Frame
Define the decision, stakeholder, and consequence of being wrong.
OUTPUT · Decision frameJonathan R. Mitchell, MS, MBA
I help teams clarify launch, brand, portfolio, and asset decisions when scientific, clinical, market, competitive, and stakeholder evidence point in different directions.
Manager / Senior Manager focus: commercial strategy, new product planning, business insights, competitive intelligence, forecasting, and portfolio strategy.
Selected Chiesi work & impact
Each row follows the same logic: business question, contribution, and decision value. Scale appears only where it clarifies the work.
| Context & evidence | Business question | My contribution | Why it mattered |
|---|---|---|---|
ChiesiCardene stakeholder research115 responses in under 30 days | What hospital-stakeholder evidence should shape brand planning? | Designed the research approach and survey, evaluated vendors, and supported agency execution. | Converted a broad information need into decision-ready stakeholder evidence on a short timeline. |
ChiesiCystic-fibrosis customer data20 shipment sites mapped to CF clinics | Were shipment sites and prescriptions being attributed to the right CF clinics? | Reconciled prescription, shipment, clinic, and territory evidence across multiple data sources. | Surfaced segmentation errors and corrected the evidence base behind customer and field decisions. |
ChiesiCross-brand commercial planning18+ projects and workstreams in five months across Cardene, BETHKIS & PERTZYE | How should research, analytics, patient, access, lifecycle, and execution evidence connect across brand planning? | Moved from Cardene hospital-products work into an extended BETHKIS and PERTZYE CF assignment spanning brand research, customer and patient insight, reimbursement, lifecycle, and execution questions. | Carried strategic context across workstreams so individual analyses contributed to a more coherent planning picture. |
ChiesiCardene product-value evidenceRTU versus admixture, stability, shortages, waste, and handling | Which operational differences mattered enough to influence hospital-pharmacy decisions? | Developed evidence and content across integrated pharmacy, drug shortage, stability, sterility, product handling, and drug-wastage questions. | Connected product attributes to workflow, supply, error, and economic consequences that hospital stakeholders could evaluate. |
ChiesiCF performance and competitor analyticsDetail-to-TRx, territory, performance-driver, and generic-entry analyses | What was driving performance, and where was competitive pressure changing the market? | Analyzed territory performance, physician detail-to-TRx patterns, multichannel messaging, NPP volume agreements, and generic tobramycin price erosion. | Made the drivers behind brand performance and competitive risk more explicit for planning decisions. |
ChiesiPatient and access evidenceCF patient journey, patient guide, and Medicare coverage visuals | Where did the care pathway and coverage environment create friction or support needs? | Integrated patient-pathway research, scientific literature, and coverage evidence into journey and access materials for BETHKIS and PERTZYE. | Connected brand planning to the lived care pathway and practical access barriers. |
ChiesiCardene lifecycle planning2X, 3X, 3.5X, 4X, and prefilled-syringe concepts | Which formulation and delivery concepts merited further market and technical validation? | Assessed concentration, bag-size, drug-wastage, implementation, regulatory, and intellectual-property considerations across potential line extensions. | Turned a broad lifecycle question into specific concepts and the evidence each would require next. |
ChiesiBusiness development and reimbursement4 opportunities plus coding, reimbursement, center, and market research | Which opportunities merited deeper diligence, and what adoption constraints mattered? | Integrated technical merit, commercial fit, reimbursement, site-of-care, treatment-center, and market-outlook evidence. | Made unlike opportunities comparable on a consistent advance / pass decision frame. |
ChiesiDigital, customer-insight, and execution workWebsite audit, web analytics, business profile, sales interviews, and patient support | What customer and digital signals could improve execution across brands? | Reviewed BETHKIS and PERTZYE web analytics, audited the corporate website, corrected the Chiesi USA business profile, synthesized sales best practices, and developed an early patient-support concept. | Converted dispersed digital and field signals into concrete execution improvements and follow-up actions. |
Chiesi · Commercial strategy in practice
The assignment began with Cardene hospital-products work and expanded into BETHKIS and PERTZYE cystic-fibrosis brand planning. The important point is not the project count by itself; it is the breadth of decisions the work touched and the context carried from one question to the next.
