Director, Specialty Pharmacy Operations

Madrigal is a biopharmaceutical company focused on delivering novel therapeutics for metabolic dysfunction-associated steatohepatitis (MASH).

Position Summary

The Director, Specialty Pharmacy Operations is responsible for directing, monitoring, and enhancing specialty pharmacy (SP) operations within Madrigal’s Market Access and Trade team. The role oversees dispensing operations across the channel, collaborates with internal stakeholders and external partners, and drives continuous improvement in patient access and adherence.

Responsibilities

• Acquire and maintain deep understanding of NASH disease state, resmetirom clinical data, and commercialization strategy.
• Build, grow, and lead a team of specialty pharmacy operations specialists.
• Develop and implement the operational structure to support Madrigal’s specialty pharmacy network strategy; closely monitor SP performance to ensure contractual obligations are met or exceeded.
• Implement specialty pharmacy program services, enhancements, and operational efficiencies to positively impact patient access, adherence, awareness, and affordability.
• Maintain detail‑oriented SP program correspondence, call guides, and collateral via internal legal and regulatory approval processes.
• Partner with internal Patient Access and Data Analytics teams to continuously evaluate and analyze specialty pharmacy vendor performance relative to goals and objectives.
• Support Quarterly Business Reviews (QBRs) and other meetings with SPs; prepare materials, communicate expectations, and continuously drive performance while identifying key insights for strategic planning.
• Collaborate closely with Consumer Marketing and MPS teams to enhance the SP program and continuously exceed the needs of HCPs and patients.
• Oversee brand planning initiatives, operational plans, project budgets, expenses, and timelines.
• Ensure timely and accurate reporting of adverse events received through the SP network; liaise with Pharmacovigilance and Medical Information teams on all escalations.
• Create and maintain necessary policies, procedures, and business rules for all distribution and dispensing programs.
• Consistently deliver measurable business outcomes based on program‑level KPIs and provide focused customer‑level reporting to leadership.
• Consistently deliver outcomes with enterprise‑wide impact, tackle projects with increased complexity, and influence change management 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.
• Conduct all activities in compliance with all applicable federal, state, local laws and regulations and company policies.

Qualifications

• Bachelor’s degree required; advanced degree in Business or Pharmacy preferred.
• 12‑15+ years of related experience in the biopharma industry with a proven, consistent history of high performance in leadership roles.
• 7–10 years of healthcare industry customer/vendor management experience strongly preferred.
• 5+ years of experience operationalizing specialty pharmacy programs and networks required.
• Experience with specialty distribution operations preferred.
• 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 a rapid‑change environment.
• Excellent written, organizational, verbal, presentation, and communication skills.
• Proficient in MS Office (PowerPoint, Word, Excel).
• Travel approximately 20%.

Compensation & Benefits

Base salary: $223,000 – $273,000 per year (subject to qualifications, market, and business needs). Additional compensation includes bonus, equity, and a comprehensive benefits suite—medical, dental, vision, life/disability insurance, 401(k) with match, voluntary benefits, mental‑health assistance, and flexible paid time off. All full‑time employees are eligible for equity and benefits in accordance with applicable plans.

Equal Opportunity Employer

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 status, or any other characteristic protected by applicable federal, state, or local law.