Our Services

We have a flexible and unique range of tools and talents for any job.

Whether you need a comprehensive marketing plan, a data-driven segmentation strategy, an integrated, multi-media campaign, or a timely digital campaign – we do it all.

Multi Tool
Marketing

Consulting

1. Brand and product positioning
2. Qualititative and quantitative research
3. Marketing plan development
4. Data Analytics
Agency

Services

1. Digital Advertising
2. Direct Mail
3. Print Advertising
4. Direct Response Television & Video
5. Radio Advertising
6. Collateral Development
7. Website & Landing Page Development
8. Media Planning & Placement
9. Print Production & Management
Paul Matsuda

Paul Matsuda

Senior Developer

“Working with a business as small as a sole proprietor requires providing them with more bang for the buck. Scaling those efficiencies and processes to larger clients is sometimes a challenge, but rewarding when you can make it happen.”

Paul has over 2 decades of experience in consulting, coding, design, and development of websites and to date has also coded 500+ e-mail campaigns. While his work includes projects with Intuit, Autodesk, CSAA & Paul Mitchell, he finds it just as satisfying to work with small business owners. In the healthcare sector, he has worked with Kaiser Permanente & Delta Dental.

With a background as a professional photographer, he understands both the creative and technical processes and often bridges the gap between the two.

Paul has a degree in photography and has shot campaigns for many tech and consumer companies including Apple, Cisco, Epson, Birkenstock, and Levi’s. He lives in Marin County with his wife Sarah and also spends considerable time in the Northwoods of Wisconsin.

Kelci Wihera

Director, Digital & Print

“I’m drawn to the intersection of strategy, content, and execution–where clear messaging and well-structured campaigns can turn complex ideas into meaningful audience engagement.”

Kelci is a marketing leader with more than eight years of experience developing integrated digital and print initiatives for B2B and B2C audiences across healthcare, travel, fintech, hospitality, and community organizations. Her healthcare experience includes a particular focus on Medicare and the unique demands of highly regulated communications.

Her expertise spans digital campaign strategy and execution, print and digital collateral, direct mail, email marketing and nurture journeys, audience segmentation, SEO, website content, editorial planning, and creative production.

As Director, Digital & Print, Kelci brings a structured, collaborative approach to connecting strategy, messaging, creative development, and workflows across all channels, ensuring consistency, efficiency, and a cohesive brand experience. She excels in complex, evolving environments where thoughtful organization and cross-functional coordination are essential to moving initiatives from concept through launch.

Cari Jacobs-Crovetto

Strategic Consultant

“At the heart of it, I want brands to earn trust, not just attention. I turn research into strategy, strategy into story, and story into campaigns and experiences that make people feel truly seen. That’s the work — brands that behave like they mean it.”

Cari has more than three decades of experience building brands and leading global marketing organizations as a Chief Marketing Officer and senior agency leader. Agencies included Publicis Groupe, J. Walter Thompson, Deutsch, and Foote, Cone & Belding, working on brands such as Procter & Gamble, Coca-Cola, General Mills, Levi’s and Lexus/Toyota.

Her agency healthcare experience includes the rebrand of WellPoint’s fifteen regional Blue Cross Blue Shield plans into the unified Anthem brand, guiding the broader Blue Cross-to-Anthem transition as Marketing Strategist and Global SVP Account Executive at Publicis; and running corporate marketing and advertising for FHP, one of the nation’s first HMOs.

As CMO, Cari launched Unison’s pioneering home co-investing fintech category nationwide, earning recognition as a Forbes Top 50 CMO. She also built Torch Coaching’s marketing program from the ground up, increasing leads by 700% in just four months.

Cari is a certified PPC coach and facilitator who currently teaches Interpersonal & Group Dynamics at the Stanford Graduate School of Business and holds a BA in Journalism/Public Relations from Cal State Long Beach. She is a Stevie Award winner and Webby nominee.

Nancy Lehrer

Nancy Lehrer

Strategic Consultant

“I’m known for transforming complex ideas into clear, compelling strategies that inspire action and resonate with diverse stakeholders.”

Nancy has over thirty years of experience in executive leadership positions at top advertising agencies. As Managing Director of Hill, Holliday advertising for over twelve years, Nancy reported directly to the president and was a member of the strategic leadership team responsible for guiding the agency’s growth, and of the Diversity and Equity team. She led the agency’s largest, most complex and profitable accounts. Nancy has worked within the private and public sectors and successfully led one of the toughest Fortune 50 clients through the financial crisis and resultant complex reputational and communication issues.

