In short
Ketan Sharma is a Fractional COO and operations scaling advisor for founder-led businesses in MENA and ASEAN. He co-founded fifthnote, exited to Ensemble Health Partners for $4.1M in 2020, then scaled offshore operations from 50 to 300 employees as VP Global Operations (2020–2026).
Who is Ketan Sharma?
I don’t deliver 100-page slide decks and walk away. I am an operational leader who has walked in your shoes as a founder, operator, and executive.
Career timeline
| Period | Role | Outcome |
|---|---|---|
| To 2020 | Co-founder, iNVERTEDi (fifthnote) | Global 50-person operational footprint across the US, UK, UAE and India; $4.1M USD exit to Ensemble Health Partners in 2020. |
| 2020–2026 | VP Global Operations, Ensemble Health Partners | Established the offshore operating framework that grew the team 6x, from 50 to 300 employees. |
| Now | Founder, Ketan Sharma Advisory; building Anarvah | Fractional COO and operations scaling advisory for MENA and ASEAN. |
What is “Subtract Before Adding”?
Most consultants tell you to hire more people or buy more software. My methodology focuses on eliminating operational waste, streamlining workflows, and building delegation systems before adding overhead.
Where does Ketan work?
Regional hubs: Dubai (UAE), Singapore and India (IST Hub), serving founder-led businesses across the GCC and ASEAN.