I still dont think a multinational company will hire an expat for such a junior position. Unless you have guanxi with a C-level/Sr VP person. There are simply too many qualified people who will work for much less and require so much less paperwork.
Do you have a TW ID or a spouse who has one? That will help.
Do you have a Master’s degree or more? In ANY field of study. Then you should be targeting a senior manager position or associate director role at least. And for those roles you might (I am talking “big maybe”) be able to go through a headhunter. Again, I would be surprised for a multinational office here (which is only going to be an LOC) to engage a hunter unless there was a highly specific need.
Based on what little I know about you – studied abroad, 5 years of industry experience but none in market, no known relationships to KOL or senior execs that you can leverage – I would look to be a consultant at a local CRO or academic lab or government agency then make the jump over to Big Pharma in 6 to 24 months.
Search LinkedIn for anyone at the TRPMMA or DCB who studied abroad (hopefully at your own Alma mater) and take them out for coffee within 2 weeks of getting here. Tell them your story, make them like you, and cross your fingers they will refer you to a friend in industry.
Pay to attend the pharma committee meetings at AmCham and the ECCT and schmooze the middle managers who attend their speaker events. The speakers invited to such events are either middle to senior managers or vendors who have had direct access to decision makers in the past. Make them like you and want to stay in touch.
Since you have had clinical study experience, check in (i.e., coffee is enough) with the KOLs of your therapeutic area and seek their contacts and advice. Be gracious and breif. Top research hospitals include NTUH TPE-VGH Mackay CGMH. There are more but start there. Taiwan has done an excellent job positioning itself as an easy place to run clinical trials - so ask the people who run those departments and labs for contacts in their networks.
Bring gifts. I am not talking about money or trinkets but (hopefully) some interesting or valuable insight that you can share to make those meet ups over coffee or at industry events worth THIER time. Remember, there are plenty – a lot – of local candidates and returnees happy to work the same job at an MNC for 1/3 what is paid in the US.
Can you get away with not doing any of this? Sure, but only if you have the specialist background or guanxi - or both: I know a returnee who claimed to have an MD degree in Europe and managed to scam their way to senior medical positions in multiple MNCs over a 5 year tear. Absolutely horrible to work with, but kept getting hired on charm alone, because of what people thought they knew about this person. Lasted no more than 2 years at every stop but has an impressive list of names on their CV, because some companies will hope their hiring mistakes are not mistakes at all, especially for high level positions.