Episode #259: Kasper Mejlvang, President Novo Nordisk Pharma Japan

“Most of any leader’s job is change management—setting a vision people buy into and aligning them behind it.”


“I view the organisation as an inverted triangle—the frontline is at the top, and we serve them.”


“You should be most concerned when your performance board is all green. Red means there’s something to learn.”


“Trust in Japan isn’t optional—it’s the foundation of everything, and it can’t be rushed.”


“Leadership isn’t about a role or title—it’s about helping others grow and succeed around a shared purpose.”


Previously Kasper was General Manager, Novo Nordisk Denmark & Iceland; Corporate Vice President DFP Manufacturing Development; Corporate Vice President Novo Nordisk Production S.A.S.; Vice President Aseptic Production; Corporate Vice President Global Support; Corporate Vice-President Insulin Manufacturing; Corporate Vice-President CMC Support R&D. He has an Executive MBA from IMD; an MSc Psychology from Kobenhavns Universitet-University of Copenhagen and an MSc Management from the University of Bath.


Kasper’s leadership journey reflects a blend of purpose-driven conviction and operational adaptability. Beginning as a psychologist, his career at Novo Nordisk has spanned over two decades and included transitions from HR to manufacturing, R&D, and commercial operations. This multidimensional path helped him develop a leadership style that balances strategic thinking with deep human insight. He views leadership not as a formal mandate but as the ability to rally people around a shared purpose and help them succeed collectively.


Kasper sees change management as the cornerstone of leadership. For him, setting a compelling vision, aligning people behind it, and then designing an organisation that can execute effectively are vital. He believes a leader must master both the financial and human elements of business—but often, the human side is overlooked. His training in psychology gives him a significant advantage in navigating complex interpersonal dynamics and building engagement.


In Japan, Kasper encountered leadership challenges and cultural nuances that required adaptation. He was pleasantly surprised to find Japan’s corporate culture less hierarchical than expected, describing it as “middle-up-down,” where middle management plays an essential role in shaping and executing strategy. However, he found consensus-building mechanisms like nemawashi both a strength and a barrier—excellent for execution but often limiting for rapid innovation.


To counter these constraints, Kasper has implemented informal listening tours, smaller discussion forums, and ambassador-driven strategy sessions to surface ideas from the front line. He emphasises purpose as the unifying force. By focusing on “creating healthy longevity” for patients, he finds alignment across departments and geographies. His model places the front-line staff at the top of an inverted triangle, with leadership tasked with removing barriers to their success.


Kasper is acutely aware of the barriers to innovation in Japan’s risk-averse culture. He aims to create psychological safety, promote entrepreneurial thinking, and reward experimentation even when outcomes fall short. His own career setbacks are a source of learning, and he values candidates who can reflect on failures more than those who only tout success.


Trust-building is another pillar of his approach. Recognising Japan’s emphasis on relationships, he actively invests time in social engagement with staff, learns Japanese to demonstrate commitment, and adapts expectations to fit the local environment. He is cautious about imposing quick changes, preferring to spend time understanding needs before charting a strategic course.


Culturally, Kasper navigates between Novo Nordisk’s global values and the diversity within Japan. He resists overgeneralising Japanese culture, choosing instead to cultivate subcultures within the organisation that reflect future needs. He also aligns his leadership team with these values, making adjustments where necessary to drive cohesion and performance.


Ultimately, Kasper defines leadership as helping others grow and succeed. It’s not about authority, but about creating a shared direction and empowering people to reach it. This people-centred philosophy, combined with strategic acuity and cultural humility, is what he believes drives sustainable success.