Marketing Partnership Proposal

Powering Medusind's Next Chapter of Growth

A unified marketing partnership designed to accelerate brand awareness, fuel pipeline, and support Medusind's path to $20M+ in marketing-influenced bookings.

March 2026 12-Month Program SketchDeck & Markacy  |  24 Seven Agencies
01 / Understanding Your World
Medusind Is at an Inflection Point
PE-backed and positioned for rapid growth, Medusind needs a marketing engine that matches its ambition. You're competing in a crowded RCM market with 389+ vendors, and the current marketing infrastructure isn't built to drive the pipeline at the scale your goals demand.
Challenge

The Revenue Gap

Marketing is expected to drive $20–24M of the $40M bookings target, up dramatically from $2.9M last year.

Visibility

Brand Awareness

In a field of 389+ RCM vendors, Medusind's service delivery outpaces its market visibility and brand recognition.

Infrastructure

Marketing Stack

Your Salesforce + Pardot stack has potential, but scoring, nurture flows, web conversion paths, and CMS maintenance all need attention.

Timeline

PE Exit Horizon

With a 2–3 year exit horizon, every quarter counts and marketing needs to demonstrate measurable pipeline impact quickly.

$40M
Bookings Target
389+
RCM Competitors
10+
Specialties
36d–300d
Avg Sales Cycle

Marketing Challenges in More Detail

Low Brand Differentiation in a Saturated Market

In a field of 389+ RCM vendors, Medusind's brand doesn't yet reflect the quality of its service.

Sales Collateral That Doesn't Match the Product

Reps are building their own decks because the existing materials don't land, slowing deal velocity on opportunities that should be closing faster.

Demand Gen Infrastructure with Room to Scale

Paid media, SEO, and AI search strategy aren't yet aligned to the highest-value verticals, and the Salesforce/Pardot stack needs stronger scoring, nurture flows, and conversion paths.

Content That Isn't Yet Connected to Pipeline

Content is being produced but it doesn't ladder up to a clear funnel; the opportunity is to turn it from a checkbox into a pipeline driver.

Fragmented Measurement Across Platforms

Reporting is spread across platforms with no unified view tying ad performance, content engagement, and Salesforce pipeline together.

02 / Our Approach
Your Full-Service Integrated Agency Program.
Under the 24 Seven umbrella, SketchDeck and Markacy bring complementary expertise that covers the full spectrum of Medusind's marketing needs, from brand storytelling to performance analytics.
Portfolio of work by SketchDeck and Markacy

Built to Be an Extension of Your Team

We heard you loud and clear: you want an agency that listens first, brings proactive ideas, and operates as a true extension of your marketing org. That's exactly how we're structured, providing you two dedicated project managers, weekly meeting cadence, and the flexibility to shift scope month-to-month as priorities evolve.

Creative, Content & Sales Enablement

Brand assets, collateral, campaigns, and content that make Medusind stand out in a crowded market.

Performance Marketing, SEO, Analytics & CRM

Qualified pipeline through paid media, organic search, AI visibility, CRM & lifecycle marketing, and data-driven reporting.

Brand & Creative Systems
Sales Enablement
Content Development
SEO & AEO
Demand Gen & Paid Media
Website & CRO
Analytics & Attribution
CRM & Marketing Automation
Events & Tradeshow
and much more

Initial Advertising Insights

The Markacy team reviewed Medusind's existing digital advertising accounts and identified the following opportunities for immediate improvement.

  • Evaluate high-spend broad keywordsCertain broad match keywords (e.g., "online medical billing services") appear to be driving a significant portion of spend. Medusind should continue monitoring search term and lead quality, refine with negatives where necessary, and ensure spend is balanced toward higher-intent queries.
  • Consolidate lower-volume specialtiesSeveral specialty campaigns are seeing very limited conversions and search volume. Rather than maintaining many small segments, consolidation can help improve smart bidding learning, increase impression share in priority areas, and reduce budget fragmentation.
  • Align campaign structure to priority verticalsThe current structure includes a wide mix of specialties with limited search volume. A more focused approach would emphasize the four priority verticals while maintaining a core services campaign.
  • Landing page alignment by specialtyKeyword to landing page alignment could be improved as keyword quality scores are below 5 out of 10 on key terms. Mapping keywords to specialty-specific landing pages and strategizing optimal layouts can improve quality score, conversion rate, and lead relevance.
03 / Services in Detail
What We'll Deliver
A detailed look at the services across both teams, tailored to Medusind's priorities and organized by workstream.

