Where we place

Commercial & General Management

Two different jobs share this heading. In CDMOs and service businesses, commercial leaders win work on scientific credibility; in pharma, market access leaders win it on evidence and payer negotiations. Both are hard to brief well, which is why the brief is where we start.

Roles we fill
The market · checked September 2026, next review December 2026

What is changing, and what it means for hiring.

Since 12 Jan 2025

EU joint clinical assessments cover new cancer medicines and advanced therapies, with orphan medicines following in 2028 and all new medicines in 2030. Pricing and reimbursement stay national.1

For hiring: Commercial and access leaders need to work with one EU evidence package and still negotiate price country by country.

2024 → 2033

The global CDMO market is forecast to grow from $173 billion in 2024 to $323 billion by 2033, and the share of pharma production that is outsourced rose from 34% in 2014 to 49% in 2023.2

For hiring: CDMOs compete for business development and marketing leaders who can sell complex capabilities.

2026 outlook

CDMO leaders describe a move from transactional contracts to scientific partnership, with biotechs choosing partners on the strength of their technical teams.3

For hiring: CDMO commercial roles increasingly need scientific credibility, not only sales skill.

2025

Global biotech financing reached $68.5 billion, up 11%, while IPOs fell by about half. In the Netherlands, funding went to fewer but larger rounds.45

For hiring: With fewer IPOs, growth runs through partnering and M&A, which raises the value of leaders with deal experience.

  1. European Commission, joint clinical assessments under the HTA Regulation
  2. GEN, top 10 CDMOs 2025 (citing Jefferies)
  3. Contract Pharma, the evolution of biotech and CDMO partnerships: a 2026 outlook
  4. EY, Beyond Borders 2026 biotech report (9 Jun 2026)
  5. HollandBIO on the Dutch Life Sciences Trend Analysis 2026 (31 Mar 2026)
Why these hires are hard

Many of the right people are not actively looking.

A request for a Sales Director can turn out to be a Chief Commercial Officer: someone who engages C-level customers and leads account management, business development and marketing together. A marketing brief open to every background can be sharpened to direct CDMO experience. Both happened in the stories below, and both changed who we went after.

The best commercial leaders in a niche are known to each other and to their competitors. They are reached through an established industry network, and they move for scope, influence and a proposition they can believe in.

How we help

From a business development director to the CEO.

CEO, MD and CCO appointments

Retained search, handled in confidence, with alignment across CEO, board and investors.

Commercial directors

Mid to senior search for business development and marketing leadership.

A second look at the brief

An honest check of title, seniority and profile before the search starts.

Recent work

Stories from this area.

Other areas

Tell us about the role, or the gap it's leaving.

A thirty-minute call with Russell, no pitch deck. You'll leave with a view on whether it's a search, an interim, or neither.