In short
How Novartis (pharma, described as a “dull” category) won Cannes Lions—two Can Lions plus Grand Prix for Integrated Campaign—by making creativity central to marketing effectiveness, using surprise and integrated, regulated campaigns; also discusses the role of AI in creative and approval workflows.
Guests
Gail (Novartis CMO) leads marketing transformation and creativity training across the organization; Janet (BCG) advises companies on implementing AI-enabled marketing/operating-model change.
Key claims
Don’t optimize creator/ads by engagement alone; pull levers like creative quality, creator fame, and brand fit (from WPP Media/System1/TikTok Creator Effectiveness Playbook). For pharma, the “riskiest” move is staying dull. Surprise requires discipline and rigor. AI should support reasoning and dimensionalizing concepts, but trust and human judgment remain essential.
Notable examples
Novartis Super Bowl campaigns “Your Attention Please” (breast cancer; with Wanda Sykes; action via screening rather than drug promotion) and “Relax Your Tight Ends” (prostate cancer; NFL partnership with seven teams; coach Aarons spokesperson; community screenings aligned to NFL Crucial Catch). Mentions Audi’s “surprise” retail aisle and Audi’s discipline/rigor approach.
Written by AI. May contain mistakes. Listen to the episode to check what was said.
Chapters
Tap a time to open that second in VOIntroduction to Creator Effectiveness
0:00 to 0:38
Learn about key factors influencing impactful creator ads.
“Hey everyone, now if you want to know the secret to more impactful creator ads, then this is good news.”
The Journey from Dull to Creative
1:24 to 2:19
Explore the transformation of Novartis' marketing approach to creativity.
“There's kind of a nice full circle moment here because two years ago at Cannes, Adam Morgan and I did a presentation called The Extraordinary Cost of Being Dull.”
Learning from Cannes: A Creative Approach
2:19 to 3:50
Insights on improving creativity through experiences at Cannes.
“So tell us a bit about the journey from where you've come from to this point and what's changed.”
Surprising Campaigns: Making an Impact
3:50 to 6:05
Discussion on the surprising elements of Novartis' Super Bowl campaigns.
“You know, it's, it's, first of all, it's instructive.”
Navigating Pharma Advertising Regulations
6:05 to 7:50
Understanding the challenges of pharma advertising and creative messaging.
“for me it wasn't just about awareness we really need people to take action and so we started with this idea that we could do both, right?”
The NFL Partnership: Engaging Communities
7:50 to 11:01
How Novartis collaborates with the NFL to promote early detection of cancers.
“So we had a little bit more flexibility in terms of how we delivered the message.”
Fostering Creativity within Organizations
11:01 to 13:46
Strategies for organizations to embrace creativity and improve marketing effectiveness.
“Now, a lot of people say to me, I would love to do the kind of work you're doing and you're celebrating today.”
The Paradox of Surprise
13:46 to 14:02
Discipline and rigor are essential for delivering surprising marketing experiences.
“It has to be rigorous and have discipline so that you know that the surprises are going to happen organically and you will have that serendipity, but you'll have it predictably.”
The Importance of Discipline in Creativity
14:02 to 17:26
Learn how discipline and rigor are essential for delivering creative surprise in marketing.
“And Audi have won awards for the quality of their champagne for the, they call it this middle aisle where they have really surprising, like you could buy a kayak or you can buy a barbecue and all this sort of thing.”
Navigating Internal and External Stakeholder Engagement
17:26 to 19:58
Discover strategies to engage internal teams and external partners effectively.
“And we wanted to be respectful, appropriate, and reflective of culture.”
Show all 25 chapters
Authenticity in Advertising: The Super Bowl Experience
19:58 to 23:22
Explore how to create authentic marketing campaigns that resonate with cultural issues.
“way of doing it because it's sort of it unarms people doesn't it and allows them if you can laugh then you're more open to kind of take the serious point.”
Humor and Serious Topics in Marketing
23:22 to 26:14
Understand how humor can effectively tackle serious subjects in advertising.
“So if creativity is essentially, and I'm going to paraphrase, he read a definition, he read it from a piece of paper that he had pulled and won for reason.”
Integrating AI into Creative Processes
26:14 to 28:00
Learn how AI can enhance creativity and streamline marketing processes.
“doesn't deliberately build a system that works together, it won't.”
The Evolution of Brand Marketing
28:00 to 29:01
Learn how brand marketing has shifted and the importance of in-house work.
“And I came up through rigorous brand guidelines, systems, you know, brand stewardship, tone, voice.”
The Role of AI in Marketing
29:01 to 30:14
Discover how AI can enhance creativity and streamline marketing processes.
“eliminate handoffs and translation of what we mean and outcomes.”
Navigating Regulatory Challenges
30:14 to 31:14
Understand how to bring innovative ideas to life in regulated industries.
“I love what you said about, there was a stat about what percentage of creative is done with AI.”
Cultural Shifts and AI Adoption
31:14 to 32:46
Explore the cultural shifts necessary for adopting AI in organizations.
“of people exposure to what the possibility of AI is.”
Marketing Function Transformation
32:46 to 35:01
Learn about the transformation of marketing roles and functions with AI.
“You mentioned something actually, I hadn't clocked before in terms of using AI to create the concepts that you then want to send into the organization.”
Unlocking Data and Insights
35:01 to 37:11
Discover the importance of data literacy and unlocking insights for better decisions.
“to think much more dynamically across channels and teams, which is causing a lot of breakdown in the roles itself.”
Leading Through Change
37:11 to 40:05
Gain insights on how to effectively lead change within organizations.
“And then I talk a lot about and I've talked about for years before the AI era, data literacy.”
Solving Boring and Exciting Problems
40:05 to 42:00
Understand the significance of addressing both boring and exciting problems with AI.
“So top down, bottom up and scale up and making sure that all ideas are embraced because there's so much creativity that comes from lots of different sources.”
The Shift to Unbundled Marketing Tech
42:00 to 43:35
Explore the transition from integrated to unbundled marketing technology stacks.
“So there's a lot of inefficiency, let's be honest, in all these systems.”
Lessons from a Visionary CMO
43:35 to 45:08
Discover what makes Gail an effective CMO according to Janet's insights.
“You two have worked together for quite a long time, I believe.”
