How to Create an Agile Organizational Structure

Randy Horton

Published on: March 3rd, 2026

As software platforms scale, adding new features often becomes slower and more expensive. Releases take longer. Decisions get stuck. Teams drift out of alignment. In MedTech and SaMD organizations working under design controls, these gaps quickly turn into technical debt and cross-functional friction.

This webinar introduces agile organizational structure, a practical framework for rethinking how R&D teams are designed and how work moves through them. Instead of focusing on process tweaks or tooling changes, the session examines the organizational patterns that determine whether teams collaborate smoothly, make timely decisions, and sustain momentum as complexity grows.

If your organization is building or expanding software, SaMD, or connected device platforms and encountering friction in execution, this session offers a grounded, actionable perspective on where to start.

What We’ll Cover:

From Monolith to Modular – How organizational structure drives monolithic platforms, and how team design enforces modularity to prevent growing technical debt.
The North Star Strategy – How shared vision, metrics, and incentives align teams and replace fragmented priorities.
The 3 Amigos Decision Model – How embedding product, technical, and quality roles into teams enables faster, compliant decision-making.
Scaling and Culture – How to integrate UX and Human Factors, hire for outside perspective, and overcome legacy R&D resistance.

Who Should Attend?

MedTech Executive & Business Leaders looking to scale software and digital initiatives without increasing internal friction.
Product, Engineering & R&D Teams seeking practical ways to accelerate development while maintaining compliance and technical rigor.
MedTech Quality & Regulatory Leaders focused on embedding compliance directly into development rather than enforcing it after the fact.

Save Your Seat

Randy Horton, VP of Solutions and Partnerships, Orthogonal