scaling pharma leaders at the speed of the business
October 4, 2026 | Case Studies

Why Does Growth Outrun Leadership?

The pharmaceutical industry is building manufacturing capacity at a pace it has not attempted before. In 2025 alone, major drugmakers announced more than $370 billion in U.S. manufacturing projects over the next five years. New sites can be financed, permitted and built on a schedule. The senior leaders who will run them cannot.

That is the gap HR leaders already see. In a survey of 805 HR leaders, 69% agreed their leaders and managers are not equipped to lead change, and three-quarters reported their managers are overwhelmed. Leader and manager development has topped HR priorities for three consecutive years. The reason is simple: the business is scaling faster than the people who have to lead it.

The Program: Time to Think, and a Peer Group to Think With

AIIR and the client built the program on a simple premise: leaders at this level did not need more content. They needed time to think and a peer group to think with. AIIR designed and delivered an immersive, in-person development experience that brought 20 senior leaders together for three days and six sessions, each built around the kinds of decisions they actually face:

  • Managing Competing Priorities
    Treating the tensions in their roles, such as speed versus rigor or standards versus flexibility, as polarities to manage continuously rather than problems to solve once.
  • Building a Culture of Accountability
    Using the accountability ladder to move teams from a “renter” mindset, where things happen to them, to an “owner” mindset, where things happen because of them.
  • Shifting Perspective
    Moving deliberately between the balcony, where a leader sees the whole system, and the shop floor, where the work gets done.
  • Making Decisions that Hold
    Prioritizing and communicating decisions so they survive contact with the realities of complex change.
  • Leading Systematically
    Designing a personal operating rhythm that keeps a site or function aligned without the leader being present for every decision.
  • Reflecting as a Working Method
    Reflection was treated as the way the work got done, not as the closing exercise.

The most consequential design choice was to put the organization’s executives in the room. Five senior executives joined the cohort in person across the three days, in open dialogue rather than scripted remarks. The point was not a welcome message. It was for 20 senior leaders to see the people they report to think out loud about the same tensions they face.

None of this came free. Pulling 20 site and function heads out of an operating network for three days cost roughly sixty leader-days, at the busiest moment in the organization’s history, and the executives in the room gave up time of their own. The sponsors made that trade deliberately. Waiting for a quieter moment carried a cost too, because no quieter moment was coming, and every month the expansion ran without a shared leadership standard was a month the sites were each led their own way.

What the Leaders Took Away

Asked what stayed with them after three days, the cohort’s answers clustered around three things.

1. Reflection Beats Experience. The leaders named this the headline insight of the program. Experience on its own does not make a leader better. What makes the difference is stopping to examine what happened and why. Most of these leaders had been filling the time they could have used for that with the next escalation. They left committed to protecting it.

2. A Shared Way to See the System. The balcony and shop floor model was among the most valued content of the three days, rated 6.8 out of 7 alongside accountability. Its value was less the idea than the common language: a leader can now tell a team which altitude they are operating at, and why.

3. The Executive Were in the Room. In the open comments, the presence of the organization’s own executives was the most frequently cited reason the program mattered. One participant put it in six words: being invested in said it all.

Every participant left with named commitments, which AIIR coded into themes that ranged from applying the accountability ladder with their own teams to protecting time for reflection rather than only reacting to the next escalation.

What the Data Showed

Nineteen of the 20 participants completed the post-program survey. The scores were high across the board: 9.6 out of 10 for overall satisfaction, 9.7 out of 10 for applicability to the role, 100% would recommend the program to a peer, and no measure scored below 8. The content performed as designed: accountability and the balcony and shop floor model each scored 6.8 out of 7, and the two sessions in which executives sat with the cohort scored 6.7, within a tenth of a point of the top-rated content.

Beyond confirming the program worked, the survey gave the sponsor two things most program evaluations do not:

1. A Retention Signal

Every respondent agreed that the company was genuinely interested in them, and four in five agreed strongly. For a population of senior leaders in an industry with unmatched talent mobility, that item reads less like a course evaluation and more like a measure of engagement, and it is the result the sponsor carried into the next talent review.

2. A Map of Where to Invest Next

On the statement that they knew exactly whom to call for help, 95% agreed, but just 42% agreed strongly, the lowest intensity in the survey. Three days had built a peer network that had not existed before; this item showed where it still needed reinforcing. In an organization operating across more than a dozen functions and sites and building more, that is actionable intelligence rather than a shortfall: it told the sponsor what the next investment should be.

From a Program to a Talent Strategy

The cohort’s feedback pointed less at the program than at what should follow it. Participants asked to reconvene within six to twelve months and to cascade the tools to the tier of leaders below them. Each request moves the decision from training to talent strategy. Twenty leaders now share a language for accountability, polarity and systems thinking; the leaders beneath them do not yet.

What the readout could not yet show was behavior. Whether the cohort’s commitments would survive contact with the operating schedule was a question for the next 360 cycle, not for the end of engagement survey. AIIR’s readout said so plainly, a distinction that matters to any executive who must defend a leadership development investment upward without overclaiming it.

The Lesson for Any Organization Growing Faster Than Its Leaders

The conditions at this manufacturer are not unusual. Any organization growing faster than it can produce the leaders to run it, whether through new sites, a product launch, an acquisition or a market shift, has a tier of senior leaders who own a site, a function or a region who rarely meet a true peer, and who are asked to hold competing priorities without escalating every one of them. For those organizations, this case suggests the scarcest ingredient is not curriculum. It is a room of genuine peers, executives willing to sit in it, and a sponsor prepared to treat what the cohort asks for next as succession planning rather than program feedback.

Want to learn more about how AIIR Consulting develops senior leaders in pharmaceutical, manufacturing and other organizations scaling faster than their leadership bench? Contact us today.

About The Authors

Megan Marshall, Managing Partner

Megan Marshall is a Managing Partner at AIIR Consulting, where she partners with global organizations to build stronger leaders, more cohesive teams, and cultures that drive performance. Known for her sharp insight and presence in the room, Megan brings deep expertise in executive coaching and organizational development. She holds a Master’s in Talent and Organization Development and Executive Coaching from the McColl School of Business at Queens University. Connect with Megan

Greg Leskew, Managing Partner

Greg Leskew is a Managing Partner at AIIR Consulting based in Toronto, Canada, partnering with senior leaders to navigate high-stakes moments — from enterprise-wide transformations to succession decisions. With over 20 years of experience in talent development and executive coaching, he brings a business-centric approach that connects personal leadership growth directly to organizational outcomes. Prior to AIIR, Greg held roles at Lee Hecht Harrison and DDI, where he deepened his expertise across industries including Financial Services, Energy, Pharmaceuticals, and Telecommunications. Greg holds a Bachelor of Arts from Ottawa University, a Certified Human Resources Manager designation from Metropolitan University, and a Certified Executive Coach credential from Royal Roads University. He is also an Associate Certified Coach through the International Coaching Federation and is certified in Hogan and Birkman personality assessments. Connect with Greg