Reevaluating Career Success
45:08 to 46:29
Discuss the flawed perception of career success tied to ego and hierarchy.
“Well, maybe to round off then, for both of you, have a think about what is the best bit of advice you've ever been given in your career?”
The Importance of Dialogue and Humility in Leadership
46:29 to 48:26
Understand the value of open communication and humility in today's leadership.
“But it unlocks a different thought, doesn't it?”
Transcript
Automatic transcript. May contain errors.0:00Gail Horwood:Hey everyone, now if you want to know the secret to more impactful creator ads, then this is good news. Stop obsessing over engagement rates and start pulling the three levers that really make a difference to your brand. Now what are they? They are creative quality, creator fame and brand fit. And they're revealed in a brand new report from WPP Media, System 1 and TikTok called the Creator Effectiveness Playbook. This is your guide to making fantastic creator advertising that works for your brand. Now, to get a hold of it, all you have to do is go over to system1group.com and download the report today.
0:38Gail Horwood:All right, without further ado, let's go on with the show. Ladies and gentlemen, welcome back to another special edition of the podcast in partnership with BCG. Now, in this episode, we're going to be talking about a Grand Prix winning campaign. Now, not just any campaign, because this was from Novartis. in the pharmaceutical category, which is, we know from System 1 data, one of the world's dullest. How did they do it? How did they transform the business to be more creative? And what were the results? And importantly, did AI play a role in it? So I'm joined by the CMO, Gail, in this episode, alongside Janet from BCG to uncover all the secrets, and so you can learn from what they've just done.
1:16Gail Horwood:Here we go.
1:23Gail Horwood:Ladies and gentlemen, welcome to Uncensored CMO. It's great to see you both. How are you?
1:27Janet Balis:Great. Thank you so much. Doing very well, thanks.
1:30Gail Horwood:There's kind of a nice full circle moment here because two years ago at Cannes, Adam Morgan and I did a presentation called The Extraordinary Cost of Being Dull. And we got a call from Novartis saying, oh, will you come and do the presentation at our place? because we've heard it's quite interesting. And Adam and I were going, this could be a bit awkward because we actually looked at the dullest categories in the world and pharma was the dullest category. So we're like, how's this going to go down? But it actually went down brilliantly. We had an amazing time with your team. And now, of course, you're back here and you're accepting, you won two?
2:10Gail Horwood:Is that what our two was?
2:10Janet Balis:We won two Can Lions and the Grand Prix for Integrated Campaign in pharma. So isn't that amazing? Congratulations. Well done. Thank you so much.
2:20Gail Horwood:So tell us a bit about the journey from where you've come from to this point and what's changed.
2:24Janet Balis:Sure. I mean, and you were part of that journey and so and so many other talented people because we've made creativity and creative effectiveness central to our marketing philosophy. We believe marketing is the science of behavior change. And creative effectiveness and the work you put into the market matters. And we decided to do a systematic approach to training our entire marketing organization on what makes great creative. What is what are the elements, the formula, etc. And part of that is putting a mirror to your own work and saying what could be better. And you helped us make that change by pointing out that some of the work we've put into the market isn't the most exciting.
3:05Janet Balis:And we want to be relevant and we want to be information people act upon, because it matters. It's changing their lives for the better. And so we've been on a multi-year journey. We developed a program called Create, and it's not a one and done. It's something we dedicate resources to. And in fact, visiting Cannes, we work with Cannes Advisory and do curated walk the work and spend a lot of time in the palais really interrogating other people's work so we can make our own work better.
3:34Gail Horwood:I think, I mean, Janet, I reckon that Gail and the team are in the minority here because, I mean, how many people actually go and check the workouts? It's extraordinary. I think the notion of going to the Palais is a pretty rare idea for people here. I mean, more people should follow your lead, I think. I agree.
3:50Janet Balis:You know, it's, it's, first of all, it's instructive. Imagine seeing the best marketing work in the world, the best campaigns in the world. And another thing we've done is we've invited our interagency team, the creatives across our networks to come with us. So there's no competition. We're all there to talk about what makes work better. We get educated. And then for me, what's most exciting about it, because not everybody gets to come to Cannes, is we do work when we get back. It's an obligation of those that were here to host an event, which a very clever team member of ours called, we're in East Hanover, New Jersey.
4:24Janet Balis:He called it East Canover. So we host a whole session where we share, and this year we'll have a lot to celebrate, but we share what we learned, what work resonated, and we look across all categories inside and outside. Is this complete with rosé? It's with French themed things. Okay.
4:44Gail Horwood:Love that. Love that. Now, I'll make another connection. So when we did the Costa Dahl, we tried to emphasize how most advertising doesn't create an emotion. And we identified that one of the antidotes to Dahl was surprise. surprise has an amazing ability to capture our attention create an emotion it's a very very powerful force i think it's fairly safe to say your last two super bowl campaigns have been rather surprising can you describe them because i think for anyone who hasn't seen it i'd love them to understand this because farmers are very regulated very traditional formulaic kind of category in terms of communication and you've definitely ripped the rule book up with this
5:21Janet Balis:Yeah, no, I appreciate that. So it actually started with our ambition, which was to help people be more proactive in screening and getting preventative testing, because really there's a very, very large unmet need. So we're leaders in treatment of prostate cancer, women's health and breast cancer, among other things. And there are tens of millions of people that are skipping their annual mammograms or not getting their PSA blood test. and that's led to an increase in later detection of cancers and of course which there are fewer treatments and fewer options for people so we really want to get people to be tested earlier we thought about how how best to do that and and of course you know the largest platform in the world for marketers and for for getting your awareness messages it was the super bowl but for for me it wasn't just about awareness we really need people to take action and so we started with this idea that we could do both, right?
6:15Janet Balis:So we could do both things really well. And as we worked with our agency, and each campaign was done by a different agency partner. So last year, we ran Your Attention Please, which was based on the insight that brass are adored, but ignored. And we thought that the Super Bowl broadcast was a great place to kind of surprisingly talk about that. But really, you know, six million women who are watching the Super Bowl at any at that moment could have been diagnosed, could be diagnosed with breast cancer. So this is a huge unmet need. And we worked with Wanda Sykes, who's a breast cancer survivor, somebody who credits early detection for saving her life.
