Reading the numbers is one thing. Translating them into hiring decisions is another. The six moves below are the ones we are seeing pay off across European biopharma in 2026, drawn from the briefs that are being filled and the ones that are quietly stalling.
1. Build novel-MoA scientific depth before chasing the GLP-1 wave
The therapeutic concentration story of 2025 is impossible to ignore. Obesity, endocrine and metabolic disease have expanded rapidly behind GLP-1 and GIP success, drawing senior medical, clinical and commercial talent away from other therapeutic areas. Oncology remains the highest-revenue space and the most crowded, but the talent gravity has shifted noticeably. The longer-term return story, however, sits with novel mechanisms23.5% of the pipeline, 37.3% of projected value.
What to do now. Prioritise principal scientists and translational leaders with deep biology and mechanism-level fluency, not generalist drug developers. For biologics and advanced therapies, prioritise CMC and process science exposure within the candidate profile, since the manufacturing bottleneck on novel modalities is now a regular cause of launch slippage. Where senior scientific candidates are difficult to attract on base salary alone, lead with equity participation and milestone-linked compensation, novel-MoA work needs candidates who are comfortable with failure rates, and they are compensated accordingly.
The risk if you don't. A pipeline weighted toward fast-follower assets in crowded indications will continue to dilute IRR, and the scientific talent capable of moving novel programmes will go to the companies that have learned how to recruit them. We consistently see clients struggle to find this combination at the principal-scientist level. Waiting until the asset is in late preclinical means waiting too long.
2. Treat the EU Joint Clinical Assessment as a hiring driver, not a regulatory one
The EU Health Technology Assessment Regulation came into force on 12 January 2025, introducing a mandatory Joint Clinical Assessment (JCA) for new cancer medicines and advanced therapy medicinal products. Orphan medicines follow in 2028 and all other medicines in 2030. The JCA gives manufacturers around 100 days from receipt of the consolidated PICO scope to dossier submission, runs in parallel with the EMA review, and demands a substantially broader evidence base than any single national HTA. NICE in the UK, G-BA in Germany and HAS in France each remain critical at the national level, but the JCA is the new structural constraint sitting above them.
What to do now. If you have an oncology or ATMP asset within 24 months of approval, your HEOR, market access and RWE teams should already be hired and active. The compressed 100-day window does not accommodate sequential hiring. Build the team around four roles: a market access strategist who has run an EU-level submission, an HEOR manager who can model multi-country value across divergent payer systems, an RWE lead who can structure pre-launch evidence generation against the broader PICO scope, and a payer engagement specialist with credibility at G-BA, HAS and NICE. For rare disease and cell and gene therapy products, this team should be in place 24 months before approval, not twelve.
The risk if you don't. A clinically strong asset that fails the JCA gateway loses commercial momentum across 27 markets simultaneously. We are already seeing companies arrive at the JCA window understaffed and try to close the gap with consultants, which can patch the dossier, but cannot rebuild the multi-year evidence strategy the dossier should have been resting on.
3. Hire BD&L and integration leaders for the earlier-stage M&A pivot
With patent cliffs threatening major revenue streams, Merck's Keytruda, Bristol Myers Squibb's Eliquis, and a long list of other biopharma is increasingly buying smaller, earlier-stage assets rather than late-stage megadeals. Bayer's multi-year restructuring is targeting €2bn in annual savings by 2026, Takeda's transformation programme is targeting around €1.1bn, and several large pharma have explicitly redirected the freed capital toward bolt-on acquisitions and pipeline reinforcement.
What to do now. Strengthen the business development and licensing team with people who can value early-stage assets, not just price late-stage ones. Pair them with integration leaders who can absorb scientific teams without dismantling them. The worst outcome of an early-stage acquisition is losing the founding scientists in the first twelve months. Add translational scientists who can move acquired assets into the parent company's development engine. These three role types are the ones we are seeing in the highest demand against the thinnest available talent pool.