SketchDeck: Creative & Content

Brand, content, sales enablement, design, events

Sales Enablement Materials

From-scratch creation of pitch decks, sell sheets, case study templates, battle cards, and proposal templates, all built to Medusind's new brand standards.

Website & Landing Pages

Ongoing Sanity CMS maintenance, specialty vertical landing pages, CRO improvements, and conversion-focused web design.

Messaging & Editorial Style

Tone & voice guidance, editorial standards, proofreading guidelines, and messaging frameworks for each specialty vertical.

Content Development

Editorial calendar, blog content editing, SEO-informed content review, ghostwriting support, and thought leadership positioning for key executives.

Ad Creative & Performance Design

Display banner ads, social image posts, Google Ads creative, and landing page design aligned with Markacy's performance campaigns.

Email Marketing Design

Email templates, nurture sequence design, and marketing email creative that works within Account Engagement (Pardot).

Event & Tradeshow Support

Booth design and materials, event collateral, signage, handouts, and supplemental assets for Medusind's tradeshow calendar.

Social Media Templates

Branded social post templates, infographic frameworks, and design systems that empower your team to produce content quickly.

MK

Markacy: Performance & Analytics

Paid media, SEO/AIO, reporting, CRM alignment

Google Ads Strategy & Management

Full restructure and ongoing management of Google Ads campaigns focused on 5 priority verticals (FQHCs, pathology, behavioral health, radiology, dental).

Paid Media Optimization

Keyword alignment, audience targeting, bid strategy, and conversion optimization. Fixing the current misalignment between ad spend and high-value leads.

Technical SEO

Site health audit, crawlability improvements, schema markup, site speed optimization, and technical infrastructure to improve organic rankings.

AI Optimization (AIO)

Ensuring Medusind appears in AI-generated responses (ChatGPT, Perplexity, etc.). Content structuring, authority building, and AI visibility strategy.

Analytics & Reporting

Unified reporting via Snowflake data warehouse with Looker/Agency Analytics frontend. API connections to ad platforms, Salesforce, and web analytics.

CRM & Lifecycle Marketing

Platform setup and optimization across Salesforce + Pardot, list segmentation, automated lifecycle flows, creative and content strategy for email/nurture, and retention analytics including LTV and cohort modeling.

04 / Your Dedicated Team
The People Behind The Partnership

Matt Crider

VP Strategy
Markacy

Jeff Edwards

24 Seven Partnerships
24 Seven

Tighe Flatley

Senior Content Strategist
SketchDeck

Claire Gordon

Account Director
SketchDeck

Lauren Grykien

Senior Project Manager, Creative
SketchDeck

Laura Marzec

Head of Content
SketchDeck

Ryan Mason

President & COO
Markacy

Elliot Miller

SketchDeck Partnerships
SketchDeck

Emily Perman

Senior Project Manager, Performance
Markacy

And our team of 200+ marketers and creatives

05 / Tech
The SketchDeck Creative Management Platform

Our proprietary platform is trusted by 90% of our clients to aid client communication, asset management, and workflow automation. As part of this proposal, your team will have access to this tool.

  • AI-Assisted Project Briefs — Clear briefs lead to stronger outcomes
  • Collaborative Visual Feedback — Version control without endless email chains
  • Central Project & Asset Library — Searchable, secure, and compliant
  • Real Time Metrics — Full visibility into spend, project mix, and SLA adherence
This platform was built for enterprises like Medusind to manage complex creative programs with speed, structure, clarity, and confidence. We hope you find it enables the most streamlined experience you'll ever have with an outsourced creative team.
Markacy Dashboards

Powered by Markacy's Gather Analytics platform, we help you unlock transparency and maximize marketing & media ROI

Data Pipelines for Automated Reporting

API hooks into Meta, Google, Shopify, Amazon, and more to automate real-time reports at high and granular levels, fully customizable to you.

Unbiased Measurement

True incremental ROI (as opposed to platform/last-click metrics) increases transparency and avoids wasted spend.

Rapid Testing

High-impact controlled experiments uncover the business-impact from marketing.

Research & Insights

Gain market share from competitors via deep research and real-time competitor insights.

API Connections | Dashboarding | Regression Analysis | Causal Inference | ROI Reporting
06 / 12-Month Program
Your Partnership Roadmap
A phased approach that lets us hit the ground running while your current agency transition plays out.
Weeks 1–2 · Onboarding & Discovery

Foundation Setting

Platform access (Salesforce, Google Ads, Analytics, CMS, dashboards, SketchDeck platform). Align on KPIs and reporting framework. Brand audit, content audit. Brand and content training.