Download the two-page Chiesi portfolio| Workstream | Representative work | Decision relevance |
|---|---|---|
Stakeholder & market research | Designed the Cardene hospital-stakeholder research approach and survey, evaluated vendors, and supported a 115-response field effort in under 30 days. | Produced decision-ready customer evidence for brand planning on a short clock. |
Cardene evidence & education | Developed integrated-pharmacy, drug-shortage, stability, sterility, handling, drug-wastage, CLUE reprint, case-study, myths/truths, physician-education, and sales-resource work. | Translated product and operating evidence into materials that could support compliant customer education and brand decisions. |
CF data mapping & segmentation | Reconciled prescription, shipment, clinic, and territory evidence and mapped 20 shipment sites to CF clinics. | Exposed segmentation errors before they could distort customer, territory, or performance conclusions. |
CF brand & performance analytics | Supported separate BETHKIS and PERTZYE SWOTs plus detail-to-TRx, territory, performance-driver, multichannel-messaging, NPP volume-agreement, and generic-entry analyses. | Connected brand strategy to the specific customer, execution, and competitive signals shaping performance. |
Patient, market & access insight | Built CF patient-journey, patient-guide, Medicare-coverage, qualitative-research, scientific-literature, and early patient-support work. | Connected brand questions to the lived care pathway, access barriers, and unmet support needs. |
Lifecycle & new-product planning | Assessed Cardene 2X, 3X, 3.5X, and 4X formulation scenarios plus a ready-to-use prefilled-syringe and IV-bolus concept. | Defined specific lifecycle options and the market, technical, regulatory, and economic questions each required. |
Business development & reimbursement | Assessed four opportunities and completed OB/GYN staffing, office-injection reimbursement, UCD center, disease-outlook, CPT/HCPCS, and site-of-care research. | Combined opportunity attractiveness with the access and adoption realities that could change an advance / pass decision. |
Digital & web execution | Audited the corporate website, reviewed BETHKIS and PERTZYE Google Analytics, and corrected the Chiesi USA Google business profile after the company-name change. | Turned digital findings into concrete visibility, measurement, and execution improvements. |
Field & customer synthesis | Reviewed qualitative research and interviewed sales leadership and top hospital performers to identify best practices; developed resource-guide and dashboard concepts. | Converted field knowledge into reusable insights rather than leaving it distributed across individuals. |
Public-safe summary based on contemporaneous project records; confidential details and internal data are intentionally omitted.
Diviner · Forecasting under uncertainty
Historical phase averages are useful starting points, but they do not capture the mechanism, population, endpoint, design, safety, competitive, and execution risks of an individual trial.
Produced trial-specific probability-of-success estimates and written rationales across 37+ indications as part of anonymized external-expert panels.
Integrated mechanism, translational, clinical, endpoint, safety, competitive, and operational evidence; identified the uncertainties most likely to change the estimate; and revised forecasts when new evidence warranted it.
HOW THE PANEL PROCESS WORKED
Estimate trial-specific probability of success before group influence.
Make evidence, assumptions, and uncertainty drivers explicit.
Review evidence surfaced by other anonymized experts.
Update the estimate when warranted without surrendering independent judgment.
What the published pilot shows
| Published pilot | 65 clinical trials |
|---|---|
| Resolved at analysis | 47 trials |
| Aggregate accuracy | 0.20 Brier score |
| Calibration | Quartiles within 1–9 percentage points of observed success rates |
| Relative performance | Panel forecasts outperformed about 75% of individual forecasters |
Method and pilot results described in David FS, Benson RE, Gordon M, Mytelka DS. “Forecasting clinical trial success using anonymized external expert panels.” Drug Discovery Today, 2025.
Innovation commercialization
A science-to-market practice connecting technical merit, unmet need, IP context, development risk, regulatory and reimbursement pathways, prospective partners, and the next value-creating action.
Explore the commercialization portfolioWhat ties the work together
The value is not finding an interesting fact. It is recognizing which fact changes the conclusion.
| Decision | Analytical move | So what |
|---|---|---|
Clinical risk | Separate biological plausibility from execution risk across the endpoint, population, design, safety, device, and operating context. | Forecast the actual trial, not the molecule in the abstract. |
Portfolio choice | Make the advance / pass logic inspectable across technical merit, patent position, reimbursement, commercial fit, and scenario economics. | Show leaders what drives the recommendation and what could reverse it. |
Commercial insight | Reconcile shipment, prescription, clinic, territory, and stakeholder evidence before interpreting performance. | Correct the decision foundation before optimizing execution. |
Approach
Define the decision, stakeholder, and consequence of being wrong.
OUTPUT · Decision frameCombine scientific, clinical, market, competitive, and customer evidence.
OUTPUT · Evidence mapIsolate uncertainty, competing explanations, and scenario sensitivity.
OUTPUT · Uncertainty mapDeliver a point of view, evidence gaps, and practical next actions.
OUTPUT · Decision memoAbout
My background combines an MS in Biotechnology with a newly completed DePaul MBA and a graduate certificate in Technology Entrepreneurship & Commercialization from NC State. I have worked across specialty pharma, biotech, medtech, digital health, and animal health.
Contact
I am primarily pursuing full-time Manager / Senior Manager roles and am also open to well-scoped paid consulting engagements.