Nancy’s healthcare experience includes leading the Optum team through rebranding and rearticulating their purpose and messaging as a master brand comprising the three main business units: OptumHealth, OptumRx, and Optum Insights. This work included aligning messaging to resonate with the myriad audiences served (B2B, B2C, Governmental, and Care Providers) for each of the products offered. She oversaw the successful launch of Optum Perks, a discounted prescription drug service.

With her strategic and sharp POV, Nancy is particularly adept at problem-solving and helping clients with strategic challenges. She led the development of numerous transformative purpose-driven corporate, product, and issue/impact-related advertising efforts.

Monika Brasche

Strategic Consultant

“Having been on the client side for many years, I know the pressure they’re under. In Medicare marketing, that means creating a campaign that’s not just compliant, but compelling and on budget – and I hold every project to that standard.”

Monika is a marketing leader with over 20 years of experience driving growth within highly regulated Medicare markets. She has a proven track record of results, leading marketing acquisition for healthcare companies including Aetna, Banner Health, CareMore, DaVita Medical Group, HealthNet, HealthSpring, Memorial Hermann, and UnitedHealthcare.

  • HealthSpring – Acquired by Cigna
  • CareMore Health – Acquired by Elevance
  • DaVita Medical Group – Acquired by Optum

 

She specializes in developing integrated marketing programs that strengthen brand presence while delivering measurable performance outcomes. Throughout her career, she has led initiatives that combine brand strategy with data-driven acquisition, using predictive analytics and audience insights to identify high-value consumer segments, optimize outreach, and improve campaign performance. Her expertise spans direct response marketing, media planning, predictive modeling, and digital and website marketing, directly contributing to significant, measurable growth.

Pedro Nogueiro

Marketing Technology & Operations Strategist

“It ain’t what you don’t know that gets you into trouble. It’s what you know for sure that just ain’t so.” 
— Mark Twain

Pedro brings more than 20 years of direct and digital marketing experience across healthcare and financial services, working at leading organizations including American Express, GE Capital, Charles Schwab, and Kaiser Permanente.

With a strong focus on People, Process, and Platforms, Pedro has built, restructured, and optimized large‑scale marketing programs and digital ecosystems. His foundation in Direct Mail, Print Fulfillment, and Marketing Operations enables him to streamline operational structures, reduce costs, and enhance customer experience—particularly in complex, regulated environments.

He has designed direct marketing test strategies, overseen the implementation of advanced marketing automation and data platforms, and led numerous Salesforce Marketing Cloud and CRM deployments. He has developed Martech roadmaps, optimized system architectures, and guided digital transformation initiatives for top healthcare and financial services organizations, including Banner Health, Amgen, and Wells Fargo.

He has led projects ranging from ground‑up direct marketing program design to enterprise‑level marketing automation and data platform implementations. His work consistently helps organizations strengthen their marketing foundations, improve performance, and unlock greater value from their technology investments.

Pedro also brings meaningful startup experience. He built the direct mail acquisition program for Lendage (now Achieve Loans) and developed the B2B growth marketing strategy for OLINs, LLC, contributing to the company reaching $6 million in annual revenue within its first two years.

Across all engagements, Pedro is known for transforming marketing programs into scalable, efficient, and customer‑centric systems that drive measurable business impact.

Bridget Harper

Strategic consultant

“I believe the best marketing begins with listening — to the customer, the data, and the diverse voices around the table. That’s where the strongest ideas and the most meaningful results come from.”

Bridget Harper is a creative healthcare marketing executive with nearly three decades of experience transforming brands and driving growth across Medicare Advantage, Medicaid, and commercial markets. She has led strategy, digital transformation, and customer engagement for Fortune 20 health plans, provider systems, and emerging businesses, bringing both breadth and depth to every role. Bridget is known for putting the customer at the center of her approach, and for her ability to unite diverse teams around data-driven insights that lead to breakthrough ideas.

She has successfully modernized marketing functions, introduced predictive modeling and automation, and consistently delivered measurable results — from revenue growth and improved compliance to stronger customer experiences. She has also extended her expertise to small businesses, nonprofits, and health agencies looking to scale with impact.

