Madrigal Pharmaceuticals

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.

The Associate Director of Clinical Operations supports the operational planning, execution, and oversight of Phase I–IV clinical trials. This role is responsible for day-to-day operational management of assigned studies, with a strong focus on CRO and vendor oversight, timelines, budgets, and high-quality execution in compliance with global regulatory requirements. Working closely with the Director and cross-functional partners, the Associate Director contributes to trial strategy, proactively manages risks, and ensures delivery against program and corporate objectives. The ideal candidate is a hands-on clinical operations professional who thrives in a fast-paced, growing biotech environment.

Key Responsibilities

• Support and manage the operational execution of Phase I–IV clinical trials.
• Oversee day-to-day trial activities including startup, conduct, close-out, and inspection readiness for assigned studies.
• Proactively assess, manage, and communicate operational risks and issues related to clinical trial delivery.
• Ensure trials are conducted in compliance with ICH-GCP, FDA, EMA, and applicable regional regulations.
• Support CRO selection, contracting, and ongoing oversight for assigned trials.
• May serve as a key operational point of contact with CROs and vendors.
• Monitor CRO performance, timelines, deliverables, quality, and budgets, escalating issues as appropriate.
• Collaborate with CROs and vendors to resolve operational challenges and mitigate risks.
• Represent Madrigal during site interactions (e.g., SIVs, investigator meetings) as needed, with a patient-focused mindset.
• Contribute to the development, review, and maintenance of study-related documents (e.g., study manuals, monitoring plans, tracking tools, informed consent forms).
• Support the preparation and review of regulatory submissions.
• Coordinate and support trial-level meetings and deliverables.
• Assist with site identification, feasibility, activation, enrollment, and retention strategies.
• Collaborate with Data Management on CRF design, study tools, EDC/IVRS specifications, and UAT activities.
• Ensure timely resolution of CRF data queries in collaboration with CRAs and Data Management.
• Coordinate and oversee Investigational Product logistics, accountability, and reconciliation.
• Support management of study budgets and site/vendor payment processes.
• Assist in managing clinical trial vendors (e.g., IVRS, central labs, IRBs, central ECG) in collaboration with the CRO.
• Partner closely with internal stakeholders including Clinical Development, Regulatory Affairs, Data Management, Project & Portfolio Management, Biostatistics, Safety, Quality, and Supply Chain.
• Provide operational input into protocol development and amendments.
• Support INDs, CTAs, and other regulatory submissions from an operational perspective.
• Support audit and inspection activities and maintain inspection readiness.
• Contribute to the development and continuous improvement of SOPs, processes, and best practices.
• Other duties as assigned.

Required & Desired Qualifications

• Bachelor’s degree required; advanced degree (MS, MPH, PharmD, PhD) preferred.
• Minimum of 10-12 years of clinical trial experience.
• Experience supporting or managing Phase I–IV clinical trials.
• Experience working with CROs and external vendors.
• Experience in a rapidly growing biotech or similar dynamic environment preferred.
• Experience with first-in-human studies preferred.
• Therapeutic experience in metabolic and/or cardiovascular clinical studies preferred.

Competencies

• Strong understanding of clinical trial operations and GCP.
• Excellent organizational and project management skills.
• Ability to manage multiple priorities in a fast-paced environment.
• Strong communication and collaboration skills.
• Detail-oriented with a proactive, problem-solving mindset.

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 $158,000 - $194,000 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 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.