Director, Specialty Pharmacy Operations

Opportunity and Summary of Position

The Director, Specialty Pharmacy Operations is responsible for directing, monitoring, and enhancing specialty pharmacy (SP) operations within Madrigal’s Market Access and Trade team. The Director manages dispensing operations across the channel to drive continuous improvement in patient access and adherence, while delivering a best‑in‑class patient and prescriber experience. The Director also collaborates with key internal stakeholders including MPS, Marketing, Data Analytics, Medical Affairs, Finance, Pricing & Contracting, Regulatory, Legal, and the Market Access field team to identify patient access opportunities and implement impactful solutions.

Additionally, the Director engages external stakeholders (e.g. SP’s and IDN’s) in day‑to‑day program operations and analysis of key data and KPIs to ensure contractual obligations are meeting/exceeding obligations. This role will have up to three direct reports supporting specialty pharmacy operations, and reports to the Executive Director, Trade and Specialty Distribution.

• Acquire and maintain deep understanding of NASH disease state, resmetirom clinical data and commercialization strategy
• Build, grow, and lead a team of specialty pharmacy operations specialists
• Develop and implement the operational structure to support Madrigal’s specialty pharmacy network strategy; closely monitor SP performance to ensure contractual obligations are meeting/exceeding obligations
• Implement specialty pharmacy program services, enhancements, and operational efficiencies with the goal of positively impacting patient access, adherence, awareness, and affordability
• Maintain detail‑oriented SP program correspondence, call guides, and collateral via internal legal and regulatory approval processes
• Partner with internal Patient Access and Data Analytics teams to continuously evaluate and analyze specialty pharmacy vendor performance relative to goals and objectives
• Support Quarterly Business Reviews (QBRs) and other meetings with SP’s; prepare all materials, communicate expectations to SP’s, and continuously drive performance while identifying key insights to incorporate into strategic planning efforts
• Collaborate closely with Consumer Marketing and MPS teams to enhance SP program and continuously exceed the needs of HCPs and patients
• Oversee brand planning initiatives, operational plans, project budgets, expenses, and timelines
• Ensure timely and accurate reporting of Adverse Events received through SP network; liaise with Pharmacovigilance and Medical Information teams on all escalations
• Create and maintain necessary policies, procedures, and business rules for all distribution and dispensing programs
• Consistently deliver measurable business outcomes based on program‑level key performance indicators (KPIs) and provide focused customer‑level reporting to leadership
• Consistently deliver outcomes with enterprise‑wide impact, tackle projects with increased complexity, and influence change management to operations function 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 and regulations and company policies

• Bachelor’s degree required; advanced degree in Business or Pharmacy preferred
• 12‑15+ years of related experience in the biopharma industry with a proven, consistent history of high performance in a broad range of leadership roles of increasing responsibilities
• 7‑10 years of healthcare industry customer/vendor management experience strongly preferred
• 5+ years of experience operationalizing specialty pharmacy programs and networks required
• Experience with specialty distribution operations – ability to develop insights from data trends to improve program performance
• Experience with pre‑launch drugs and new product launches – ability to work effectively within a cross‑functional team and in an environment of rapid change
• Excellent written, organizational, verbal, presentation, and communication…