Making BIG Shifts

MKTG Reboot

Making BIG Shifts is a growth and decision-making podcast for founders and operators, hosted by strategic integrator and founder of MKTG Reboot, Josh Anderson. Each episode features real operators, founders, and leaders unpacking the hard parts of running a business, the tough decisions, the setbacks, the inflection points, and the wins that follow. Through founder stories, growth strategies, and startup strategy insights, conversations span growth, marketing, leadership, systems, and strategy, with a focus on the shifts that actually move businesses forward.

  1. Jun 15

    The Career Trap Almost Every High Performer Falls Into

    Most high performers don’t burn out because they fail. They burn out because they succeed at the wrong game. In this episode of Making BIG Shifts, Josh Anderson sits down with Monica McKitterick, nurse practitioner, CEO of Impact Family Wellness, and founder in the Direct Primary Care space. After years inside a system driven by insurance, paperwork, and volume over care, she made a $20,000 bet on a different model. One focused on access, relationships, prevention, and real patient care. What started as a leap into the unknown turned into three clinics, a growing team, and eventually a harder decision. Stop optimizing for more, and start optimizing for life. In this episode, we break down: • The hidden career trap most high performers fall into• Why more growth often quietly reduces freedom• What Direct Primary Care actually changes in healthcare• How most founders misread success signals early on• Why marketing and sales matter even in medicine• The turning point between scaling and sustainability• How to know when “more” is no longer the right answer If you are a founder, healthcare provider, operator, or high performer building something meaningful, this conversation will challenge how you define success. Listen to the full episode, like, subscribe to Making BIG Shifts, and share this with someone who is building fast but starting to question what it is costing them. #MakingBigShifts #Leadership #Burnout #Entrepreneurship #HighPerformance #CareerGrowth #Healthcare #DirectPrimaryCare #BusinessStrategy

    27 min
  2. AI CEO Reveals Why Google Is DYING & Your Business Is Next

    May 1

    AI CEO Reveals Why Google Is DYING & Your Business Is Next

    In this episode of Making BIG Shifts, we are joined by Vlad Pivnev, CEO of Stivi and co-founder of Acoda, a leader helping businesses integrate AI into their marketing and sales strategies to drive real growth. Vlad brings over sixteen years of experience building and running a traditional digital marketing agency. But when he saw the landscape shifting beneath him, he decided to pivot. Rather than wait for AI to make his business irrelevant, he leaned into it and built Stivi, a company focused on helping brands increase their sales and leads through AI-powered marketing. In this conversation, he shares how that shift happened, what he learned along the way, and why he believes the window of opportunity is wide open for anyone willing to start now. Josh and Vlad go deep on AI visibility and generative engine optimization (GEO). Vlad breaks down the key signals that large language models like ChatGPT, Gemini, and Claude use when deciding which brands to recommend. From technical crawlability and media mentions to forum discussions and reputation management, the conversation covers what businesses need to do to appear in LLM-generated answers. Vlad also shares a compelling case study in which a client achieved a 46 percent conversion rate from LLM-driven traffic, a number that blew away anything he had seen in sixteen years of marketing. One of the most powerful takeaways from this episode is the shift in how consumers search for information. Vlad shares a personal story about his six-year-old son, who now asks him to "ask ChatGPT" instead of "Google it." That generational shift signals a massive change in how brands will need to position themselves online in the years ahead. The conversation also touches on the future of the workforce, with Vlad predicting that senior-level professionals who know how to leverage AI will thrive, while many junior and mid-level roles in design, development, and writing may disappear within the next 1 to 2 years. Whether you run a small business, lead a marketing team, or are just trying to figure out where AI fits into your career, this episode gives you a practical and honest look at what is happening right now and how to stay ahead of it. Vlad's advice is grounded and simple: understand your background, find where AI fits into what you already do well, and start integrating it one step at a time. #AI #GEO #entrepreneurship #makingbigshifts #leadership

    31 min

About

Making BIG Shifts is a growth and decision-making podcast for founders and operators, hosted by strategic integrator and founder of MKTG Reboot, Josh Anderson. Each episode features real operators, founders, and leaders unpacking the hard parts of running a business, the tough decisions, the setbacks, the inflection points, and the wins that follow. Through founder stories, growth strategies, and startup strategy insights, conversations span growth, marketing, leadership, systems, and strategy, with a focus on the shifts that actually move businesses forward.