Here are just a few of the clients Bridget has worked with:
• Blue Shield of California
• CareMore Health – Acquired by Elevance
• DaVita Medical Group – Acquired by Optum
• Ingenix – Rebranded OptumInsight

Bridget holds an MBA in Marketing from UC Berkeley’s Haas School of Business, a BA in Psychology from UCLA, and a Professional Certificate in Digital Marketing from Northwestern,  Kellogg.

Shany Batbold

Shany Batbold

Sr. Account Manager
“I take pride in what I do and I’m fortunate to work with industry experts who also take pride in what they do. Together, our team strives to deliver exceptional results for our clients.”

Shany is a marketing professional with nearly a decade of experience in the tech and healthcare sectors. With a focus on healthcare marketing now, her deep understanding of the industry ensures campaign messaging and design adhere to compliance regulations.

Her exceptional organizational skills allow her to manage multiple complex projects easily and efficiently at one time, with all campaign details aligning with the overall marketing strategy. And she makes it all look easy – no challenge is too great for her and she remains calm under pressure. Shany is the rock of our team at Pulse and our clients continue to rave about her.

Shany’s experience includes managing multi-media demand generation campaigns for Providence Health, Banner Medicare Advantage, leading a non-profit organization’s ad campaigns, talent acquisition marketing at The Walt Disney Company, and managing and driving marketing efforts across over 45 locations for California Skin Institute.

She received her Bachelor of Science in Business Marketing at San Francisco State University.

Kate Hodson

Kate Hodson

Senior Copy Writer, ACD

“A lover of words and the way they can be used to inspire, motivate, charm and intrigue.”

Kate has been a copywriter since she graduated from the University of St Andrews in Scotland and has never wanted to do anything else.

A lover of words and the way they can be used to inspire, motivate, charm and intrigue, she’s worked across all industry sectors including financial services, retail, technology, healthcare, leisure, and fundraising for agencies and clients in the UK and the US.

Most recently, she was employed as a Senior Copywriter in the in-house creative department of Charles Schwab, honing an unexpected interest in investment products and services. Prior to that role, Kate worked in the San Francisco Bay Area for a variety of agencies including Arc Worldwide, Brann San Francisco and Age Wave Impact.

Earlier in her career, she enjoyed stints in London and Cape Town, again gaining broad experience in advertising, direct marketing and sales promotion.

Kate is very comfortable working across all channels, having lovingly crafted websites, banner ads, social media articles, print ads, direct mail letters, emails, brochures, video scripts and even the odd non-fiction book or two, a prodigious output despite her self-confessed three-finger typing skills.

Denise Graham

Denise Graham

Sr. Director, Client Service

“I am always eager to take on new marketing challenges and collaborate with my clients in the ever-changing and dynamic healthcare sector.”

Denise Graham is a seasoned Marketing executive with an MBA and a specialty in healthcare marketing, in particular, Medicare.

Denise has worked with with numerous health plans that include Kaiser Permanente, Sutter Health Plus, Inter Valley, Aspire, Virginia Premier Health Plans, and LIBERTY Dental.

A particular highlight of Denise’s career includes her role as a co-leader in the development of the brand strategy that resulted in Kaiser Permanente’s highly acclaimed Thrive advertising campaign. As Director of Kaiser’s National Medicare Marketing Communications team she consistently delivered strategically sound, flawless work against a zero-error tolerance policy.

Leader in the development of numerous omni-channel campaigns, for various products and services, resulting in measurable increases in leads and reduced CPLs, saving over $2M.

Denise recently presented at the 2018 Medicare Marketing Innovations conference and is also a member of the Marketing Science Institute and the Institute of Healthcare Improvement.

Helen Angeldones

Helen Angeldones

Sr. Director, Data Strategy & Analytics

“I am most comfortable in a complex data environment where I get to decipher patterns and generate insights out of seemingly unorganized numbers. But don’t assume I am a data geek – I am a remix of strategist and tactician.”

Helen is a seasoned analytics strategist with 15+ years of a solid track record advising and consulting in the finance, retail, e-commerce, software, healthcare, and life sciences industries.

She has led data & strategy groups for Fortune 500 companies including UnitedHealth Group, Oracle and PayPal. She led the Medicare marketing data strategy & analytics team at Kaiser Permanente overseeing the $40 million budget allocation, strategy and analysis of all marketing efforts across 8 regions nationally.