Weeks 3–4 · Quick Wins & Infrastructure

Early Impact

Google Ads restructure and optimization. Technical SEO audit and fixes. Initial landing page brief development. Sales enablement materials production (decks, sell sheets).

Months 2–4 · Full Activation

Scale & Execute

Full paid media campaigns live across priority verticals. AIO strategy deployed. Reporting dashboards operational. Blog editing and content refinement. Case study production. Sales enablement and ongoing creative support at full capacity.

Months 5+ · Optimize, Expand, Mature

Performance Refinement & Strategic Growth

Campaign optimization based on performance data. Expand to additional verticals. Nurture flow optimization. Event and tradeshow support. Brand guidelines development and rollout. Thought leadership campaigns. Full-funnel performance analysis and attribution refinements. PE reporting support to demonstrate marketing's impact on pipeline and bookings.

Communication Cadence

Weekly Syncs

Standing meetings with each PM covering creative/content and performance/analytics. Keep work moving, flag blockers, align on priorities.

Monthly Reviews

Performance reporting, creative review, and strategic planning. Recalibrate priorities and shift resources as needed.

Quarterly Strategy

Big-picture sessions with senior leadership. Review goals, plan campaigns, and evolve the roadmap based on results.

07 / Client Spotlight
Supporting LeanTaaS' Growth and Leadership in the Healthcare Technology Space

LeanTaaS is a healthcare capacity management software provider serving hospitals and ambulatory care centers. Four years ago, they partnered with SketchDeck to redesign their website. That project became an ongoing membership engagement spanning brand, creative, demand generation, and sales enablement.

Today, SketchDeck operates as an extension of the LeanTaaS marketing team. Month to month, the work flexes across whatever the business needs most: landing pages and CRO one quarter, sales collateral and event materials the next, ad creative and content design after that. The membership model makes this possible without re-scoping or renegotiating every time priorities shift.

The results compound over time. After the initial website launch, organic traffic and inbound leads grew 40% in three months. Four years in, the partnership continues to expand because it keeps delivering.

Services: Website Design & Development · Hosting & Maintenance · CRO · Sales Enablement · Ad Creative · Content Design · Event Materials · Brand Identity
4+ Years
Ongoing Membership
40%
Organic Growth in 3 Months
w3 Silver
Website Redesign & Build, 2024
08 / Program Investment
Investment Overview
A monthly program covering paid media, creative production, content strategy, and website hosting. Additional projects are scoped and priced separately.
Line Item Monthly Fee
Performance
Paid Media & Demand Gen
Paid media strategy and management, SEO and AI optimization, CRM and marketing automation, CRO, analytics and attribution. See appendix for full scope.
$10,000 / mo
Media spend not included
Creative
Design Support
Flexible monthly design credits across sales enablement, ad creative, landing pages, email, social, and events. Credits shift month-to-month based on priorities. See appendix for deliverable estimates.
$10,000 / mo
100 credits/mo at $100/credit
Content
Content Development
Editorial calendar, SEO-informed content production, blog editing, ghostwriting, and thought leadership. See appendix for full scope.
$10,000 / mo
100 credits/mo at $100/credit
Hosting
Website Hosting
Monthly hosting for Medusind's Sanity CMS website, including uptime monitoring and maintenance.
$3,600 / mo
Program
Program Management
Two dedicated project managers, weekly syncs, monthly reporting, quarterly strategy sessions, and ongoing coordination across all workstreams.
$4,500 / mo
Estimated Monthly Program
Media spend not included
$38,100 / month
Additional Projects
Scoped and priced separately. One-time or milestone-based projects added as priorities and budget allow.
Project Description Est. Cost
Brand Guidelines Refresh Discovery workshop, brand strategy & messaging, centering ideas & creative directions, recommended visual identity system (logo, color, typography, photography, iconography), and final brand guidelines document $20,000+
Brand Campaign Campaign guidelines, core creative piece, landing page, digital ads, social graphics, press release, internal launch email, scalable with motion video, commercial production, and OOH creative $50,000+
Tradeshow Booth Design Booth concept, printed booth design, backlit lighting, screen graphics, signage, and experiential elements; printing, fabrication, and installation scoped separately $11,000+

All pricing is exclusive of media spend. Client provides and controls ad budgets directly.

Creative credits are flexible month-to-month. Unused credits roll over. Estimates may vary based on complexity.

