What We Do
Specialized commercial talent — across every stage of the commercialization journey.
Wherever you are in the commercialization journey, we meet you there.
Establish Leadership
The commercial executives and functional leaders who define strategy and begin building the organization.
Build Critical Capabilities
The specialized functions — market access, national accounts, marketing, commercial operations — that make commercial readiness possible.
Deploy the Field Organization
The field sales, access, and reimbursement teams required to execute nationally and put therapy in reach of patients.
Three ways to engage. One consistent level of partner involvement.
We structure every engagement around the scope, complexity, and timing of the need — not around a fixed delivery model that may not fit. The right model is the one that serves your commercial build.
Executive & Leadership Search
Focused, partner-led search for the commercial executives and functional leaders whose hiring decisions carry the most consequence.
Why clients use this model
This model is the right fit when the need is a single critical hire — or a small number of closely related pivotal roles — that requires genuine market expertise, direct partner involvement, and a search process built around quality of outcome rather than speed of throughput.
Typical needs
Chief Commercial Officer, VP Commercial, VP Sales
VP or Senior Director, Market Access
VP or Senior Director, Marketing or Brand
VP or Director, Commercial Operations or Analytics
National Accounts or KAM leadership
Regional or Area sales leadership
Hard-to-fill individual contributors with rare disease, oncology, or specialty expertise
Examples
A pre-commercial biotech needs its first VP Commercial ahead of a launch filing — the hire who will build the team around them
A growth-stage specialty pharma is expanding into a new therapeutic area and needs a VP Market Access with payer and access experience in that space
A rare disease company has a critical gap in commercial operations leadership and needs to move quickly without sacrificing quality
A company preparing for a second launch needs to upgrade the sales leadership profile from launch to expansion stage
Project Recruiting
Dedicated recruiting support for a defined set of related hires — requiring more coordination, capacity, and consistency than individual search can provide, without the full infrastructure of an RPO.
Why clients use this model
This model fits when you have several interconnected roles to fill — a new commercial function, a regional expansion, a product launch requiring simultaneous hires across disciplines — and you need a partner who can manage the volume and quality together with partner-level oversight.
Typical needs
Building a new commercial capability from scratch — market access, commercial ops, trade and distribution
Multiple leadership and functional roles across the same launch or expansion
Regional sales or account management build requiring consistent hiring across territories
Simultaneous hires in two or three related commercial functions
A defined hiring initiative with a clear timeline and completion milestone
Examples
A specialty pharma company needs to hire a Director of Market Access, a Director of Trade and Distribution, and two regional account managers simultaneously ahead of a product approval
A rare disease biotech is building its commercial operations function from zero — commercial ops director, analytics lead, and CRM manager — and needs them onboarded before launch
A growth-stage company is expanding geographically and needs consistent field hiring across three new regions on the same timeline
Commercial Team Builds & RPO
A fully managed commercial hiring program — built around your launch timeline, your headcount plan, and your organizational priorities, with dedicated T-Rex leadership from kickoff through final deployment.
Why clients use this model
This model is designed for the commercial builds that require scale, speed, and infrastructure: a national field launch, a coordinated multi-team deployment, or any hiring program where the volume and complexity justify a dedicated engagement structure with its own program management, reporting, and delivery cadence.
Typical needs
National field sales organization — area managers and field representatives across US territories
Field reimbursement, patient access, or specialty account management at launch scale
Multi-team commercial launch builds spanning field sales, market access, and commercial operations
Large-scale expansions requiring coordinated hiring across multiple commercial functions
Programs requiring dedicated project leadership, real-time reporting, and structured delivery milestones
Examples
ANI Pharmaceuticals: 72 Acute Care Specialists and Area Business Directors deployed nationally in five months — on time and on budget (2026)
KalVista Pharmaceuticals: 48 Rare Disease Account Managers and Patient Access Managers placed for a pre-commercial rare disease launch — full-cycle, from sourcing through field-ready (2025)
A growth-stage oncology company needs to build a national field sales organization and key account team simultaneously ahead of a first commercial launch
A specialty pharma company is doubling its field footprint across a new indication and needs a managed hiring program with weekly reporting against headcount milestones
Not sure which model fits your situation?
Most of our conversations start with a description of the hiring need — not a request for a specific engagement type. Tell us what you are trying to build, the timeline you are working against, and the internal capacity you have. We will tell you how T-Rex can help and which approach makes the most sense.
Tell us about your commercial organization.
Whether you are making your first critical commercial hire or preparing to deploy a national field organization, we would welcome the conversation.
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