With deep knowledge in building closed loop analytics infrastructure from the ground up, and managing teams of analysts to deliver data strategy and growth recommendations, Helen is known to bring innovative thinking to approaching and solving business problems.
Most recently, she successfully led a digital analytics project to help a global retailer identify critical opportunities for growing online traffic and revenue by applying the customer journey mapping framework to dashboard design and development.

She has also instrumentally driven the budget allocation and target forecasting for $20M+ acquisition and retention campaigns for a healthcare organization’s direct marketing program, using data-driven multi-touch attribution modeling.

Nerissa Read

Nerissa Read

Strategic Consultant

“I love solving marketing puzzles that uncover efficient, effective solutions to build strong brands and drive results.”

With over twenty years of marketing experience across multiple brand categories, Nerissa has deep experience in direct-to-consumer healthcare marketing.

For over a decade she has been innovating and driving disruption in healthcare brands that include leading strategy at One Medical Group, Included Health (acquired by Grand Rounds Health and Doctor On Demand), Kaiser Permanente’s Digital Marketing & Social Media Strategy team, and at Age Wave Impact where she learned how to specifically motivate the 50+ segment.

She sees digital platforms as ‘front doors’ to brands and builds digital, content and social strategies that attract, engage and acquire customers efficiently.

But that isn’t enough for Nerissa. For her, thinking outside the category is critical. Companies driving innovation and increasing consumer expectations rise the tide for all boats and influence the strategy she develops.

Luke Van Meter

Luke Van Meter

Creative Director

“It’s great to win a “creative” award, but really, our job is to help sell a client product or service through sound creative strategy that reflects their business goals in a clear and meaningful way.”

Luke has over 20 years of experience in marketing healthcare products and services to all segments. He has unique and specific expertise in the 50+ segment which began at Age Wave, founded by visionary author Ken Dychtwald PhD. He has worked on numerous projects targeting seniors in financial services, technology, biotech, caregiving, nutrition, fitness, and healthcare.

His impressive client roster includes Banner Health, Humana, Blue Shield of California, Wellpoint, Sonus Hearing, Bernafon Hearing Aids, CASSS.org., Community Psychiatry Association, and Integrated Healthcare Association.

Luke brings a strategic approach to design – he digs into the data, business and marketing strategy – allowing him to develop impactful creative that appropriately motivates action. He brings his design talents across a variety of media: direct mail, print ads, video, outdoor billboards, email, social media, and digital banner ads.

His deep expertise in the healthcare industry assures that the creative formats and messages are relevant, compelling, and memorable.

Luke has a BA from Brown University.

Robin Raff

CEO/Founder, Chief Strategist

“I’ve at times been fondly called resourceful in my approach because I will get it done – and I get it done effectively – regardless of timing or budget challenges.”

Robin is a seasoned and innovative healthcare marketing leader with deep expertise in data-driven strategy, creative development, and regulated healthcare markets. She brings decades of experience helping healthcare organizations translate complex offerings into clear, compelling marketing that drives growth and builds trust.

She has held senior leadership roles at world-class advertising agencies including Ogilvy & Mather Direct, FCB Direct, G2 Direct & Digital, Wunderman, and Hill Holliday.

As Senior Vice President and Director of Client Services at Age Wave, Robin developed specialized expertise in longevity marketing for the 50+ population. Her clients included multiple Blue Cross and Blue Shield plans nationwide, Health Net, Searle Pharmaceutical, the American Audiology Association, and Miracle-Ear.

Robin later served as National Director of Medicare Marketing for Kaiser Permanente for five years, where she led data-driven, multi-channel customer acquisition campaigns across seven regions and managed a $40 million annual marketing budget.

Additional healthcare organizations that have benefited from Robin’s leadership include Providence Health, Banner Health, UnitedHealthcare, Oticon Hearing, the California Department of Health Services, AI Care, and AliveCor.

Robin holds a Bachelor of Arts in Business from SUNY New Paltz and an MBA in Marketing from Golden Gate University. She is a certified health coach and incorporates this perspective into patient-centric content and engagement strategies.

Committed to staying at the forefront of innovation, Robin has completed advanced training in ChatGPT and earned a certificate in Artificial Intelligence: Business Strategies and Applications through UC Berkeley Executive Education.