Building Culture in a New Market Era
organon
featured case study
back to case studies
How Strong Commercial Strategy Drove Record Growth, Cultural Transformation, and New Capabilities in Year One
Following a major corporate spin-off, Meghan and her team led the U.S. market through a pivotal first year—delivering not just stability, but standout performance across the board.
In year one, her team achieved the first fully leveraged market P&L since the spin-off, laying the financial and operational foundation for long-term growth. By year-end 2024, they delivered record-breaking results, including over 55% growth in a key strategic product segment and double-digit growth across a portfolio of products averaging over 20 years in market—a testament to smart optimization and effective lifecycle management.
But this wasn't just about numbers. Under Meghan’s leadership, the team launched three new products into highly competitive categories, all while reducing expenses at the market level.
At the same time, she guided the integration of multiple business models—from medtech and device to buy-and-bill and retail—creating a seamless, agile commercial structure.
To keep pace with the evolving market, Meghan spearheaded the development of new capabilities across modern marketing, innovative commercialization, access strategy, and business intelligence—tools that enabled smarter, faster decisions and a more personalized, customer-centric approach.
Perhaps most importantly, she cultivated a constructive, high-performance culture. Under her leadership, the team achieved engagement scores over 90% and maintained less than 2% regrettable turnover—proof that strong business outcomes and great workplace culture can, and should, go hand in hand.
This case reflects what’s possible when bold leadership meets deep expertise—and how a clear vision paired with empowered execution can drive sustainable transformation from the inside out.
Head of Market Access and Account Management
In my 30+ year career, Meghan is the most special leader who I've ever had the privilege to work under. She is incredibly genuine and authentic, which makes her very relatable and approachable. She creates a culture of inclusion, collaboration, and transparency. Meghan sets high standards and holds her teams accountable, while providing her full support and shared ownership in the accountability."
She creates a culture of inclusion
“
REVIEW NO. 1 of 4
Head of Sales, Fertility Business Unit
Meghan possesses a rare combination of strategic vision and interpersonal acumen. She excels at fostering collaboration, empowering team members, and creating an inclusive environment where diverse perspectives are valued. For example, under Meghan’s direction our fertility franchise regained market leadership in the US for the first time in over 20 years."
She excels at fostering collaboration
“
REVIEW NO. 2 of 4
REVIEW NO. 3 of 4
Head of Commercial Strategy and Operations
It has been an extraordinary gift to work for Meghan Rivera. Each time she has moved on to new opportunities, the stark contrast of leadership in her absence has only reinforced how rare and special her leadership truly is."
An Extraordinary Gift
“
REVIEW NO. 4 of 4
Head of Dermatology Marketing
I’ve had the pleasure of working under Meghan at two different companies and I would follow her to the ends of the earth…What sets her apart as a leader is her ability to balance vision with execution, empathy with decisiveness, and mentorship with high expectations."
Balance vision with execution
“