to cross it.
The Commercial Shift Reshaping Women's Health
What changes when the buyer becomes an employer, payer, health system or strategic partner—and why the strategy, evidence and narrative must change with it.