Cara Fiske, Regional Director | Executive Leadership | Entrepreneur  | Small Business Owner on Influential Women

Influential Woman · Coaching & Hearing Care Practice Optimization

Cara Fiske

Regional Director | Executive Leadership | Entrepreneur | Small Business Owner, SoundSense by Legacy

Remote, NH

6Years experience
8Articles published
5Awards received

Certifications · Degrees · Memberships

Degree B.S. EQV, Business Administration & Management Degree A.S., Criminal Justice / Constitutional Law Cert Founder & CEO, SoundSense by Legacy Cert Founder with Strategic Oversight, Legacy Travel NH Cert Paralegal with Advanced Credentials in Contract Law, Civil Litigation, and Wills, Estates & Trusts Cert Former New Hampshire–Licensed Insurance Producer — Health, Life, LTC, Annuities & Property and Casualty; Passed Health, Medicare & Managed Care Exam, 2025 Member Worldwide Women's Association (WWA) Member Alzheimer's Association Member Hearing Loss Association of America (HLAA) Member International Hearing Society (IHS) Member American Auditory Society (AAS)

Her Story

About Cara

About

About Cara

Some people follow established paths. Cara Fiske builds better ones when those paths stop serving people.

Her career is grounded in the belief that strong business performance and meaningful human impact should reinforce one another. That belief became personal through her family’s experience with hearing loss, dementia, and Alzheimer’s disease, which showed her how untreated hearing loss can affect confidence, independence, and connection.

For more than seven years, Cara has worked across direct-to-consumer hearing healthcare, tele-audiology, patient experience, consultative sales, strategic partnerships, implementation, and business development. Her experience spans the patient journey from discovery through adaptation support, retention, and return prevention.

Her strength is turning complexity into clear, practical action.

At hear.com, Cara supported more than 900 new customers annually through a network of over 1,250 licensed hearing care providers. She generated approximately $1.4 million in annual personal revenue for three consecutive years, converted roughly two of every three consultations into sales, and achieved exceptionally low return rates.

At Yes Hearing, she contributed approximately 38% of direct-to-consumer revenue, maintained close rates near 66%, and ranked among national leaders in average selling price. At Auris Practice Solutions, she managed ENT partnerships from outreach and ROI analysis through implementation, launch, and relationship management.

These experiences led Cara to establish SoundSense by Legacy, a non-clinical hearing care education and consulting company. SoundSense supports hearing aid wearers and families with practical education, adaptation guidance, realistic expectations, and communication support. It also helps practices strengthen patient experience, workflow, retention, return prevention, leadership, and sustainable growth. SoundSense does not diagnose hearing conditions or replace clinical care.

Cara is also the Co-Founder with Strategic Oversight of Legacy Travel NH, a separate family-owned private transportation company, where she leads strategy, financial planning, regulatory oversight, marketing, customer experience, and growth.

Before hearing healthcare, Cara built experience across retail leadership, insurance, financial services, legal operations, compliance, and business development. She ranked first in show and conversion rates for more than 30 consecutive months and managed multi-state compliance responsibilities.

Cara is seeking her next remote leadership opportunity in hearing healthcare, particularly in leadership, business development, patient experience, partner success, implementation, or operations.

She combines empathy with accountability, strategy with execution, and growth with genuine care for the people behind the numbers.

When an organization needs someone who can simplify complexity, develop people, protect the patient experience, grow revenue, and leave the business stronger than she found it—they call Cara.

Her Interview

Ten minutes with Cara

01What do you attribute your success to?

I attribute my success to listening for what is not being said.

In hearing care, business, and leadership, the first answer is rarely the whole answer. A patient who says, “I need to think about it,” may really be questioning whether hearing aids will work in the situations that matter most to them. An employee who appears resistant may be missing clear expectations or the right support. A business process that looks like a sales problem may actually be a communication, training, or follow-up problem.

I have built my career by being willing to look beneath the immediate response, ask better questions, and remain engaged long enough to understand what is actually preventing progress. I combine that curiosity with accountability. Empathy matters, but so do clear expectations, measurable goals, consistent follow-through, and the willingness to address difficult issues directly.

I also believe strongly that people perform better when they understand what success looks like, why it matters, and how their individual actions contribute to the larger result. Whether I am supporting a patient, leading a team, launching a partnership, or building a business, I work to create that clarity.

Finally, I attribute my success to resilience. My career has not followed a perfectly straight line, but every industry, challenge, and transition has strengthened my ability to adapt, solve problems, and lead with perspective. I do not view setbacks as proof that something cannot be done. I view them as information about what needs to change.

02What’s the best career advice you’ve ever received?

“You can’t hit a target if you can’t see the target.”

That advice shaped the way I approach leadership, sales, and business strategy. Ambition alone is not a plan. People need clear expectations, measurable goals, honest feedback, and a meaningful understanding of what they are working toward.

It also taught me that clarity is a leadership responsibility. When a person or team is struggling, I first ask whether the goal was clearly defined, whether they were given the tools to reach it, and whether anyone identified the obstacles standing in their way. Accountability is essential, but accountability without clarity is rarely productive.

The advice applies personally as well. Once I can define what I am trying to accomplish, I can break it into decisions, behaviors, and measurable steps. A visible target turns uncertainty into strategy—and strategy creates momentum.

03What advice would you give to young women entering your industry?

Learn the science, understand the technology, and master the business behind the care. Hearing healthcare needs women who can communicate with compassion, think strategically, and connect patient outcomes to measurable results.

Never make yourself smaller to seem agreeable. Ask thoughtful questions, speak up before you feel completely ready, and become comfortable communicating with patients, clinicians, and executives. Confidence is not knowing everything; it is preparing well and trusting your ability to learn.

Protect the reason you entered the field. Behind every appointment is someone trying to remain connected to the people and moments that matter most. Build credibility through consistency, maintain high standards, and leave every patient, team, and organization stronger than you found it.

04What are the biggest challenges or opportunities in your field right now?

The industry’s greatest challenge is closing the gap between available hearing technology and successful, consistent use. Cost, access, stigma, uncertainty, and unrealistic expectations still prevent many people from seeking or benefiting fully from care.

Over-the-counter devices, Tele-Audiology, and AI can expand access, but technology alone is not enough. Patients still need education, appropriate guidance, realistic expectations, and meaningful follow-up.

The greatest opportunity is to build a better pathway from awareness to treatment and from treatment to confident real-world use. The organizations that combine innovation, clinical expertise, strong leadership, and human support will shape the future of hearing healthcare.

05What values are most important to you in your work and personal life?

Integrity is the foundation of everything I do. People should be able to trust my word, my work, and my intentions, especially when decisions are personal or high stakes.

I value accountability, compassion, excellence, family, and service. I believe empathy and high standards belong together—caring deeply about people should strengthen, not diminish, our commitment to responsibility and meaningful results.

Finally, I value resilience and continual growth. I believe in learning from setbacks, adapting without abandoning my principles, and leaving people and organizations stronger than I found them.

Her Content Hub

Articles by Cara

View all 8 articles

Hearing aid returns stem from unmet expectations and inadequate patient support, not technology failures. Successful practices prioritize follow-up calls, clear communication, and coaching to help patients adjust to better hearing.

Explore the critical difference between umbrella and funnel leadership styles. Discover how strategic shielding builds team capacity, productivity, and trust while preventing burnout and depleting morale through protective leadership practices.

Leadership in hearing care means transforming setbacks into opportunities. Discover how treating broken moments as raw material rather than verdicts empowers teams to solve problems and strengthen relationships.

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