Bhavani Raman

Bhavani Raman is the co-founder of Element5, the agentic automation platform transforming post-acute operations.

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What’s the most pivotal lesson from your past ventures that shaped your Series B startup scaling strategy, and how did you apply it to avoid past mistakes?


One of the most pivotal lessons came from past venture Ideas2IT, where we scaled to 800+ people organically without external funding. While we built an incredibly strong culture and delivery DNA, we also learned how slower growth can limit market opportunities and create organizational lag if structural layers aren’t designed in advance. At times, we lacked middle management and found ourselves stretched thin solving scale reactively instead of proactively.

So, at Element5, we re-engineered our approach. With funding in hand, we implemented top-down organizational design.

We hired experienced executives early, established leadership layers from the outset, and used OKRs to cascade vision and accountability throughout the company.

Most critically, we were intentional about cross-cultural integration. Having learned from the trial-and-error of operating across regions at Ideas2IT, we created onboarding experiences, cultural rituals, and global leadership exchanges from the start at Element5.

Don’t build culture and structure as you grow, build it before you grow.

Speed doesn’t allow retrofitting later. We avoided repeating our earlier mistake by leading with infrastructure, not just passion.




During Series B scaling, what were the most unexpected challenges you faced, how did you adapt, and what advice would you offer founders preparing for similar obstacles?


The most unexpected challenge during our Series B journey at Element5 was how quickly we were required to scale, faster than any of my prior ventures. With funding in place and demand surging, we had to accelerate growth to meet customer expectations, expand into new geographies, and onboard talent rapidly across India, Mexico, and the U.S.

This required not just execution, but designing a scalable operating model in real time.

To meet these demands, I identified a new growth lever - nearshore support operations in Mexico - to serve our U.S. healthcare clients with faster turnaround and compliance coverage. On paper, it was a great solution. But once we began implementation, we ran into risks: limited English proficiency, strict local compliance norms, and cultural nuances that affected support quality.

Instead of pulling back, we pivoted: we templatized support responses, split responsibilities across geographies based on team strengths, and implemented internal training modules to close skill gaps. We adjusted our hiring filters, focused on scalable documentation, and restructured escalation protocols.

This allowed us not only to recover from early missteps, but to build a repeatable model for global support expansion without sacrificing customer experience.

When rapid scale is non-negotiable, don't chase perfection; chase repeatability.

Break growth into modular pieces, mitigate risks through controlled pilots, and turn each challenge into a system you can reuse as you expand. Scaling is hard but it’s a solvable engineering problem when approached methodically.




What processes or tools were most critical for enabling effective scaling during your Series B, and how did they support your startup’s growth?


At Element5, our scaling success post-Series B hinged on a few critical tools and processes that enabled us to manage complexity without slowing down execution.

The OKR (Objectives and Key Results) framework became our backbone. Inspired by Measure What Matters by John Doerr, we used OKRs to align the entire company from execs to frontline teams. They gave us visibility into progress, focus for every quarter, and accountability across departments. More importantly, they turned strategy into shared language.

For execution, ClickUp became our central nervous system. It brought structure to our product, engineering, and support workflows. We customized ClickUp to track epics, sprints, cross-team dependencies, and internal initiatives removing silos across our India, Mexico, and U.S. teams.

We also relied heavily on Slack, not just for communication but for cultural continuity. Rituals like #kudos channels, regional celebration posts, and asynchronous updates ensured that our distributed teams felt like one company—even across time zones.

Finally, our rolling 12-month financial forecast helped us stay aligned with investor expectations. We tracked monthly burn, sales projections, COGS, and gross margin variances in real-time, allowing us to course-correct quickly.

Process isn’t bureaucracy, it’s the operating system of growth.

Together, these tools turned chaos into cadence. Pick tools that scale with you, not tools you’ll outgrow in six months.




How do you prioritize growth demands against your long-term vision when they conflict? Can you share a Series B example of a tough call you made to maintain that balance?


After our Series B raise at Element5, we were suddenly in a position where we could pursue many paths: new markets, additional service lines, different technologies. But the real discipline was in knowing what to say no to.

We aligned the leadership team on a single principle: focus scales better than scope.

We made intentional decisions about where we wanted to go deep with Post Acute Healthcare as our vertical, AI-driven automation as our tech layer, and core patient-care operations as our use-case domain. That meant saying no to adjacent healthcare segments, no to shiny but unrelated AI features, and no to ancillary workflows outside our automation sweet spot.

Being clear, data-backed, and confident in your choices will definitely yield results.

That focus paid off. We landed 9 of the top 10 Post Acute providers, not by spreading ourselves thin, but by going narrow and deep just like I had with Chennaimoms and Ideas2IT.

Saying “no” is strategic.

It’s what turns capital into velocity. And it’s what builds companies that compound because the entire team, from boardroom to engineering, is pointed in the same direction.




Can you share a story of a defining challenge in your founder journey, what happened, when you recognized it, and how you would approach it differently today?


A defining challenge came early in Chennaimoms, my first startup. I launched it solo after moving back to India from Silicon Valley, driven by a personal need as a new mom. With no co-founders or funding, I wore every hat: designer, marketer, developer, content curator. It scaled to over 1 million monthly visitors, but the early journey was brutally isolating.

The core mistake? I believed I had to do it all to prove I could. I didn’t ask for help. I didn’t build a network. I nearly burned out.

Only later, while building Ideas2IT, did I realize the power of complementary co-founders and fractional executives. We built a strong leadership bench, shared decision-making, and scaled sustainably. At Element5, I leaned on this lesson even more bringing in domain specialists, empowering my team, and openly seeking help from investors and advisors.

If I could go back, I’d do three things differently:

  • Seek mentorship early.
  • Share the load by finding complementary partners.
  • Treat asking for help as a strength, not weakness.

Founding is lonely but it doesn’t have to be isolating.

Today, I encourage first-time founders, especially women, not to try to be everything. You don’t have to earn your stripes alone. Build your village early.







Bio

Bhavani Raman is the COO and Co-Founder of Element5. She has spent the last 20 years delivering and managing high-tech solutions to startups and Fortune 500 companies. Bhavani began her career in 1999 as a software engineer and moved on to project management for a decade. From 2009, she been a serial entrepreneur and has been part of a fast growing IT services company’s leadership. Before that she founded Bharatmoms.com, a networking site for moms and scaled it to millions of users. Bhavani holds a Bachelor of Engineering in Computer Science from a Tier 1 University in India.



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