6:54Janet Balis:And we always work with people who are closely connected with the message. There's an authenticity there. And organically, you know, we wanted to have some humor. We didn't want to start with a heavy message, right? So we want to be relevant to the context. We know the Super Bowl is a context where people are not necessarily looking for heavy messages, right? They want to have fun, they're at a tailgate, they're in their living rooms, etc. We wanted to start a conversation with a very clear call to action. And we're seeing great response and we're seeing tens of thousands of people get those screenings and additional screenings.
7:28Gail Horwood:It's pretty worth pointing out for anyone who doesn't understand pharma advertising, you're very heavily regulated, which is part of the reason why, you know, the average performance is so low. And if you're advertising the drug itself, you have to put about half the airtime over to the reasons what might happen afterwards sort of thing. But you didn't do that in this one because you supported the general cause, didn't you? Yes, yes. Rather than the drug itself.
7:49Janet Balis:Yes. So we had a little bit more flexibility in terms of how we delivered the message. But we are still regulated and we go through all the appropriate FDA and regulatory processes.
8:00Gail Horwood:So that was the prior year. And then this year, you did something with the tight ends. Yes.
8:04Janet Balis:So this year, we turned our attention to prostate cancer. And it's interesting, The stat is one in eight women in the U.S. will be diagnosed with breast cancer. One in eight men will be diagnosed with prostate cancer. It's a similar stat. And it was based on the insight that, and it was a different problem to solve because women know they need to get mammograms, but they skip them for various reasons. Men just avoid going to the doctor in general. And in this case, they certainly avoid requesting a PSA test or a prostate test because they think it starts with a digital rectal exam. So we knew from the insight that they literally clenched themselves through some of the patient insight work we did.
8:44Janet Balis:And we started talking about this idea at the same time. And let me separate for a minute. We we have an NFL sponsorship and partnership, which I could talk a little bit about. And we wanted to really lean into football. So one of our creative teams, this was that publicist came up with the idea of tight ends and how can we work that? And so it became, well, how do we relax or relax?
9:06Gail Horwood:it's a blood test relax your tight ends so there's a juxtaposition with these you know well-known tight ends you know the big muscly hardcore guys that are going to battle each other and they're just hanging out having yoga you know painting but but but you told me something which which i found kind of reassuring is that you cast them in authentic roles yes which i thought was
9:29Janet Balis:quite neat yes yes you know coach aarons who's our spokesperson one of the spokespeople in the in the creative, he credits early detection of NPSA blood tests for saving his life. So very credible spokesperson for us.
9:44Gail Horwood:And am I right to say you also partnered with the NFL to do this as well, which I think was a unique move? Yeah.
9:48Janet Balis:So we are NFL sponsors and we work with seven NFL teams. And one of the elements of this ad that I think, you know, there were a lot of Easter eggs in the ad that, you know, if you know, you know, and if you're a big football fan, But each of the players were featured in their uniforms of their era. Some were current players, some were not. But we worked. You can't just have your creative show NFL. The players can't just be in their NFL uniforms. We had to work with the NFL and the teams to get permission. And part of that was possible through our relationship with the NFL. We have a different kind of partnership with the NFL.
10:22Janet Balis:We're the first pharmaceutical partner, all categories. And we really share the common goal. They, for more than 10 years, have run a program called Crucial Catch, which is about early detection of cancer. They run that in October. But we share this idea that we want to reach people in their communities around the fans. So we do a lot of community activations. We're not even one year into our team-level sponsorship, but we host screenings. We bring players in. And what we're finding is people are very open to receiving that kind of information and being proactive and having the test done when it's done through that kind of a filter.
10:59Janet Balis:And so we're seeing more and more of that. We have very ambitious goals to get people, more and more people screened because there is such a large unmet need.
11:05Gail Horwood:Now, a lot of people say to me, I would love to do the kind of work you're doing and you're celebrating today. I just can't get my organization to think like that. And I'd love both of you to give me some advice on how you get an organization to kind of embrace some of the, well, I mean, people call it risk taking, but actually the riskiest thing you can do is not do what you're doing, right? But how do you bring an organization, you know, through the process and make them more creative?
11:31Janet Balis:I mean, I know this is going to sound boring, but it starts with the foundation and the elements of marketing and trust. So, you know, you don't just get to do at least any company I know or I talk to my peers work at this caliber. We have an amazing leadership team that supports it. But at the end of the day, we have to deliver on our marketing objectives holistically. So it's not just, oh, hey, let's show up at the Super Bowl. We set rigorous KPIs, of course. And we have the foundational, the foundation set to really build an integrated program that's going to deliver on these outcomes. So, you know, it is amazing to do creative and I've had the good fortune to work on other Super Bowl ads at other places I've worked.
12:12Janet Balis:But it's not a it's not because I want to, you know, it really needs to fit with your what objectives you're driving. And the most important thing, and I talk about this all the time, is to agree on how you want to show up and make that integrated. And you have to do that from the beginning. So it's across every discipline.
12:30Gail Horwood:Yeah, when I hear Gail talk about that, I think it really echoes so many of the things that I'm seeing across different companies when they're winning. The first is they're setting a clear goal and outcome. And I think increasingly the other word that Gail used is really important, which is they're thinking holistically. They're much more dynamic across all the different levers that they have. So things like paid, owned, and earned are no longer, and the channels within them are no longer in individual silos. They're saying let's set a goal at the center that is really about growth holistically.
13:00Gail Horwood:And then let's have more fluidity across our teams and make sure that we're reimagining the workflows in creative and in media to work together against that goal. And then let's think about when we look at that in our operating model, what needs to change around our roles, the way I need to lead, the culture we need to build, the skills we need to have. Yes, how we think about technology and yes, AI and all the other things that are going to dramatically change how we work together against that ambition and goal and then how we hold all of it together as one integrated model as opposed to one-off ideas.
13:38Gail Horwood:To me, you want to unlock that creativity and the surprise, which is where you started the conversation, but you also want to do it as a system. It has to be rigorous and have discipline so that you know that the surprises are going to happen organically and you will have that serendipity, but you'll have it predictably. I love that. It's really powerful. When I did my talk actually on surprise, one of the examples that we use was the German retailer Audi. And Audi have won awards for the quality of their champagne for the, they call it this middle aisle where they have really surprising, like you could buy a kayak or you can buy a barbecue and all this sort of thing.
