Coming About with David Paragamian

Hosted by David Paragamian

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Oct 2025

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About the show

Coming About with David Paragamian will inspire and guide you to create lasting, positive changes in your organization. In each episode, you'll get up close and personal with top business leaders who have successfully led major business transformations. David Paragamian is an expert in organizational transformation, and in this podcast, he shares his unrivaled knowledge on how to become a confident change agent. Through his guidance, you will learn how to become a successful “storyteller-in-chief” and lead a transformation that is transparent and value-driven. In a world where change is constant and necessary, David emphasizes that real change starts with a shift in culture. Through his conversations with business leaders, David offers invaluable insight, guidance, and motivation to help you create change that matters. If you're ready to take your organization to the next level and create a better future, then Coming About with David Paragamian is a must-listen podcast for you.

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22 recent

October 14, 202521 min

Building the Future of Healthcare Marketing with Ray Rosti (Part Two)

In part two of their conversation, David Paragamian and Ray Rosti, President of Klick Media, shift from career lessons to the pressing issues shaping healthcare marketing today. Ray shares his perspective on omnichannel strategy, why it’s less about buzzwords and more about connected data, and how success comes from building step by step rather than chasing a perfect end state.The discussion also explores the role of artificial intelligence. Ray explains why AI should be seen as “assisted intelligence” that augments human creativity, builds speed, and frees teams to focus on higher-value work. He highlights the importance of training AI on unique organizational knowledge rather than relying on generic prompts.They also examine the growing influence of social media and digital voices in healthcare. From celebrity endorsements to micro-influencers, Ray breaks down the risks of fragmentation, the opportunities of trusted one-to-one media, and why understanding generational shifts in media behavior is critical for both consumer and physician marketing.The episode closes with Ray’s reflections on leadership, including:• Treating feedback as a gift• Staying open to fresh ideas from all levels• Viewing change as evolution rather than disruption• The importance of never settling into “we’ve always done it this way” thinking Packed with insights on AI, omnichannel strategy, and the future of healthcare influence, this conversation offers valuable takeaways for leaders navigating change and building stronger, more adaptive teams.

October 7, 202520 min

Building the Future of Healthcare Marketing with Ray Rosti (Part One)

In this first part of the conversation, David Paragamian sits down with Ray Rosti, President of Klick Media at Klick Health, to explore his journey into healthcare marketing and leadership. Ray shares how he went from an uncertain college student to a pioneer in digital media, drawing on influences from his modest upbringing, early jobs in pharma and insurance, and the rise of internet marketing.He reflects on the lessons learned at startups like VerticalNet, his transition into agency life at Razorfish, and the importance of culture, specialization, and consistency in building strong teams. Along the way, Ray explains how curiosity, resilience, and a solutions-focused mindset shaped his career path, leading him to senior leadership roles at Publicis and eventually to Klick Health.Listeners will take away valuable insights on:• Turning early uncertainty into a purposeful career• Why culture and leadership unlock innovation• The shift from “internet marketing” to integrated marketing• How to grow from a specialist into a general manager This episode offers inspiration and practical lessons for anyone navigating career pivots, leadership challenges, or the evolving world of healthcare marketing.

July 28, 202514 min

Putting People First with Marina Maher Communications CEO Olga Fleming (Part Two)

In Part Two, David continues his inspiring conversation with Olga Fleming, CEO of Marina Maher Communications. This episode explores how Olga carried forward the legacy of MMC’s trailblazing founder while ushering in a new era of innovation and cultural transformation.Olga reveals how she led a bold agency rebrand rooted in collaboration and inclusion, explains the balance of human-first values with cutting-edge creativity, and shares how her team thrives across industries from pharma to consumer goods. She also opens up about the lessons she's learned over her career—why perfection is overrated, how vulnerability strengthens leadership, and the importance of retaining humanity in a rapidly evolving, tech-driven world.This is a masterclass in modern leadership, courageous reinvention, and what it means to build impact through empathy.

July 23, 202514 min

Putting People First with Marina Maher Communications CEO Olga Fleming (Part One)

On this episode of Coming About, David Paragamian sits down with Olga Fleming, the CEO of Marina Maher Communications and one of the most respected voices in the PR and communications industry. Olga shares her unconventional path from aspiring diplomat to award-winning agency leader, opening up about the pivotal moments that shaped her journey.From her early days navigating client service in a pre-digital world to leading a cultural transformation at one of the industry's top firms, Olga explains why putting people first isn't just good leadership—it’s the foundation for sustainable success. She also unpacks how she transitioned from building a boutique agency to taking the reins of a global powerhouse, all while staying true to her mission of human-first, culture-driven impact.This is a conversation about leadership, reinvention, and how the right priorities can change everything.

