If the ultimate goal is to move in pharma/biotech (bd / strategy type role), does prestige of consulting firm matter? Or would it be better to work for less known firm that may have more client facing opportunities?

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^+1. Prestige looks good, but if you flop the interview because you haven't had hands-on experience with what your next firm is specifically looking for, it won't matter. Make deep connections with clients, get your hands dirty, and you'll likely have more success.

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Type of work matters most

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Honestly I think if you've been doing projects similar to the role I'm not sure prestige of consulting firm would matter at all. The real thing that helps you in prestigious firms is that they tend to have alums pretty much everywhere that can potentially help with referrals.

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