Associate Director, Specialty Pharmacy Operations

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. Associate Director, Specialty Pharmacy Operations Position Summary: The Associate Director, Specialty Pharmacy Operations is responsible for directing, monitoring, and enhancing specialty pharmacy operations within Madrigal’s 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 KPI’s to ensure contractual obligations are meeting/exceeding obligations. This position reports to the Director, Specialty PharmacyOperations. Position Responsibilities: 1. Acquire and maintain deep understanding of NASH disease state, Rezdiffra™ clinical data and commercialization strategy 2. Closely monitor SP performance to ensure contractual obligations are meeting / exceeding obligations 3. Implement specialty pharmacy program services, enhancements, and operational efficiencies with the goal of positively impacting patient access, adherence, awareness, and affordability 4. Maintain SP program correspondence, scripting, and collateral via internal legal and regulatory approval processes 5. Partner with internal operations and data analytics teams to continuously evaluate and analyze specialty pharmacy vendor performance relative to goals and objectives 6. Support Quarterly Business Reviews (QBR’s) with specialty pharmacies; prepare all materials, communicate expectations to vendors, and continuously drive performance while identifying key insights to incorporate into strategic planning efforts 7. Collaborate closely with Consumer Marketing and Patient Access teams to enhance SP program to continuously meet the needs of HCP’s and patients 8. Develop and communicate key messages to internal and external channel partners 9. Oversee operational plans, project budgets, expenses, and timelines 10. Create and maintain necessary policies, procedures, and business rules for all distribution programs 11. Consistently deliver measurable business outcomes based on program-level key performance indicators (KPIs) and provide timely program-level reporting to leadership 12. Consistently deliver outcomes with cross functional impact, tackle projects with increased complexity, and influence change management to operations function across internal teams 13. Ensure the highest level of ethics, quality, and compliance by demonstrating in depth knowledge of laws that govern market access and channel activities 14. Conducts all activities in compliance with all applicable federal, state and local laws and regulations and company policies Qualifications and Skills: 1. Bachelor’s degree required; advanced degree in Business or Pharmacy preferred 2. 10-12+ years of related experience in the biopharma industry with a proven, consistent history of high performance in a broad range of operations focused roles 3. 3 - 5 years of healthcare industry customer/vendor management experience strongly preferred 4. 3+ years of experience operationalizing specialty pharmacy programs and networks required 6. Ability to develop insights from data trends to improve program performance 7. Experience with pre-launch drugs and new product launches preferred 8. Ability to work effectively within a cross-functional team and in an environment of rapid change 9. Excellent written, organizational, verbal, presentation, and communication skills a must 10. Proficient in MS Office products including PowerPoint, Word, and Excel Travel (approximately 20%) 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. The base salary range for this position is $180,000 - $221,000 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 sta