Anneliese & Cynthia

Big Impact is led by Cynthia Ficara and Anneliese Rhodes, two nationally recognized leaders in medical device sales with a track record of sustained top-tier performance in highly competitive healthcare environments.

Cynthia Ficara, a certified nurse practitioner, brings a rare combination of advanced clinical expertise and commercial leadership. Her career is defined by consistent President’s Club performance, deep physician relationships, and disciplined execution grounded in real-world clinical insight.

Anneliese “Lisa” Rhodes brings more than 26 years of experience across global MedTech organizations and high-growth ventures. Known for her strategic leadership and enterprise-level perspective, she has earned multiple national performance awards and built a reputation for delivering results within complex clinical systems.

Together, they represent a standard of excellence shaped by clinical credibility, competitive discipline, and principled leadership. Both are deeply committed to developing high-performing professionals who lead with ownership, think strategically, and execute with precision in high-stakes environments.


OuR Approach

It all began with an idea and a simple realization: too many talented reps were being taught how to sell, but not how to truly succeed.

Through years of learning, failing, adapting, and growing in the field, we built something different. An approach that is grounded in real-world experience, discipline, and the belief that greatness isn’t given; it’s developed over time.


We took everything that worked, everything that didn’t, and built an approach around it.

That idea became Big Impact Academy.