The risk if you don't. Deals get done, value gets paid, and the acquired science walks out the door inside a year. The hidden cost of poor integration is not the deal itself; it is the next deal the seller community does not bring to you.
4. Reframe AI investment as a commercial team redesign
Commercial AI spend in 2026 is increasingly funded from reductions in traditional SG&A rather than incremental budget. The composition of commercial teams is shifting to fewer field-based generalists, more digital engagement specialists, MLOps engineers, and AI-aware brand leaders. Pharma's enterprise AI implementation rate remains low, with only around 11% of organisations achieving enterprise-wide deployment. The gap is closing through hiring, not just through technology procurement.
What to do now. Audit your commercial headcount plan against the SG&A line. If the AI investment is funded but the corresponding role redesign has not happened, you are paying for both the legacy team and the new capability. Hire MLOps engineers and data engineers with regulated-environment experience, pharma data is not technology-sector data, and the candidates who understand the compliance overhead are scarce. For medical and commercial leaders, prioritise candidates who have actually run omnichannel engagement programmes in regulated markets, not those who have only managed traditional field teams.
The risk if you don't. The cost shows up twice: in the SG&A, you have not actually reduced, and in the commercial outcomes the AI investment was supposed to deliver. From what we see across hiring processes, this is one of the most common patterns of stalled AI ROI in 2026.
5. Move medical affairs, MSLs, and RWE upstream into pre-launch
Medical affairs has moved from a support function to a strategic pillar of launch. KOL engagement, scientific exchange and medical strategy now begin two or more years before approval, and the strongest MSL teams combine clinical credibility with digital fluency for omnichannel engagement. Real-world evidence generation now begins in pre-launch as well, both to support payer negotiations and to demonstrate value to providers operating in increasingly horizontally integrated health systems. Patient identification, particularly in rare diseases, oncology and advanced therapies, has shifted from a marketing function to a clinical-commercial bridge.
What to do now. Build the medical affairs leadership team, including TA leads and senior MSLs, eighteen to twenty-four months before approval, not after. Hire RWE and medical evidence managers in parallel; the candidates who can navigate EHR data, registries and patient-reported outcomes inside a regulated, HEOR-aware framework are genuinely scarce, and once they have committed to a competitor's launch, they are difficult to dislodge. For rare disease and ATMP assets, add a patient services and patient identification specialist with both clinical and commercial credibility. The teams that get this right capture meaningful share at launch.
The risk if you don't. Eligible patients go undiagnosed for months, KOL relationships are built in haste post-approval, and the payer conversation begins without the evidence it needed. A Phase III asset that succeeds technically can still fail commercially because the medical and evidence layer was assembled six months too late.
6. Make supply chain and CMC readiness a launch-stage hire, not an operations afterthought
Supply chain readiness has become unexpectedly central to launch success. High-profile setbacks tied to fill-finish and device-component manufacturing, particularly for prefilled syringes, autoinjectors and combination products, have made supply chain capability a launch-critical hire. We consistently see launches delayed not by clinical or regulatory issues but by manufacturing-component readiness. For advanced therapies, where viral-vector and cell-processing capacity is genuinely scarce, the problem is sharper still.
What to do now. Hire CMC lifecycle managers and supply chain readiness leaders into the launch team, not into operations. They should be reporting into the launch governance structure at least twelve months before approval and contributing to the launch readiness review. Where the asset depends on a specific contract manufacturer or fill-finish partner, hire a dedicated external operations lead with direct CDMO management experience. For ATMP assets, prioritise candidates with viral-vector or cell-therapy manufacturing exposure. The talent pool is shallow, and the people who have worked through a recent commercial scale-up are the ones who prevent the next one from slipping.
The risk if you don't. The launch goes ahead clinically and falls over operationally. The companies that built supply chain capability into the launch hiring brief are the ones with full shelves at month one. The companies that did not are explaining to the board why an approved asset is supply-constrained.