Executive Director, Global Safety Physician

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.

Madrigal’s 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.

Position Responsibilities:

The Executive Dir, Global Safety Physician plays a key role in ensuring patient safety in clinical studies and those receiving marketed products. This role requires expertise in signal detection, benefit risk assessment, and safety strategy to support compounds in development and in the postmarketing setting. The Exec Dir will lead all aspects of safety for his/her assigned products, but will collaborate closely within Global Clinical Safety and Pharmacovigilance and across Clinical Development, Regulatory Affairs, Biostats, and Clinical Operations, with leadership and key contributions to regulatory filings and global safety governance activities.

The Executive Dir will serve as a medical expert for safety matters, supporting both investigational and marketed products. Additionally, the role will lead clinical safety strategy, author and review safety-related documents and responses to health authority queries, and support regulatory interactions.

Key Responsibilities

Medical Oversight & Signal Management

• Provide medical oversight for clinical safety signals, including independent review and interpretation of safety data from clinical trials, spontaneous reports, and literature.
• Lead safety signal detection, evaluation, validation, and documentation in collaboration with safety scientists and other stakeholders.
• Serve as a key member or chair of Safety Review Teams (SRT), contributing to benefit–risk assessments and mitigation strategies.

Regulatory & Scientific Contributions

• Author or medically review safety content in critical regulatory documents such as:
  • DSURs, PBRERs, RMPs, IBs, and safety sections of clinical study reports
• Provide expert medical input for regulatory filings and interactions, including INDs, NDAs/BLAs, and safety responses to agency queries.
• Support inspection readiness and audit activities related to clinical safety documentation.

Cross-functional Collaboration

• Support protocol development and design with a focus on appropriate risk mitigation strategies in all phases of development

• Lead safety strategy for assigned products and studies in collaboration with Clinical Development, Biostats, and Regulatory Affairs
• Collaborate with PV Operations, Safety Data Management, and Medical Review teams to ensure quality and consistency in safety case evaluations

Experience and Professional Qualifications:

The applicant should be a dynamic leader who thrives within a fast-paced, growing, and collaborative, publicly owned biopharmaceutical company:

• Deep knowledge of GCP, ICH E2E, GVP modules, and global regulatory safety expectations
• Proven track record of leadership across phase I-IV studies and familiarity with post-marketing surveillance processes
• Experience with safety database systems (e.g. Argus, ArisGlobal), MedDRA, and safety signal detection tools
• Experience in a matrixed global environment
• Specialty training in relevant therapeutic areas a plus
• Excellent strategic thinking, problem-solving, and influencing skills
• Deep knowledge of FDA, EMA, PMDA and other regulatory body interactions

Critical Competencies for Success:

The ideal candidate displays the following professional competencies:

• Strategic thinker with deep scientific and regulatory knowledge
• Sound and ethical judgment in risk-benefit evaluation
• Ability to make decisions independently in uncertainty
• Ability to influence and align cross-functional stakeholders at all levels
• Ability to deliver executive briefings and board-level updates
• Ability to anticipate and resolve problems effectively
• Strong technical writing skills
• Excellent interpersonal/verbal communication skills; ability to synthesize and present complex scientific concepts to non-experts
• Ability to present clearly using scientific and regulatory terminology
• Fluent in English language

Educational & Experience:

• MD or equivalent medical degree with licensure or eligibility for licensure
• 18+ years of combined, relevant experience in industry, clinical safety, pharmacovigilance, or related roles within biotech / pharma

Madrigal’s 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 candidate’s qualifications, skills, education, experience, business needs and market demands. As of the date of this posting, a good faith estimate of the current pay scale for this position, applicable to all candidates, is $343,000 - $420,000 per year. We comply with all applicable minimum wage laws

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 offerings. In 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 HR@madrigalpharma.com. 

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 Madrigal’s 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 madrigalpharma.com 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 HR@madrigalpharma.com.