May 9, 202415 min

The Making of a Marketing Leader: Grace Tobin's Inspiring Story (Part Two)

In the second half of this insightful episode, David continues his conversation with marketing powerhouse Grace Tobin. Grace shares her brave pivot from big pharma to biotech, where she launched their sole product and shaped a new post-pandemic market. You'll hear her experiences leading global billion-dollar brands, managing massive budgets and teams across continents, while making strategic bets on high-impact channels. The conversation explores building strong agency partnerships through mutual respect, healthy debate, physical presence, and treating partners as an extension of your team. As Grace reveals the qualities she'll prioritize in her next role - a people-first culture and visible women leaders - her guidance on being present and savoring each stage offers wisdom for every aspiring leader.

May 2, 202412 min

The Making of a Marketing Leader: Grace Tobin's Inspiring Story (Part One)

On this episode of Coming About, David sits down with Grace Tobin, a seasoned marketing leader in the pharmaceutical industry. Grace shares her incredible career journey, from unexpectedly falling into pharma right out of college to pivoting across roles in sales, marketing, and global strategy. Despite initial challenges, Grace found mentors who guided her in becoming a "corporate citizen" and mastering the art of gaining consensus across cultures as she advanced into global marketing roles. David and Grace dive deep into her superpower of inspirational leadership that empowers teams to collectively own the vision, as she shares how she navigated brave career pivots to ultimately evolve into a transformational leader. Tune in for an inspiring masterclass from one of pharma's most respected change agents on perseverance, personal growth, and galvanizing teams around a shared mission.

April 30, 202415 min

Navigating Change in the Healthcare Industry with Bill Veltre (Part Two)

In the second part of the podcast, David turns the conversation to Bill Veltre's personal career highlights, asking him to share an example of work he's particularly proud of in terms of the impact on patients and brands. Bill reflects on a pivotal campaign early in his career that profoundly impacted patient education and brand awareness, delving into the innovative tactics used to cut through the noise. The discussion then shifts to the future of healthcare marketing and the increasingly important role of artificial intelligence. Bill offers his perspectives on how AI is already transforming the industry, from enhancing data analysis and personalization to streamlining content creation, while also addressing ethical considerations and the need for human oversight.

April 23, 202416 min

Navigating Change in the Healthcare Industry with Bill Veltre (Part One)

In this week's episode of Coming About with David Paragamian, Dave sits down with Bill Veltre, the Executive Vice President and Head of Media at Deerfield Agency. Bill is a healthcare marketing veteran with nearly 20 years of experience, including leadership roles at top companies like Publicis, AbbVie, Bristol Myers Squibb, and now Deerfield Agency, where he has overseen major brand launches and strategic planning for prominent clients. Despite initially starting as a first-grade teacher, Bill's passion for healthcare marketing took over, and he has since become a respected authority in the industry. In this candid conversation, Bill shares his insights and learnings from navigating major business transformations throughout his career, delving into the challenges of leading change within large organizations and offering practical strategies for fostering a culture of innovation and adaptability.

April 12, 202419 min

Creativity Transforming Healthcare: A Visionary Leader's Journey with Christian Bauman (Part Two)

In the second part of this insightful episode, David poses a thought-provoking question, acknowledging the common perception that the highly regulated and scientific nature of the healthcare industry can constrain creativity in advertising and storytelling. Christian Bauman, with his unparalleled creative expertise, offers a refreshing perspective on transcending these perceived limitations by delving into the art of crafting narratives that captivate and inspire audiences while maintaining scientific accuracy. He shares his wisdom on the delicate balance between compelling artistry and intricate medical concepts, providing guidance on weaving engaging stories that resonate emotionally within the healthcare realm. Plus, Christian reveals practical strategies for building thriving cultures within creative agencies, fostering environments that nurture innovation, collaboration, and exceptional work, empowering teams to push boundaries and deliver transformative campaigns that leave a lasting impact.

April 5, 202414 min

Creativity Transforming Healthcare: A Visionary Leader's Journey with Christian Bauman (Part One)

In the latest episode of Coming About with David Paragamian, the podcast dives deep into the world of visionary creative leadership and its profound impact on the healthcare industry as David welcomes Christian Bauman, a renowned creative force and passionate advocate for health. With an illustrious career spanning over two decades of pushing boundaries and driving transformative change, Christian shares his insights from guiding major campaigns for industry giants like Pfizer and Novartis as the co-founder, president, and CCO of H4B Chelsea, to serving as the Chief Creative Officer of The Bloc, the most awarded independent health creative agency in the U.S. In this engaging conversation, Christian offers invaluable guidance on the power of storytelling, fostering a culture of innovation, cultivating talent, and unleashing the full potential of creative teams to drive meaningful change within organizations, providing listeners with a rare glimpse into the mind of a true industry leader and inspiring them to embrace change, challenge conventions, and pave the way for a better, healthier future.