Content strategy pricing pending from content team.

Onboarding and discovery (Weeks 1-2) is included in the monthly program fee.

09 / Let's Get Started
Next Steps
01

Refine Proposal

We'll align on scope, pricing, and priorities so the final proposal reflects exactly what Medusind needs.

02

Execute SOW

Once aligned, we formalize the engagement with a statement of work covering deliverables, timelines, and terms.

03

Kickoff!

Onboarding begins with platform access, stakeholder introductions, and a shared project plan to hit the ground running.

Appendix
Detailed Scope & Pricing
Expanded detail on each program line item, including service scope, deliverable estimates, and credit reference pricing.
Performance
Paid Media & Demand Gen
$10,000 / mo
Inclusive of paid media management, SEO/AIO, CRM & lifecycle marketing, CRO, and analytics. Media spend is managed on client-provided budgets and is not included in this fee.
WorkstreamScope
Paid Media StrategyMedia strategy & KPI planning, campaign structure, ad management on client-provided budgets, spend pacing, creative advisory & testing
SEO & AI OptimizationQuarterly technical site reviews, schema & entity strategy, PR/AI seeding for backlinks, AI visibility reporting across LLMs, keyword research for SEO & AI inclusion
CRM & Marketing AutomationPlatform setup & optimization (Salesforce + Pardot), list segmentation, automated lifecycle flows, email/nurture content strategy, retention analytics & LTV modeling
CROOn-site growth testing recommendations, strategy & analytics for experimentation
Analytics & AttributionUnified reporting (Snowflake + Looker), conversion tracking & attribution modeling, dashboard setup & maintenance
Creative
Design Support
$10,000 / mo
A dedicated creative team with flexible monthly capacity. Work can be applied to any creative service and shift month-to-month based on priorities.
Deliverable Est. Cost
Sales Enablement
Pitch deck, 15-20 slides (incl. samples, 1 round edits)$5,800
Pitch deck, 15-20 slides (no samples, 1 round edits)$4,400
Presentation template, 12-15 slide layouts$5,000+
Slide deck, 20 pages$3,500
Sell sheet$2,000
Battle cards, 3 pages$2,000
Case study, 2 pages$1,700
Brochure, 3-4 pages$2,900
Document template (proposal, report, up to 5 pages)$3,600
Word template$1,000
Article template$1,700
Ad Creative & Performance Design
Digital banner ads, x5 (incl. resizes)$3,500
Static display/social ad (2 samples + up to 5 resizes)$2,000
Digital ads (single, varies by complexity)$400-$1,200
Social Media & Content Design
Social image posts, x5$4,600
Social media template set$2,000
Infographic$2,500-$4,000
eBook, 15 pages$2,500
2-pager / one-sheet$1,200
Website & Landing Pages
Landing page design$5,000
Email
Email marketing template (incl. development)$3,000
Email signature$1,000
Events & Tradeshow (design only)
Booth concept and design$5,000
Event materials (2 handouts + 1 banner)$3,200
Content
Content Development
$10,000 / mo
Content Type Est. Range Includes
Short article / blog post$4.9k – $6.5k400-600 words, 1 interview, 2x revisions
Deep-dive article$5k – $7.5k2,000+ words, ~2 interviews, 2x revisions
Case study$5.5k – $9k300-400 words, 1 interview, 2x revisions
Infographic$5.9k – $8.4kResearch of up to 3 data sets, 2x revisions
eBook / white paper$7.1k – $8.5k+1,500-2,500 words, visual layout, strategic review
Research report$15.5k – $23k3,000-5,000 words, 3-4 interviews, 2-3x revisions
10-slide deck (narrative + design)$7k+Full storyline + copy, 2x revisions
20-slide deck (narrative + design)$10.4k – $12.4kExtended narrative, 2-3x revisions
Email$5k – $7.7k300-400 words, 2x revisions
Social post$1.25k – $3kUp to 4 platforms, 2x revisions
1-pager / flyer$3k – $5kShort copy, 2x revisions

Media Services

We bring extensive buying and optimization expertise across all forms of traditional and emerging media channels.

