Sr. Medical Director

Climb Bio

$305K — $410K *
Pharmaceuticals & Biotech
8 - 10 years of experience
Job Overview by Ladders

Qualifications

  • M.D. or M.D./Ph.D. with clinical specialty training in rheumatology, nephrology, hematology, or immunology; board certification preferred.
  • 10+ years of clinical development experience in biotechnology or pharmaceuticals with program-level responsibilities.
  • Proven track record as a clinical or medical lead for Phase 2 and Phase 3 studies, including protocol design and data interpretation.
  • Experience guiding a program through late-stage development to registration (BLA/NDA) is strongly desired.
  • Knowledge of autoimmune or immune-mediated diseases, particularly B-cell targeted therapies and related conditions.
  • Familiarity with FDA regulations, ICH-GCP, and clinical evidence standards for registration programs.
  • Strong capability to shape clinical strategy amid scientific uncertainty and effectively communicate complex data.

Responsibilities

  • Lead clinical strategy and development for budoprutug through to registration.
  • Drive clinical development strategy, focusing on study design and endpoint selection.
  • Authors and oversees clinical documents including protocols, consent forms, and study reports.
  • Act as medical monitor, making decisions on study eligibility, safety, and data quality.
  • Collaborate with Pharmacovigilance on safety reviews and assessments for the program.
  • Facilitate cross-functional teamwork to ensure timely and quality study delivery.
  • Engage in health authority interactions and contribute to briefing documents and application modules.
  • Manage CROs and other vendors, providing oversight and interfacing with committees.
  • Build relationships with investigators and key opinion leaders, representing the company in scientific forums.
  • Contribute to scientific communications including publications and presentations.

Benefits

  • Comprehensive medical, dental, and vision coverage.
  • Life and disability insurance.
  • 401k plan with company matching.
  • Generous paid time off policy.
  • Eligibility for a discretionary annual bonus and equity options.
Full Job Description
Sr. Medical Director

We are seeking a highly motivated Sr. Medical Director, Clinical Development. Reporting to the VP, Clinical Development, this role serves as the clinical lead for budoprutug - providing the medical and scientific leadership that carries our lead asset through Phase 2, Phase 3, and pivotal studies to registration, and directly shaping the evidence that brings a new treatment option to patients with B-cell mediated diseases.

Key Responsibilities:
  • Serve as the clinical lead for budoprutug, providing medical and scientific leadership across through registration.
  • Drive the clinical development strategy, including indication sequencing, study design, patient population and endpoint selection, and the evidence package required to support registration.
  • Author and own the clinical content of core study and program documents - protocols and amendments, informed consent forms, Investigator's Brochures, statistical analysis plan input, clinical study reports, and DSURs.
  • Serve as medical monitor for assigned studies: eligibility and enrollment decisions, ongoing review of safety and efficacy data, dose modification guidance, and medical oversight of protocol conduct and data quality.
  • Partner with Pharmacovigilance and Safety on signal detection, aggregate safety review, benefit-risk assessment, and safety governance for the program.
  • Lead the clinical workstream of cross-functional study and program teams, partnering closely with Clinical Operations, Biostatistics, Data Management, Regulatory Affairs, CMC, Translational Sciences, and Program Management to deliver studies on time and to quality.
  • Prepare for and participate in health authority interactions - including End-of-Phase 2 and pre-BLA meetings - and author clinical sections of briefing documents, responses to health authority questions, and marketing application modules (e.g., 2.5, 2.7).
  • Provide medical oversight of CROs, central labs, and other clinical vendors, and interface with Data Monitoring Committees, independent adjudication committees, and steering committees.
  • Build and sustain relationships with key opinion leaders, investigators, and advisory boards; represent Climb Bio at investigator meetings, scientific congresses, and external engagements.
  • Contribute to publications, congress presentations, and scientific communications supporting clinical programs.
  • Represent Clinical Development in internal governance forums and provide clinical input to portfolio decisions, lifecycle indication expansion, and diligence activities as needed.


Qualifications:
  • D. or M.D./Ph.D. required, with clinical training in a relevant specialty (e.g., rheumatology, nephrology, hematology, or immunology) strongly preferred; board certification preferred.
  • Minimum of 10+ years of biotechnology or pharmaceutical industry clinical development experience, with progressive scope and accountability at the program level.
  • Demonstrated experience as a clinical lead or medical lead on both Phase 2 and Phase 3 studies, including protocol design, medical monitoring, and clinical data interpretation.
  • Experience supporting a program through late-stage development to registration (BLA/NDA/MAA submission and approval) strongly preferred.
  • Therapeutic area experience in autoimmune or immune-mediated disease - ideally B-cell targeted therapies, systemic lupus erythematosus, immune thrombocytopenia, membranous nephropathy, or related nephrology/hematology indications.
  • Working knowledge of FDA and international regulatory requirements, ICH-GCP, and the clinical evidence expectations for registrational programs; direct experience in health authority interactions.
  • Proven ability to set clinical strategy in areas of scientific ambiguity and to translate complex clinical data into clear recommendations for senior leadership, investigators, and regulators.
  • Experience operating in a lean, fast-moving clinical-stage organization, with the comfort and judgment to own a broad scope and lead through influence across functions and external partners.


This position is a hybrid role and will be based out of our Wellesley, MA office.

Base salary offered may vary depending on the individual's skills, experience, and competitive market value.
  • Salary: $305,000-$410,00

Additional total rewards include discretionary annual bonus, comprehensive benefits to include Medical, Dental and Vision, Life & Disability, 401k company match, generous paid time off, and equity.

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