14:18Gail Horwood:Anyway, and they've consistently delivered surprise. And Adam, my colleague, was asking the CMO, what's the most important thing in delivering surprise? And the answer she gave was discipline and rigor. Yeah. I was like, oh. It's paradoxical, but it's true. Yeah. You know, because it's easy to identify surprise as a strategic lever, but actually if you're going to deliver it, you need to think through how you deliver it, where you deliver it, and the mechanisms to do it. And she said, absolute discipline and rigor has been the underpinning of making that happen.
14:45Janet Balis:Yeah. It's always been interesting to me, and I've done a lot of – I've come from a consumer and media background, done a lot of real-time marketing. And the success, you can be – take more – I don't want to say risk, but you can be more agile in that if you have a good framework and a lot of pre-planning. So paradoxically, to be very agile, you have to know what your guardrails are, and you have to – everybody needs to be on the same page.
15:10Gail Horwood:And a part of that on the same page is how you bring the internal teams together more holistically. And then the other piece of that increasingly is how do you bring your external partners into that? So the media partners that you work with, the agencies that you work with, and all the technologies that are sitting in the stack, all of those companies, they're not vendors anymore. If you're doing it right, they're true partners. Because if they're not aligned to your goal as well, you're going to fail. If they're transacting with you, you're going to fail. They need to be an extension of your own capabilities and aligned to the objectives that you have.
15:45Gail Horwood:They should feel like part of your team. And when that happens, that agility that Gail's talking about really manifests.
15:51Janet Balis:Yeah, I love that. And that's very much the philosophy I have and how we've treated our agency partners and our media partners. The more they know, and again, it's under the right, you know, restrictions and privacy and NDAs. But the more they know about what we're trying to achieve and why and how and et cetera, they bring a lot of creative ideas to the table. Of course, our agencies do, but even our media partners. And Janet and I both come from a media background and we know what creativity exists in those ecosystems. But it's often untapped because it's very transactional. I have the ability to say, oh, I know they are capable of that kind of ideation or those kind of problem, you know, solving those problems.
Read the full transcript
16:31Janet Balis:And we brought a lot of that thinking to the media planning that we did, for example, for a superwoman, because it wasn't one and done. It's a platform that we are running. You know, we continue to support.
16:43Gail Horwood:That's really, really important, isn't it? If you take attention, please, how do you get the senior stakeholders outside of marketing on board? Because this is a good question. I can just imagine. The boardroom discussion. Yes, I know. If you were flying on the wall, what did that feel like, Gail? I guess the marketing team would be like, let's go. And then you've got to go to the boardroom and then go, I have an idea. Yeah.
17:02Janet Balis:I mean, again, I have very, very supportive leadership. And I think as you create, you tell a story internally and externally, you have to do your selling internally and externally. And it wasn't that it was a huge selling proposition internally, but it was something we'd never done before. Nobortis had never run a Super Bowl campaign, period, or something at that scale. And then we can all acknowledge we were going right into what we saw, the issue, the societal issue. And we wanted to be respectful, appropriate, and reflective of culture. And so we tried to make it as authentic as possible and not salacious.
17:38Janet Balis:So it wasn't done from a, oh, let's just show more shaking or et cetera. It was it was done from does this look like the world you live in? And that was truly what we were trying to. So once we connected those dots and, you know, you can only tell a story so much with storyboards, which it was a little funny when I had to show the videos. But I think we handled it appropriately. And that was the balance that we tried to strike, which is my goal wasn't to shock anybody or be risque. It was does this look like, you know, we had a woman in a coffee shop and many of us have experienced that. you know, somebody looking you up and down, like it was meant to be real, but, but reflective of, of the culture we live in and, um, you know, pay attention when it matters most.
18:21Janet Balis:And it all happened fairly organically when we really focused on that. And again, to, to make something that strikes that, that balance and that fine line, you really have to have a lot of discussions because you can imagine anybody getting involved in those discussions is going to have a point of view and it could go in a different direction. So we were very consistent throughout the process.
18:42Gail Horwood:I would love to have filmed that reaction as well. I think everyone can imagine, you know, what that's like. You write about the imitating real life because the scene where the camera even does that to kind of follow the bartender's.
18:54Janet Balis:The director that we chose was a woman that worked on that. Your attention, please. Had directed episodes of Ted Lasso. So that was another thing about creativity is we wanted a sort of upbeat, be more, you know, fun and humorous, but also serious because, you know, it's striking that balance. And we thought that that reel and that director did a nice job, but it goes back to every decision, creative decision contributes to the holistic experience. And you think these details are small, obviously, choosing a director is a very important piece of it. But even one of the scenes in Your Attention Please, the woman is riding the bus and at one iteration, she was riding a subway and we said no there are only subways in certain cities we want this to be reflective of broader community so she's going to be on a bus so like literally everything was intentionally discussed and and tried to reach the broadest audience with the right message
19:52Gail Horwood:it's a good example this of uh i guess what you might call the serious case for humor sometimes when you're actually trying to tackle something really important humor can be the best way of doing it because it's sort of it unarms people doesn't it and allows them if you can laugh then you're more open to kind of take the serious point.
20:08Janet Balis:Well, what I heard, because obviously I was very close to it, is people are like, where is this heading? What is going on here? What am I watching? And then, you know, oh, okay. But it brings them in. Yeah, it brings them in.
20:17Gail Horwood:And what was the reaction like after the Super Bowl?
20:20Janet Balis:Well, you know, we knew, it's funny, I happened to be at the Super Bowl, and of course when you're at the Super Bowl, you're not watching the Super Bowl, so I'm on a streaming platform watching it so I could see the ads, right? And instantly you started, we would get reports of social media, website traffic. So really, very quickly, we said, you know, find out more, find out your risk, or if you should get screened, or get an appointment. And instantly, we saw the traffic surge to our websites. Obviously, we had search and everything all set up. And I think one of the things that, sorry, I haven't mentioned before, is the close work we do with our advocacy partners.
20:59Janet Balis:Because part of putting this ad together is really understanding the communities you're speaking to. And of course, we do a lot of insights gathering and research, but we made a decision to work very, very closely from inception. And that could be tricky because you're asking for opinions from a lot of people, but we believe that our advocacy partners can help us shape this in a way that is most meaningful. And that was what was exciting. Right from the start, we had a number of advocacy organizations say, yes, we absolutely want to be a part of this. But as the campaign rolled, and in the coming weeks, we had more come to us that we put on the websites.
