October 5, 2026 | Whitepapers

What 251 Pharma Coaching Engagements Reveal About the Next Decade of Leadership

The pharmaceutical and biotechnology industry is entering one of the most demanding stretches of its modern history: a $236 billion patent cliff, Medicare price negotiation with real teeth, AI rewriting the core scientific work, and wave after wave of restructuring, all at once. Most strategy decks describe these pressures. Far fewer describe the people expected to lead through them, or what those leaders will actually need to be capable of.

AIIR Consulting analyzed 251 executive coaching engagements with pharma and biotech leaders, comprising 700 development plans and 2,021 individual skill decisions, and compared them to our global cross-industry benchmark. The result is a rare, data-driven look at what pharma leaders are choosing to develop right now, where that focus is well placed, and where it is quietly creating risk for the decade ahead.

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What’s Inside?

  • Why Influence has displaced Communication as the number one leadership skill in pharma, and what that means for your leadership model
  • The two “pressure skills” pharma leaders prioritize that are missing from the global top ten: Emotion Management and Stakeholder Management
  • The two long-term skills that have fallen off the pharma agenda entirely, Developing Talent and Strategic Thinking, and the succession risk that creates
  • The signature development profile of the scientist-to-executive transition, and why Leading Self skills dominate pharma’s list
  • Five concrete moves for HR and talent leaders, from rebalancing competency models around Influence to managing the leadership pipeline like the drug pipeline

About The Authors

Jonathan Kirschner, Founder and CEO

Dr. Jonathan Kirschner, Psy.D. is the Founder and CEO of AIIR Consulting and its sister company, AIIR Analytics. Jonathan holds a doctorate in Clinical Psychology from Widener University and is a graduate of New York University. Connect with Jonathan