Associate Director, Specialty Pharmacy Operations

Madrigal Pharmaceuticals; Conshohocken (Montgomery County); On-site; USD 180,000 - 221,000; Full time

Benefits offered by this job

Equity

Flexible PTO

Health insurance

Dental insurance

Vision insurance

Life/disability insurance

401(k) with employer match

Job summary

Madrigal Pharmaceuticals is seeking an Associate Director, Specialty Pharmacy Operations to lead and optimize specialty pharmacy programs within the Market Access and Trade team. You will manage dispensing operations across channels, improve patient access and adherence, and partner with internal teams to drive program performance.

The role requires 10–12+ years in biopharma operations, strong data analysis and vendor management skills, and a track record of cross-functional collaboration.

Qualifications

• Bachelor’s degree required; advanced degree in Business or Pharmacy preferred.
• 10–12+ years in biopharma with operations-focused roles.
• 3–5 years in healthcare customer or vendor management preferred.
• 3+ years operationalizing specialty pharmacy programs and networks.

Responsibilities

• Direct and optimize specialty pharmacy operations across channels.
• Monitor performance to meet or exceed contractual obligations.
• Lead program services and efficiencies to improve patient access.
• Collaborate with marketing, medical affairs, regulatory and legal.
• Prepare materials for Quarterly Business Reviews with vendors.
• Ensure compliance with laws and company policies.

Skills

Cross-functional teamwork

Vendor management

Data analysis

Communication skills

Education

Bachelor’s degree

Advanced degree in Business or Pharmacy

Tools

PowerPoint

Excel

Word

Job description

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.

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 – Patient Access, Marketing, Medical Affairs, Regulatory, Legal, and the Market Access field team – to identify patient access opportunities and implement impactful solutions. The AD engages external stakeholders in day‑to‑day program operations and analysis of key data and KPIs to ensure contractual obligations are meeting or exceeding commitments. 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 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 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 with specialty pharmacies; prepare materials, communicate expectations to vendors, and drive performance while identifying key insights for strategic planning
• Collaborate closely with Consumer Marketing and Patient Access teams to enhance the program and 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 key performance indicators and provide timely reporting to leadership
• Drive cross‑functional 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 and local laws, regulations, and company policies

Qualifications and Skills

• Bachelor’s degree required; advanced degree in Business or Pharmacy preferred
• 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
• 3‑5 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 in an environment of rapid change
• Excellent written, organizational, verbal, presentation, and communication skills required
• Proficient in MS Office products including PowerPoint, Word, and Excel

Travel

Approximately 20% travel required.

Benefits

Madrigal’s Total Rewards strategy provides a competitive base salary (range $180,000 – $221,000 per year), bonus potential, and equity. All full‑time employees receive equity, flexible paid time off, medical, dental, vision, and life/disability insurance, as well as 401(k) offerings with employer match. Mandated mandatory voluntary benefits include supplemental life insurance, legal services, and mandatory mandatory mandatory mandatory mental health benefits through the Employee Assistance Program. All benefits comply with applicable federal, state, and local laws.

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

We are committed to providing reasonable accommodations for individuals with disabilities throughout the hiring process. If you need assistance, please contact [e-mail].