Launch architecture, retention design, and elite talent for advanced metabolic therapies
Three core services designed to de-risk your U.S. launch from strategy through execution. Each can stand alone or layer together into a comprehensive mandate.
Advanced Metabolic Retention Audit
For biotechs with GLP-1, dual/triple agonists, or obesity therapies already in market or close to launch.
What We Do
Quantify revenue leakage from early discontinuation, access barriers, and channel friction using your data and emerging real-world persistence benchmarks.
Map your current patient journey from prescription to 6-12 month follow-up, highlighting friction points in titration, side-effect management, affordability, and channel.
Assess your HCP and KOL narrative vs. the evolving cardiometabolic evidence base and payer expectations.
Deliverables
Retention Leakage Report with financial model and prioritized list of 5-7 operational "leaks"
Retention Blueprint: lean retention engine design including patient support, nurse/liaison model, loyalty architecture, and KOL activation
Board-ready 2-3 page Executive Summary quantifying risk, upside, and recommended next steps
Optional Add-Ons
Targeted Field Force Tune-Up sessions to embed new persistence messaging
Focused New Manager Coaching to help frontline leaders drive the right behaviors post-audit
Advanced Metabolic Launch Architecture Mandate
For companies planning or executing a high-stakes U.S. launch in advanced metabolic or obesity categories.
What We Do
Design end-to-end Launch Architecture: target patient and prescriber segmentation, access strategy, field model, channel prioritization, and governance.
Build a Retention Engine integrating titration and side-effect navigation, patient support, and loyalty constructs to reduce early drop-off.
Lead KOL and Narrative Strategy so your story is clinically credible, payer-relevant, and executable by real reps in real clinics.
Includes Talent Architecture & Squad Building for key roles, with our senior leaders personally vetting finalists and providing UEM Fit Scores.
Deliverables
Complete launch architecture documentation and governance framework
Retention Engine design with KPIs and pilot program structure
KOL stratification, message platform, and activation plan
Talent architecture with role archetypes, competency models, and vetted candidate slates
Optional Add-Ons
Ongoing New Manager Coaching for new or expanded districts
Quarterly Launch War Room facilitation to adjust tactics based on real-world performance
Bespoke micro-video modules ("how we sell this asset") for internal training
Talent Architecture & Squad Building
For U.S. and foreign firms that cannot afford to get their first wave of hires wrong.
What We Do
Define the role archetypes and competencies required for complex metabolic and obesity launches: clinical fluency, access savvy, persistence mindset, and compliance rigor.
Run Clinical Stress Tests -- live role-plays on real cardio-metabolic cases. If candidates cannot explain your label, persistence data, and safety profile in plain language, they do not move forward.
Behavioral and Culture Screens to catch the red flags generalist recruiters miss: blame-shifting, territory entitlement, compliance gray-zones, and low coachability.
Network-Level Reference Checks through a 30-year network of managers and physicians -- not generic reference calls.
Deliverables
Role archetype definitions and competency models for your specific launch
Small curated slate with structured UEM Fit Scores (0-100) and narrative risk flags
Candidate briefs with strengths, risks, and ideal role fit recommendations
Optional Add-Ons
New Manager Coaching for leaders inheriting or building those squads
Asset-specific "Advanced Metabolic Selling 101" video series for onboarding
Built by operators who have carried the bag
A la carte add-ons
Available as standalone engagements or bundled with core services. Priced as discrete packages ($15-40K depending on scope).
New Manager Coaching
For first-time district/regional managers in metabolic and specialty categories. 3-6 virtual session packages with optional shadowing and call reviews.
Outcome: Shorten the time it takes a new manager to become effective at coaching complex metabolic selling and managing compliance.
Field Force Tune-Up
Short 1-2 half-day virtual engagements to pressure-test and sharpen how reps sell GLP-1, dual/triple, or obesity assets and handle payer and persistence objections.
Outcome: Immediate uplift in message quality and clinical credibility of your existing field force.
Launch War Room Facilitation
1-2 day structured working session with cross-functional leaders to walk through your Launch Architecture and Retention Engine with an Echelon senior leader as external stress tester.
Outcome: Identify blind spots and misalignments before they become expensive field-level problems.
Not sure which service fits?
Start with a 30-minute Launch Stress Test. We will diagnose where your launch is most exposed and recommend the right engagement model.
Schedule a Stress Test →