Digital Media
Hundreds of millions in ad spend across all core digital platforms
Digital Channels
Meta Google TikTok YouTube Snapchat Reddit X Microsoft Ads LinkedIn
SEO / AIO / GEO
ChatGPT Gemini Claude
Reach Media
Awareness media expertise allows us to achieve broad reach and impact
Traditional Channels
Linear TV Direct Mail Print Out-of-Home Radio / Audio
CTV / OTT Platforms
Roku Apple TV Universal Ads Hulu Netflix DV360
Owned Media
CRM, Email, Loyalty
Klaviyo HubSpot Salesforce Marketing Cloud Braze Twilio Attentive Yotpo
Retail Media
Amazon & Market Leaders
Amazon Ads Amazon Advertising Walmart Walmart Connect

AI & Affiliate

We have the playbook to build an AI Visibility and Affiliate PR funnel with actionable measurement and monitoring plan.

Phase 1 Audit & AI-Readiness Assessment
Activities
Affiliate channel development
  • Map priority affiliate publishers, high-intent placements, and monetization requirements
AI visibility assessment
  • Define core AI prompts / query clusters aligned to Medusind's offerings
  • Identify missing or malformed structured data entities
  • Benchmark content for AI intake and citation across models (e.g., ChatGPT, Claude, Gemini)
Deliverables
  • Affiliate + AI opportunity gap assessment
  • AI-readiness readout with coverage, structure, enrichment, citation recommendations
Phase 2 Technical Enrichment & Activation
Activities
Affiliate channel development
  • Design affiliate deal frameworks (tCPA targets, CPA/CPL hybrids, bonus tiers)
  • Coordinate PR + affiliate content requirements to ensure monetization and citation eligibility
AI visibility assessment
  • Assist with implementation of schema and entity enhancements (Product, Offer, Review, Coverage)
  • Assist writing team in optimizing priority content for LLM inclusion (titles, structure, comparison signals)
Deliverables
  • Affiliate deal playbook + prioritized publisher short-list
  • Schema / entity templates (3–5 patterns)
  • LLM-ready content briefs and optimization guidelines
Phase 3 Launch & Monitoring
Activities
  • Launch initial affiliate placements and PR-assisted content
  • Deploy AI visibility monitoring tied to priority prompts and entities
  • Track early performance signals across conversions, assisted impact, and AI mentions
Deliverables
  • Performance dashboard tracking AI visibility and affiliate performance
  • Pilot results report + scale recommendations

AI Content Optimization System

We have proprietary systems built to evaluate the optimal content structures across page types to effectively rank in LLMs and traditional search engines.

Content Corpus Evaluation

Audit existing pages and identify priority content types (guides, FAQs, reviews, product pages) most likely to surface in AI-generated answers and summaries.

AI Suitability Scoring

Apply our proprietary evaluation framework to assess how well content performs for LLM retrieval, summarization, and citation.

Content Structure Blueprint

Define the optimal page structure and content formatting to improve inclusion in AI-generated responses and search results.

Content Optimization & Creation

Apply the blueprint to update existing pages and guide the creation of new content aligned with AI retrieval patterns.

CRM & Lifecycle Marketing Services

We bring expertise in lifecycle marketing across CRM/ESP tools like Salesforce, Klaviyo, Braze, and more.

Salesforce Marketing Cloud Klaviyo HubSpot Braze Twilio Attentive
Our 5-Point Framework Delivers High-Impact, High-ROI CRM Programming
Platform & Technology Setup
Implementation and establish the foundations
  • Diagnose existing setup, data integrations, and revenue attribution gaps (e.g., GA4 discrepancies)
  • Identify missing event tracking and integrations across website, product feeds, and profile tracking
Customer List & Segmentation
Speak to the right buyers at the right times
  • Optimize capture / list collection and lead generation through pop-ups, offers, etc.
  • Cleanse existing lists and remove unengaged profiles or leads
  • Segment customers based on type, frequency, and product category
Lifecycle Flows Optimization
Automate high-impact touchpoints that convert
  • Map existing journeys across acquisition, purchase, and retention
  • Build/rebuild core automated flows
  • Institute tailored branches based on engagement and purchase data
Creative & Content Strategy
Design to convert; make touchpoints personal
  • Audit existing campaign and flow messaging
  • Develop modular templates aligned to buyer type and product interest categories
Measurement & Retention Analytics
Track incremental ROI beyond opens and clicks
  • Define KPIs beyond opens/clicks: revenue per email, flow performance, retention lift by cohort
  • Establish LTV and cohort modeling and CRM's contribution to overall lead and sales volume

All pricing excludes media spend (client-provided). Creative credits are flexible month-to-month with rollover. Tradeshow booth printing/installation scoped as additional projects. Onboarding (Weeks 1-2) included in program fee. All estimates may vary by scope and complexity.