21:34Janet Balis:And in fact, we did some lobbying in Washington as the only pharma company to ensure that there was access to screening. So working with a broader ecosystem, and you talked about the ecosystem in our case, we've even made that further with our advocacy community. We took the same approach with relax as a blood test.
21:54Gail Horwood:That's amazing. It's funny, it's a funny fact, I spent the last seven years being paid to watch Super Bowl ads. So I worked at System One, which does pre-testing and advertising. So I'd be in New York with producer James here, and we would find a bar and we'd literally be watching all the ads. So we'd, you know, flick through the game a bit, and then we'd go, right, we've got to pay attention. So when everyone else in the bar is calming down a bit, we're like, right, this is our moment. We've got to re-look at the ads. But the reason I say that is that I remember your ad because it was so surprising.
22:24Gail Horwood:It was, you know, because, I mean, Super Bowl is so competitive. there's between 70 and 80 ads and you can only really kind of remember five or six afterwards but yours was so surprising that is it kind of impossible high praise yeah yeah thank you um now we must bring ai into the room as well as it would be rude not to kind of thing but um this year i think i'm right in saying 40 percent of canline winners have used ai in the production of uh of the films and i mean it's only like a year or two since we were beginning to talk about maybe AI could have an impact. So I was intrigued to know from both of you how you're seeing AI being used in service creativity and what the pros and cons are.
23:03Gail Horwood:I just want to bring in something that I heard here at Kent Lyons because Jeffrey Katzenberg was quite artful in the words that he selected at one of the events I attended. And I will not try to replicate the words that he used, but he contrasted the notion of creativity and reasoning. and he actually presented the definition of both. So if creativity is essentially, and I'm going to paraphrase, he read a definition, he read it from a piece of paper that he had pulled and won for reason. If creativity is essentially intended to come up with net new ideas and everything that we just talked about, the nuanced human choices that Gail was just talking about, all the things that went into it, if that's for a completely net new idea, that can be combined in a creative process with reasoning, which can come from AI, which allows us to do things in a process where we are essentially going to be using logic to reason through things.
24:02Gail Horwood:And that too can be in a creative process, but it's towards a completely different endpoint where we're actually using logic to reason to what that should be. And so I think about, for example, in a fully integrated program, all the various permutations, for example, of creative with lots of different aspect ratios, hundreds of different permutations. That is in a creative process. But when we take the two pieces together, creativity and reasoning, they can work together. So I think the beautiful thing about this moment here in Cannes Lions is actually that I feel like there's tremendous optimism.
24:40Gail Horwood:I feel like the human versus AI moment, thankfully, has actually gone away, I feel like, from the dialogue. And we've arrived at a much more nuanced and sophisticated dialogue, which is how do we work to reimagine processes and actually think about how both the creativity and the reasoning work together and the humans and the AI work together in service of better creativity and obviously creativity and service in many cases. and certainly in marketing and customer experience and service to the business. How do we use those together? And to do that requires you to reimagine. And the last point I would just make on this is going back to the ecosystem point.
25:23Gail Horwood:So much of the AI dialogue focuses on technology and technology is not the hard part. Where I feel like most of the dialogue, thankfully, also has shifted is to what is the system for the business? And how do we artfully and purposefully start to architect the various components that we are going to need so that all the different parts of that ecosystem are actually accretive to growth? Because everyone's got an algorithm. And if you walk down this closet, I promise, Gail, if her badge was turned the right way and somebody could read her title, everyone had an algorithm that could optimize towards her goal.
26:00Gail Horwood:I promise they all tried to sell it to her. Every agency, every media owner, and every other person, they had an agent for it and an optimization. But they don't work together automagically. So if someone like Gail or Gail doesn't deliberately build a system that works together, it won't. And so that's the new challenge is to put those humans and that technology to work together so that we get the best of human judgment and creativity, by the way, not just in creative processes, but in business, and do that together with AI and the reasoning. And that's the beautiful moment that I think we're in.
26:38Gail Horwood:There's some good data in your BCG CMO server, actually, that points exactly to this. Well, I appreciate you pointing that out. Thank you. So, 96 % of CMOs were saying they want end-to-end transformation. Yes. 42 % of CMOs were currently using it only to automate certain tasks. So there's this gap between what you described and what is currently being used. And I will just say, and I'd love to hear what Gail has to share on this, but what I would say is so many of the early experiments were exactly what you just said. They were thinking too small. They were focusing on existing processes and looking at a particular task.
27:18Gail Horwood:And I think that when you're looking at an existing task in an existing process, you're not going to get the value from it. There's not that satisfaction. And the kind of thinking that we were just talking about when you're building the full system, it's hard and it takes time. So the notion that there's an easy button, that is not the case. And you have to build towards it. And there's a systemic change that one has to build both culturally and over time. So, but Gail lives it.
27:47Janet Balis:I have so many comments. I mean, for me, and again, I started my career in a creative environment, but in print, if anybody remembers. Yes, we both did. Those magazines. Yes, we did. And I came up through rigorous brand guidelines, systems, you know, brand stewardship, tone, voice. We didn't have as many channels, but boy, was that rigorous. When I made the transition to brand marketing, while I knew about all the foundations of brand marketing and had read about them, but I hadn't practiced them necessarily in the same way because I was on the creative side of media. What I recognize is that brand marketers have gotten pretty far away from the work because they had outsourced a lot of it to very talented agencies, but their jobs became very different and they became very distant from the work.
28:41Janet Balis:One of the things that I learned, and again, I came up through e-commerce, digital marketing, performance marketing, and then moved more into the larger brand marketing, is you need both, right? And you need to actually understand how the work gets done. So one of the things I've done in our organization at Novartis is I brought some of the work in-house. There's no intention to bring all of it in-house, but bring the work closer to the people doing the work who have the insights, understand, and frankly, who have the ability to change it quickly. eliminate handoffs and translation of what we mean and outcomes.
