

New · posted Oct 31
Madrigal Pharmaceuticals · Pharmaceuticals
Senior Director, Global Safety Physician
- Waltham, MA
- On-site
- Full-time
- Director
The role
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.
What you need
Educational & Experience
MD or equivalent medical degree with licensure or eligibility for licensure
15+ 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 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.
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 [email protected].
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 interaction
The ideal candidate displays the following professional competenciesnice to have
Senior-level leadership and communication skills
Strategic thinker with deep scientific and regulatory knowledge
Sound judgment in risk-benefit evaluation
Ability to make decisions 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 verbal communication and technical writing skills
Ability to present clearly using scientific and regulatory terminology
Fluent in English language
What you'll do
The Senior Director, Global Safety Physician plays a key role in ensuring patient safety in clinical studies and those receiving marketed products. This role is responsible for continuous assessment of safety data, signal detection, and benefit-risk evaluation for assigned compounds in development and in the postmarketing setting. The role requires strong collaboration 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 Senior Director 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.
Medical Oversight & Signal Management
Provide medical oversight for clinical safety signals, including review and interpretation of safety data from clinical trials, spontaneous reports, and literature.
Lead or participate in safety signal detection, evaluation, validation, and documentation in collaboration with safety scientists and other stakeholders.
Serve as a key member or chair of Safety Management Teams (SMTs), 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
Partner with Clinical Development, Biostats, and Regulatory Affairs to align on safety strategy and ensure scientifically sound decision-making.
Collaborate with PV Operations, Safety Data Management, and Medical Review teams to ensure quality and consistency in safety case evaluations.
Participate in internal governance forums such as Safety Review Committees (SRCs) or benefit–risk assessment boards.
Pay and benefits
$318,000 – $388,000 a year
Employer providedAll 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 $318,000 - $388,000 per year.
Equity
Bonus
Flexible paid time off
Medical, dental, vision and life/disability insurance
401(k) with employer match
Employee Assistance Program
Where you'll work
Waltham, MAOn-siteOpen in Maps (opens in a new tab)
More jobs in Waltham, MAEqual opportunity, accessibility and legal noticesMadrigal Pharmaceuticals's statements, word for word
We are committed to providing reasonable accommodations for individuals with disabilities throughout the hiring process. If you need assistance, please contact [email protected].
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.
Job intelligence
The context around this role
Live data · October 31, 2026
Salary intelligence
How the pay compares
This role's midpoint is 36% above the US median for Clinical Safety & Pharmacovigilance roles at this level.
This roleEmployer provided
Director roles in Massachusetts24 roles publishing pay
Director roles in the US69 roles publishing pay
| Annual base pay | Low | Median | High |
|---|---|---|---|
| This role | $318,000 | — | $388,000 |
| Massachusetts (middle half) | $217,500 | $229,000 | $281,000 |
| All US (middle half) | $213,500 | $260,000 | $281,000 |
This role: Madrigal Pharmaceuticals's own published range. Comparisons: the base pay employers published on open Clinical Safety & Pharmacovigilance roles at the same level on Regulatory Jobs, October 31, 2026. Nothing is estimated.
Career trajectory
Where this role sits in Clinical Safety & Pharmacovigilance
The general path across 113 open Clinical Safety & Pharmacovigilance roles on Regulatory Jobs, with the titles they carry most. Not Madrigal's own promotion track.
Skills DNA
What this role leans on
How many of the posting's 40 duty, requirement and summary lines touch each area. The posting's emphasis, not a proficiency score.
- Collaboration and leadership13
- Documentation and SOPs8
- Clinical trial conduct4
- GMP and compliance2
- Regulatory submissions2
- Quality systems and risk2
- Investigations and CAPA1
- Validation and qualification1
- Data and digital systems1
Regulatory intelligence
The rules behind this role
Frameworks and standards this posting's work falls under, matched from its own words, each linked to the official source.
- ICHICH quality guidelines(official source, opens in a new tab)Q1 stability, Q2(R2) analytical validation, Q7, Q9 risk management, Q10 quality systems
- ICHICH E6 good clinical practice(official source, opens in a new tab)The international standard for the conduct of clinical trials
- FDAFDA IND(official source, opens in a new tab)Investigational New Drug applications
Company hiring pulse
Madrigal on Regulatory Jobs
- 12
- Open roles
- 12
- Distinct roles
- 3
- Locations
By discipline
- Clinical7 58%
- Quality3 25%
- Regulatory2 17%
By level
- Director10 83%
- VP & Executive1 8%
- Manager1 8%
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Senior Director, Global Safety Physician at Madrigal
Open until filled. $318K–$388K a year, employer provided.

