Went through the whole thing over about six weeks. Posting because I couldn't find current info when I was prepping.
Round 1: Recruiter screen, ~30 min. Standard stuff. She was thorough, not rushing. Asked about my FAANG background directly and whether I was comfortable with a pharma pace. Fair question.
Round 2: Hiring manager call, 45 min. Half bio walk, half behavioral. He asked specifically about stakeholder alignment in regulated environments. Red flag for me if you haven't dealt with compliance-adjacent work before.
Round 3: This is where it gets interesting. Five-person panel. Each interviewer was assigned a competency. One person only asked about customer focus. One only asked about results delivery. It felt like a structured assessment tool, not a conversation. Be ready for that shift in tone.
Round 4: Case study presentation. They sent a brief 48 hours before. I had to present a go-to-market concept for a digital patient support tool. Audience included the hiring manager, a medical affairs director, and someone from market access. About 20 minutes of presentation, 20 of Q&A.
Offer came 12 business days after the final round. Comp was lower than big tech equivalents but the equity story is actually pretty interesting right now given the pipeline.
Overall: thorough, professional, a little slow. The panel felt like an HR instrument more than a real conversation but everyone was kind about it.