The organizations that win in the next decade won't be the ones with the boldest AI strategy, they'll be the ones that built the operational foundation to execute it. Josh Sandstrom has spent more than 25 years helping clients do exactly that.As a Managing Director at Accenture, Josh is a recognized leader in the health and public sector who partners with organizations to shape and deliver their most critical strategic imperatives. Known for his ability to advise and align senior executives through complex, high-stakes journeys, he helps leadership teams close the gap between strategic ambition and operational reality. Josh's conviction is that transforming back-office operations, finance, HR, and core systems is not an efficiency exercise. It is the prerequisite for delivering better outcomes for patients, students, citizens, and constituents.Josh has led several of Accenture's largest and most complex transformation programs powered by Workday, Oracle Cloud, and Salesforce, including large-scale ERP, student information system, and enrollment management transformations that have fundamentally changed how leading institutions serve their people. His AI-enabled transformation work helps clients not just modernize their systems, but rewire how their organizations operate and compete.His clients don't just get a strategy they get a partner who has faced these challenges before and stays accountable for the outcome.