29:15Janet Balis:And so that makes us more agile. Great news. AI will speed that up. I still believe in context, curation, taste, judgment, institutional experience. The models can't possibly or yet be trained on all of that. They may be someday, but there's so much nuance in all of those. And they're not logical or rational decisions, which is what the algorithms are trained to do. So in a really interesting way, I think it's creative activities golden moment, because we all have read the stats of how many ebooks, how much AI slop, people are tuning out slop, we're seeing a lot of players saying that you can target now against slop, they have algorithms that will help you identify AI slop, so you can target against that.
30:03Janet Balis:So I think we will see a pendulum shift, hopefully towards better creative based on, again, fine, foundations, tone, voice, all of these things in a new and contextual way. I love what you said about, there was a stat about what percentage of creative is done with AI. And I think all of the lead up processes, like, you know, we could not have done the type of creative that we put in the platform that we developed. all the nuances I discussed, an algorithm cannot or would not have done that, or at least not as they are today because we use them. But in the ideation, the scenario planning, the, you know, kind of bringing it to life so we could all approve it.
30:45Janet Balis:Because I think one of the tough things in a regulated industry is everything obviously goes through a rigorous approval process. Sometimes the concepts are so novel, it's hard to imagine them for the approvers and the legal and regulatory and compliance folks to imagine them because it's just so novel. Don't blame them. This helps us understand and bring to life things in ways that we can move through approvals more quickly. So it's actually a benefit. We are rethinking marketing through an agentic workflow. I will say, and maybe I'm in the minority, the task level work has given a lot of people exposure to what the possibility of AI is.
31:24Janet Balis:So it's hard for people to go from, it's a cultural shift. It was a necessary step to go through. Yeah. And I really do believe that. I see that because if you're not, and I was always one of those people and how did I, I was an art history major who was a creative and crafter. Like, how did I get into, you know, digital marketing? What did I know about that? Well, I taught myself because I was interested in et cetera. So I think you can learn by doing, and I do think the task level work, as we've said, helped people move along the journey and know what's possible. I do think it's, you know, I say the technology has superseded, people can't adopt all this technology.
32:02Janet Balis:My own iPhone, I'm not using every feature. And I've been, you know, using it since whatever, 2008, when it came out, and I learned something new every day I can do on my iPhone, including Action Mode, which was featured in a beautiful piece of CanLine winning work this week in a beautiful piece of creative about Parkinson's disease and using action. Anyway, people are not using all the technology they have. Technology, it's wonderful and we are all in, but it's also, you know, we have to adopt it as it makes sense for our organizational needs and the goals and objectives that we have. And the last thing we want to do is create AI slop because we want to be trusted.
32:41Janet Balis:We are a trusted resource for medicines that can extend people's lives. So we want to make sure that trust is the center of that.
32:49Gail Horwood:You mentioned something actually, I hadn't clocked before in terms of using AI to create the concepts that you then want to send into the organization. Because I've been so often, and also the more crazy, the more creative, the more brave the idea, the more imagination is required to imagine what it could be. And if you're a creative person, you immediately go, oh, that's amazing. And then you go to the board and And it's literally like, you know, crickets around the room. It's like, oh, they don't get this.
33:16Janet Balis:It helps you bring it to life. It does, doesn't it? You can dimensionalize it.
33:18Gail Horwood:Because you can do it in a nanosecond. You can go, this is what I'm talking about here. And they're like, oh, right, we get it. So I hadn't thought about that. That's a nice little.
33:26Janet Balis:It's working well.
33:28Gail Horwood:And to go beyond advertising, do you use AI in product development as well to, you know, develop new pharmaceutical products?
33:37Janet Balis:Well, AI has been at the center of drug discovery for a long time. So, yes.
33:43Gail Horwood:Does it shorten the time scales to get things to market? Yes, it does.
33:47Janet Balis:And that's the promise of the future. It identifies more compounds, more molecules, more ways to solve the problems. So, yes.
33:55Gail Horwood:And I think beyond the pharmaceutical industry, just more broadly, I think as we think about marketing, it's going to be about how marketing, marketing is a beacon of lots of things that is to come. But what's beautiful about marketing going first is it's about the connectivity between different things. So for example, how does marketing connect to supply chain or R &D and product development and other things? Because eventually, and we're not there yet, but as agentic workflows and as agentic AI starts to permeate the full enterprise, and we're not there yet. That will allow us to trade off lots of different kinds of data and decisions across the enterprise and decide what the highest and best use is for scarce resources, people's time, capital, and our teams, and our attention.
34:46Gail Horwood:And so as we think about that, that allows us to make much more complicated decisions and scenarios than we could possibly do with dashboards and lots of meetings. So as that starts to emerge, there will be more fluidity. So in marketing, we're starting to see that there's a dynamism around how we can move money around and start to think much more dynamically across channels and teams, which is causing a lot of breakdown in the roles itself. There's a lot less around channel specialists. You're seeing lots of organizations talk about pods and squads and reimagine even the titles that sit in those organizations.
35:23Gail Horwood:But eventually, as we're talking about here, you're going to see that in other functions as well. That's such good news, isn't it? I mean, because as marketers, we've lost a lot of the four P's and we've sort of migrated only to promotion in some cases. And we've also divided up marketing roles into what used to be a digital role and a traditional role, whatever. And we fragmented ourselves. But this is a solution to that fragmentation in a way, isn't it? It is. And the thing I like about it is it hopefully will also shift us from AI being an efficiency conversation to a growth conversation. And by the way, I'm not anti-efficiency.
35:56Gail Horwood:There is efficiency to be extracted. However, as that value gets extracted, the opportunity to create profitable growth by trading off decisions and saying, I actually want to spend less here so I can spend more there because I'm going to get a better return on that and it creates growth faster. That to me is very exciting. Again, not just in marketing, but across different functions in the company so that you responsibly architect the company to be agile and create growth.
36:22Janet Balis:So I think as you think across big organizations, I'll just speak within marketing and our agency partners, there's so many silos of information. And if somebody actually had all the information, they'd make a better decision. And today that's done through dashboards and meetings and follow ups or intuition. Sometimes you look at data and you're like, I think there's something missing here, which by the way, is still an important skill set. But what I've noted is, and for me, what's exciting is what, if I have a question, I now don't need to ask three people, I can sort of ask an agent and get so again, that's the near term, like, great, I can get the answer.
