Fractional Chief of Staff to Biotech CEOs and Boards

Former VP, Programs & Portfolio | Biotech Execution & Capital Discipline

Bringing clarity, alignment and accountability at critical inflection points.

When portfolio complexity meets capital pressure, clarity becomes strategic.

Biotech organizations operate under structural tension:
milestone dependencies, regulatory uncertainty, capital constraints and increasing Board scrutiny.

As pipelines expand and expectations rise, execution discipline and governance clarity become decisive differentiators.

This is where a Fractional Chief of Staff becomes a strategic lever.

What I bring

Fractional Chief of Staff to Biotech CEOs and Boards.

I step in at moments of strategic inflection —
when portfolio complexity increases, capital pressure intensifies and execution credibility becomes critical.

I bring clarity, alignment and accountability
without adding unnecessary structure.

Core Areas

  • Executive and Board interface structuring

  • Strategic prioritization under capital constraints

  • Cross-functional leadership alignment

  • Governance discipline and milestone accountability

  • Embedded fractional Chief of Staff leadership

Executive Experience in High-Stakes Biotech Environments

Carole ABEL
Founder - enAbel Consulting

Three decades of professional experience, with over 20 years dedicated to biotech and pharmaceutical development in complex, capital-sensitive environments.

Former Vice President, Programs & Portfolio Office at MindMed.
Leadership roles at Actelion Pharmaceuticals and Creso Pharma.

Operated in close proximity to executive teams and Boards where capital allocation, portfolio focus and execution credibility directly impact valuation.

Today, I operate as a Fractional Chief of Staff, bringing this experience directly into biotech leadership teams.

Typical Situations I Support

  • Rapid pipeline expansion with constrained organizational capacity

  • Board pressure on prioritization and milestone credibility

  • CEO and ExCom bandwidth overload during scale-up

  • Governance complexity following financing rounds

  • Capital allocation trade-offs across development programs

  • Cross-functional misalignment slowing execution

  • Leadership bandwidth overload

When governance discipline and execution credibility are under pressure, it is the right moment to intervene.

Engagement Models

Fractional Chief of Staff (Embedded Executive Partner)
1–3 days per week, aligned to strategic milestones and leadership priorities.

Board & Portfolio Governance Advisory
Targeted strategic decision support at CEO and Board level.

Conseil auprès de dirigeants de TPE/PME (France)

J’accompagne également les dirigeants de TPE/PME dans la structuration de leur gouvernance, la priorisation des enjeux et la prise de décisions stratégiques lors des phases de croissance ou de transformation.

Let’s Talk.

If portfolio complexity, capital discipline or execution credibility are becoming strategic concerns, it may be the right time to introduce a Fractional Chief of Staff.

Confidential. Direct. Executive-level engagement.