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Associate Director, Specialty Pharmacy Operations


Job Location:

Waltham, MA - USA

Yearly Salary: USD 180000 - 221000
Posted: 17 September 2026 (Yesterday)
Application Deadline: 15 December 2026
Vacancies: 1 Vacancy

Job Summary

Madrigal is a biopharmaceutical company focused on delivering novel therapeutics for metabolic dysfunction-associated steatohepatitis (MASH) a serious liver disease that can progress to cirrhosis liver failure need for liver transplantation and premature mortality. Every member of our Madrigal team is connected by our shared purpose: leading the fight against MASH.

Madrigals medication Rezdiffra (resmetirom) is a once-daily oral liver-directed THR-β agonist designed to target key underlying causes of MASH. Rezdiffra is the first and only medication approved by both the FDA and European Commission for the treatment of MASH with moderate to advanced fibrosis (F2 to F3). An ongoing Phase 3 outcomes trial is evaluating Rezdiffra for the treatment of compensated MASH cirrhosis (F4c).

Our success is driven by our people. We are building a dynamic inclusive and high-performing culture that values scientific excellence operational rigor and collaboration. To support our continued growth we are strengthening our workforce strategy to ensure we have the right talent at the right time in the right way.

Associate Director Specialty Pharmacy Operations

Position Summary:

The Associate Director Specialty Pharmacy Operations is responsible for directing monitoring and enhancing specialty pharmacy and IDN operations within Madrigals Market Access and Trade team. The AD manages the dispensing operations across the channel to drive continuous improvement in patient access and adherence while delivering a best-in-class patient and prescriber experience. This individual collaborates with key internal stakeholders including Patient Access Marketing Medical Affairs Regulatory Legal and the Market Access field team to identify patient access opportunities and implement impactful solutions. Additionally the AD engages external stakeholders in day-to-day program operations and analysis of key data and KPIs to ensure contractual obligations are meeting/exceeding obligations. This position reports to the Director Specialty Pharmacy Operations.

Position Responsibilities:

  • Acquire and maintain deep understanding of NASH disease state Rezdiffra clinical data and commercialization strategy
  • Closely monitor Specialty Pharmacy and IDN performance to ensure contractual obligations are meeting / exceeding obligations
  • Implement specialty pharmacy program services enhancements and operational efficiencies with the goal of positively impacting patient access adherence awareness and affordability
  • Maintain SP program correspondence scripting and collateral via internal legal and regulatory approval processes
  • Partner with internal operations and data analytics teams to continuously evaluate and analyze specialty pharmacy vendor performance relative to goals and objectives
  • Support Quarterly Business Reviews (QBRs) with specialty pharmacies; prepare all materials communicate expectations to vendors and continuously drive performance while identifying key insights to incorporate into strategic planning efforts
  • Collaborate closely with Consumer Marketing and Patient Access teams to enhance SP program to continuously meet the needs of HCPs and patients
  • Develop and communicate key messages to internal and external channel partners
  • Oversee operational plans project budgets expenses and timelines
  • Create and maintain necessary policies procedures and business rules for all distribution programs
  • Consistently deliver measurable business outcomes based on program-level key performance indicators (KPIs) and provide timely program-level reporting to leadership
  • Consistently deliver outcomes with cross functional impact tackle projects with increased complexity and influence change management to operations function across internal teams
  • Ensure the highest level of ethics quality and compliance by demonstrating in depth knowledge of laws that govern market access and channel activities
  • Conducts all activities in compliance with all applicable federal state and local laws and regulations and company policies

Qualifications and Skills:

  • Bachelors degree required; advanced degree in Business or Pharmacy preferred
  • 10 years of related experience in the biopharma or related industry with a proven consistent history of high performance in a broad range of operations focused roles
  • 3 - 5 years of healthcare industry customer/vendor management experience strongly preferred
  • 3 years of experience operationalizing specialty pharmacy programs and networks required
  • Ability to develop insights from data trends to improve program performance
  • Experience with pre-launch drugs and new product launches preferred
  • Ability to work effectively within a cross-functional team and in an environment of rapid change
  • Excellent written organizational verbal presentation and communication skills a must
  • Proficient in MS Office products including PowerPoint Word and Excel

Travel (approximately 20%)

This role will be remote with a preference for someone living in close proximity to Conshohocken PA or Waltham MA.

#LI-Remote

Madrigals Total Rewards strategy is based on a biotech industry peer group comparator and is inclusive of base pay bonus and equity. Our equity offers meaningful opportunity allowing our employees to share in the success they help create. By aligning individual and company performance we empower employees to think like owners giving them a stake in the organization.

All employees receive equity which we believe reinforces our ownership culture. Base salary is determined by several factors including the candidates qualifications skills education experience business needs and market demands. The base salary range for this position is $180000 - $221000 per year.

All full-time employees receive equity which reinforces our ownership culture and offers meaningful opportunity for our employees to share in the success they help create. By aligning individual and company performance we empower employees to think like owners giving them a stake in the organization.

Full-time employees are also eligible for comprehensive benefits including flexible paid time off medical dental vision and life/disability insurance and 401(k) offerings (i.e. traditional Roth and employer match) in accordance with applicable plans. We also offer additional voluntary benefits like supplemental life insurance legal services and other addition we offer mental health benefits through our Employee Assistance Program for employees and their family. The company also provides other benefits in accordance with applicable federal state and local laws.

We are committed to providing reasonable accommodations for individuals with disabilities throughout the hiring process. If you need assistance please contact

Madrigal is an Equal Opportunity Employer. All employment is decided on the basis of qualifications merit and business need. Applicants will receive consideration for employment without regard to race ethnicity color religion sex gender identity sexual orientation national origin age disability protected veteran or disabled status or other characteristic protected by applicable federal state or local law.

Unsolicited resumes from agencies should not be forwarded to Madrigal. Madrigal will not be responsible for any fees arising from the use of resumes through this source. Madrigal will only pay a fee to agencies if a formal agreement between Madrigal and the agency has been established.

Applications are being accepted on an ongoing basis and can be submitted through our Madrigal Careers site.

Please be aware that we have received reports of individuals misrepresenting themselves as Madrigal Pharmaceuticals Hiring Managers seeking to engage with job candidates through fraudulent online advertisements or job posting sites. These unauthorized individuals are using Madrigals name and logo in an attempt to solicit up-front fees and obtain personal information from interested job candidates. Please know that Madrigal does not conduct interviews via text or in chat rooms; conduct interviews via Skype RingCentral or solely via telephone; charge candidates an advance fee of any kind (e.g. fees for purchasing equipment); nor does it offer positions of employment without undergoing a thorough recruiting process.

Please also note that any correspondence with regard to employment would come from an authorized email address or from an email address from one of our trusted search firm partners. We are aware that incorrect/fraudulent email addresses with Madrigal misspelled have been utilized in these most recent fraud attempts. If you receive unsolicited employment offers from people claiming to work for or on behalf of Madrigal we recommend that you: do not respond to their questions; do not open any attachments; and do not click on any hyperlinks. Any questions regarding the legitimacy of job-related contacts can be directed to .


Required Experience:

Director


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Delivering a Breakthrough Treatment Madrigal is a biopharmaceutical company focused on delivering novel therapeutics for metabolic dysfunction-associated steatohepatitis (MASH), a serious liver disease with high unmet medical need. Left untreated, MASH can lead to progressive liver sc ... View more

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