37:03Janet Balis:So I'm not bothering somebody. It's an easy answer. But I had no way to access that information before. So there's a lot of information locked up in our systems. And then I talk a lot about and I've talked about for years before the AI era, data literacy. And if you know what's in your data, you can hypothesize different things. If you don't know what's in your data, how could you? So literally, I've been obsessed with metadata and tagging and fields and what data are we collecting about our campaigns, about our work? And the average person doesn't have a good understanding of all the aspects of their data.
37:40Janet Balis:They certainly know performance data, etc. But But the more we become, and again, this is all about bringing the work closer to the people doing the work, the more we become familiar and become literate about our data, we can ask better questions and frankly, recognize when things don't look right. You know, if you don't know what you don't know, then you've got a problem.
37:58Gail Horwood:That makes a lot of sense. Thank you. Janet, you work with lots of different businesses helping implement the kind of change with AI. What's your advice on how to deliver the change? Because I think everyone's going to listen and go, well, of course, we want to do more of what you just said before. How do you lead through change? So I try to avoid the phrase change management as a general rule, but that's a personal preference. I know it still is out there and it's still necessary. And I only do that because I think it's laden with the meaning that that phrase has for so many people, which is that it happens after you've made decisions.
38:34Gail Horwood:And I think we're going to be in a mode of continuous learning, continuous change, continuous building up, breaking down, rebuilding as the technology continues to roll out. And so we have to become accustomed to that. It needs to be a new muscle. But I think one of the things I like right now just as a framework is the notion of this deliberate, purposeful system that we're building. So there's really intelligent top-down, I'll call it, building that's happening where you're rolling out intelligently in phases the things that you want to build. And by the way, supporting it with the right learning and bringing the people along with that.
39:13Gail Horwood:But I also think you want to unlock the bottom up, unleashing the democratization that unquestionably so much of this AI moment enables for so many people to do things that they just couldn't do before, like what Gail was just talking about. I think we're all feeling that in every role in our personal lives and in our professional lives. If you lean in, when you experience it, it's exhilarating. And then you want to do more. And then you want to share it with people. So I think there's bottom up. There's top down. And then I call it scale up, which is when people, for example, build an agent that's wonderful that was bottom up or the connectors and skills start to emerge.
39:52Gail Horwood:the notion of sharing it with others when they're vetted, because you don't want everyone sharing everything because then you end up with a little bit too much cacophony out there. The notion of putting it into a marketplace for people to share. So I call that scale up. So top down, bottom up and scale up and making sure that all ideas are embraced because there's so much creativity that comes from lots of different sources. So something as simple as a lot of the clients that I've seen are doing something as simple as making sure that they have a means to capture all the ideas that people have for great agents and then sifting through those very systematically just so that the people who are, I want to hone in on this phrase that Gail said, the people who are close to the work, they know best where the most interesting problems to solve really are.
40:36Gail Horwood:And so the notion that someone from the outside, and I'm going to say like a consultant, is going to come in and know what that work looks like is not the right idea. The right idea is to make sure that you're really listening and synthesizing that and then And we can take that and partner and bring the best of, you know, how do we now look at this at scale and bring the best technology and the best strategic thinking and insights and really apply the AI together with the strategic insights and put that together. But I think those things need to all work together at this moment to drive the change.
41:04Gail Horwood:And there's some boring solutions to solve. I mean, we had Tarang and Corey from Elf here yesterday. So inspiring. It was great, wasn't it? Oh, my gosh. I just want them to write a book, do a podcast and everything else. Listen to the podcast if you haven't already. Definitely. It will be available. It was so good. It was great, wasn't it? But it did make me smile when Corey was saying that, you know, most of our teams spend eight hours on a SaaS day doing their expenses. And she's like, surely AI could solve that. You know, so some of it is about 10. And she called it a big problem. And then if that's our biggest problem, wait a second.
41:34Gail Horwood:Yeah, on the list of problems. Exactly.
41:35Janet Balis:There are, we started auditing some of the work done to traffic assets across networks and agencies. We're a big company. We're working with a lot of different agencies and networks. And somebody said it's, you know, 10 years of man hours across people to do this. And clearly AI is going to take that work away. And that's really exciting. So there's a lot of inefficiency, let's be honest, in all these systems. For years and years and years and years, we were all told that sold the promise of an integrated marketing stack, Martech stack. And for big companies, if you're not a startup, you start with something.
42:18Janet Balis:There's always technology in play. You inherit things or there's new things. So you can never have that perfect stack. Now we're moving to an era where everything's unbundled, actually, and you have to decide and curate your stack. So I'm excited for this moment where we can start to curate these things and theoretically if we have the right data infrastructure, the right connectors, etc., we will eliminate all this crazy and expenses is a great example of scheduling a meeting. Why does that have to be so difficult? Can't the agent just ping around and put it in? There are boring problems and exciting problems.
42:53Janet Balis:They both need to be solved. It takes up a lot of organizational time. And, you know, there is a future in which some of these things will just be completely agentic. But including in healthcare, you know, we're already seeing there's a story in the Wall Street Journal where in Utah you're seeing for certain more routine conditions, whether it's cholesterol or diabetes management, prescriptions are being refilled agentically, which to me sounds like heaven. But to some people sounds like hell, you know, they don't like that idea. But for me, it means, oh, well, then my practice, the doctor will be able to spend more time actually talking to me rather than refilling a prescription.
43:32Janet Balis:But, you know, there's both sides.
43:34Gail Horwood:Yeah. Yeah. And I totally get that. You two have worked together for quite a long time, I believe. Known each other for a while. So I thought, Janet, I'd ask you, what makes Gail such a good CMO and what could other people learn from her? Oh, there's so many things I love about Gail as a CMO. and I've known her in two past roles as well where we work together. I think, first of all, Gail is inspiring and visionary and very future forward. She pushes her team to go ahead of where anyone else is. But what I love also is that she's also hands to keyboard and actually really likes to know how things truly work.
44:09Gail Horwood:And if I can say it, you like to geek out a little bit on that part, which makes it very practical because it's not theoretical and is so outside in in sourcing all the best and most inspiring people, no matter where they are, for her own intellectual curiosity, but also bringing that in so that the whole team gets into it. And I think if you see Gail's excitement, you're going to come on board with that. And there's unquestionably, if you're working with Gail, you know that she is going to challenge the status quo but she's challenging the status quo because she wants to make it better for everyone and she's so deeply committed to any of the companies where we've been it's been about the company being better and just deeply committed to creating more value for the company and for the team and for all the people who are working there and making it a better place for all of them to work so that's those are some of the reasons why i mean that very genuinely so thank Thank you.
