Senior Director, Access & Reimbursement

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. Senior Director Access & Reimbursement Managers – Mid-West We are seeking a highly motivated and experienced professional to join our team as the Senior Director, Access and Reimbursement Manager. In this role, you will lead a team of Access and Reimbursement Managers (ARMs) focused on supporting Healthcare Providers offices in optimizing patient access to a large pharmacy benefit specialty product. This role emphasizes leadership, strategic coaching, and operational excellence to deliver outstanding results in patient access and reimbursement. Position Responsibilities: Leadership and Team Management: Oversee a regional team of Access and Reimbursement Managers (ARMs), ensuring alignment with organizational goals and strategies. Provide ongoing coaching and development to ARMs to enhance their performance, with a focus on building strong customer relationships and delivering patient-centric solutions. Foster a culture of accountability, collaboration, and continuous improvement within the team. Strategic Planning, Collaboration and Execution: Develop and execute strategies to optimize access and reimbursement for the specialty product across endocrinology practices. Monitor regional and national trends in access and reimbursement to proactively address barriers. Drive implementation of innovative solutions relevant to the market Partner with internal stakeholders, including Trade, Market Access, Thought Leader Liaisons, Sales, and Analytics, to ensure alignment on access strategies. Customer Engagement: Serve as a key point of contact for escalated issues related to patient access and reimbursement, working collaboratively with ARMs and other stakeholders to resolve challenges. Build strong relationships with endocrinology offices to understand their unique needs and deliver tailored solutions. Operational Excellence: Ensure compliance with company policies and industry regulations in all access and reimbursement activities. Track and report on team performance metrics, identifying areas for improvement and implementing corrective actions where necessary. Oversee the development of tools and resources to support ARMs in their day-to-day responsibilities. Qualifications and Skills Required: Bachelor’s degree required; advanced degree preferred (MBA, MHA, or related field). Minimum of 10 years of experience in access and reimbursement, patient support services, or related roles within the pharmaceutical or healthcare industry. Proven experience leading and coaching high-performing teams. In-depth knowledge of pharmacy benefit structures, specialty products, and Gastroenterology/hepatology practices is a strong plus. Exceptional communication, interpersonal, and leadership skills. Willingness to travel 50-70% in the assigned region. Key Competencies: Strong coaching and mentoring abilities, with a passion for developing team members. Strategic thinker with the ability to execute effectively in a fast-paced environment. Exceptional problem-solving skills and a customer-focused mindset. Ability to navigate complex access and reimbursement landscapes to deliver results Cross-functional collaboration #LI-Remote 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 $247,000 - $302,000 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 . 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 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 .