45:08Gail Horwood:Well, maybe to round off then, for both of you, have a think about what is the best bit of advice you've ever been given in your career? Well, I'll tell you the worst advice I was ever in. Oh, let's do worst. Yeah, this is fun. So it was actually, we both worked at Time Inc. And I won't name the name, but someone said to me, your career will be evaluated based on the number of people who report to you. So when you have a lot of people who report to you. So I'm just saying, in this future world, if anybody's trying to evaluate their career based on the number of people, it doesn't matter. like and it definitely doesn't matter now so I love like we all need to be super egoless and super light and airy about it because in this connected world I think what matters more is the impact and the curiosity um that that we bring to things and the dynamism with which we actually look at our past legacy and actually abandon whatever we've done and actually reinvent ourselves to the future people challenge themselves I think they're the most interesting If you're looking at yourself by the number of people and the headcount that report to you, probably the wrong way to evaluate your success.
46:10Gail Horwood:It's funny because I've often answered that question as I love the Greg Cohen quote of what would you do if you weren't afraid, which is amazing. But you've given me a thought, what would you do if you had no ego? Because actually, how many of our career decisions depend on our ego? Because we want the title, the brand name above the door. We are, aren't we? We are. But it unlocks a different thought, doesn't it? say if you took ego out of the room what decision would you make i'm doing it now i'm working at bcg i mean it i get to do the i get to do the work i love i really do i think you know it's funny
46:42Janet Balis:going back to and i had such a formative and amazing experience working at several of what we would now call legacy um companies or they were in print but i worked at conde nast for almost 11 years. And this is all before the devil wears Prada and the devil wears Prada too. But one of the leaders I work for, along the lines of what you're saying, like advice that you sort of question, like, what are you talking about? Said, you're not doing your job if they don't fear you when you walk off the elevator. And I'll never forget that moment because that's just not who I am as a person. I don't like to, you know, I'm not above things and looking to, and I had to like contemplate that.
47:28Janet Balis:And I'm like, oh my gosh, am I going to have a career here? Can I be successful here? And it was like a throwaway comment. I wasn't, it wasn't like a career advice, but it's just, that was the world we worked in, in those days. And the world has changed dramatically. And those organizations ran that way and were very successful. And we learned a lot working in those organizations. And then we learned a lot about the kind of leaders we wanted to be and the ones that we didn't want to be. So I remember being, you know, recoiling when I heard that and it's just never because if people are afraid to tell you what's going on, then you've lost the room, lost the plot and probably are not developing the best product, solution, service, etc.
48:10Janet Balis:So the most important thing, and this actually ties back to AI, is to have that dialogue about, you know, what's happening and what isn't working. Because if you're just assuming everything's going on and they're not going to tell you because they're afraid of you or don't want to bring. So having that candor and that ability to just tell it like it is and have that conversation. And I know we've always had that relationship, which in your new role, I appreciate that you'll give advice and I can tell you what I'm trying to achieve and we can have that dialogue. I think this moment requires unprecedented curiosity, but I think the word that matters more than anything is humility.
48:51Gail Horwood:And if you're not vulnerable with your partners, with your friends, with your colleagues, with the ecosystem, admitting what you know, what you don't know, what you're trying to work through together, this is a moment where you have to problem solve together. together, by the way, with technology, I love sitting there and working with technology as part of our team as we're solving problems. I love working with our clients. But this is that moment where if you think you've got the answer, you're going to come in and the goal is to be the smartest person in the room. It's not going to work.
49:24Janet Balis:Well, by the way, even if you have it next week, it'll change. It's going to change. Because there's a new announcement. You're like, okay, that's no longer relevant. I got to move over here. So got to be agile. Ego at the door. Brilliant.
49:36Gail Horwood:Thank you both. That's absolutely perfect way to end. And what an interesting conversation. Thank you both. Pleasure.
50:05Gail Horwood:fabulous Cori Marchesotto. She is one of the world's best CMOs. She's an absolute rock star. Every week we pick one topic, spend 20 minutes trying to fix it. So check out that. It's in your feed, Uncensored Renegades. And finally, I want to give a huge thank you to my sponsor, System One. They generously provide so much support for this podcast. It would not happen without them. So big thanks and lots of love to System One. I'll see you next time.
From the publisher
Novartis CMO Gail Horwood joins Janet Balis, Managing Director & Senior Partner at BCG, to explore how one of the world's largest pharmaceutical companies is redefining healthcare marketing.
Fresh from winning two Cannes Lions, Gail shares how Novartis is proving that creativity can thrive even in one of the most heavily regulated industries. From partnering with the NFL for a Super Bowl campaign to convincing stakeholders to embrace bolder ideas, we discuss what it takes to create work that stands out while navigating complex regulations.
The conversation also explores how AI is reshaping both creativity and business transformation, where marketers should focus their efforts, and why the biggest opportunity for AI isn't just efficiency, but unlocking growth.
This episode has been produced in partnership with BCG. Browse their CMO Report here:
https://www.bcg.com/publications/2026/making-the-agentic-marketing-transformation-a-reality
Timestamps
00:00 - Start
01:29 - Jon’s full circle moment with Novartis
02:19 - Novartis’ journey to two Cannes Lions
03:34 - Why more people need to walk the work
04:45 - Creating surprising advertising in a heavily regulated category
09:43 - Partnering with the NFL for a Super Bowl campaign
11:04 - How to get your company to embrace risky work
16:42 - How to get stakeholders outside of marketing onboard
20:15 - The reaction to the ads after Super Bowl
22:36 - How AI is being used in the service of creativity
27:44 - How Novartis are using AI for creativity
31:08 - How Novartis are rethinking their marketing with AI
33:26 - Where AI is going to be used outside of marketing
35:43 - AI for efficiency vs growth
37:56 - How to deliver leadership change in the age of AI
41:02 - The boring things AI will solve
43:33 - What makes Gail such a good CMO
45:05 - The worst way to evaluate your career success
46:38 - The best advice Gail has ever recieved
