VP, Commercial & Medical Affairs IT Business Partner

The Vice President, Commercial & Medical Affairs IT Business Partner will lead Madrigal's Commercial and Medical Affairs IT Business Partnership, supporting the company's global Commercial and Medical Affairs organizations. This role will serve as the senior IT partner to the Commercial and Medical Affairs executive leadership teams, translating functional strategy into technology roadmaps, portfolio priorities, operating capabilities, and delivery outcomes. As Madrigal continues to scale as a commercial-stage company, the technology needs across Commercial and Medical Affairs are becoming more complex, interconnected, global, and critical to the company's ability to execute. This leader will help mature how IT supports the customer, patient, provider, payer, and medical engagement ecosystem, ensuring the right systems, data, integrations, processes, partners, and internal capabilities are in place to support commercial execution, market access, patient services, field effectiveness, omnichannel engagement, medical education, field medical excellence, and continued operational scale. This is a senior leadership role that requires deep life sciences technology experience, strong executive influence, and the ability to operate across strategy and execution. The VP will own the Commercial and Medical Affairs IT portfolio, budget, roadmap, application landscape, and business partnership model, while working closely with Data, AI, Cybersecurity, Enterprise Architecture, Infrastructure, PMO, and IT Compliance to ensure solutions are scalable, compliant, secure, and aligned to enterprise standards. A key part of this role will be helping Commercial and Medical Affairs use technology, data, automation, and AI to scale more effectively. Commercial and Medical Affairs are both high-value, high-complexity areas where technology decisions directly affect business execution, customer engagement, patient access, field productivity, insight generation, and compliance. This leader will partner with business leaders to anticipate how evolving strategies, operating models, field needs, data requirements, and global growth affect the technology roadmap, and translate those needs into practical, durable technology plans. Key Responsibilities Commercial and Medical Affairs IT Strategy & Executive Partnership - Serve as the senior IT business partner for Madrigal's Commercial and Medical Affairs organizations, building trusted relationships with the respective ELT members and their leadership teams. - Translate Commercial and Medical Affairs business strategies into multi-year technology roadmaps, investment priorities, and portfolio plans. - Provide strategic technology guidance across Commercial and Medical Affairs capabilities, including sales, marketing, market access, patient services, commercial operations, sales operations, forecasting, insights and analytics, incentive compensation, training, digital, omnichannel, medical information, medical communications, publications, field medical, medical operations, grants, investigator-initiated trials, KOL engagement, congresses, and related business capabilities. - Partner with business leaders to identify opportunities where technology, data, automation, and AI can improve speed, effectiveness, customer engagement, patient access, field productivity, compliance, visibility, and decision-making. - Represent Commercial and Medical Affairs needs within ITLT and enterprise governance forums, ensuring business priorities are visible, well-understood, and appropriately sequenced. - Navigate competing priorities across Commercial and Medical Affairs, facilitating balanced recommendations that align with enterprise and corporate objectives. - Ensure global Commercial and Medical Affairs technology needs are represented in enterprise planning, while recognizing that the U.S. business is the primary near-term driver of scale and complexity. Portfolio, Roadmap & Investment Leadership - Own the Commercial and Medical Affairs IT portfolio globally, including roadmap development, investment planning, prioritization, and value realization. - Partner with PMO and IT leadership to ensure initiatives are appropriately scoped, sequenced, resourced, governed, and delivered. - Develop clear business cases for technology investments, including expected value, risk, implementation approach, resource needs, and long-term operating implications. - Make start / stop / sequence recommendations for Commercial and Medical Affairs IT initiatives based on business value, risk, capacity, dependencies, and strategic alignment. - Ensure Commercial and Medical Affairs IT roadmaps are realistic, integrated, and aligned with enterprise architecture, data strategy, cybersecurity, infrastructure, and compliance expectations. - Provide executive-level visibility into portfolio health, delivery risks, resource constraints, and key decisions needed to keep work moving. - Ensure technology investments support scalable commercial growth, medical engagement, patient access, global expansion, lifecycle execution, and business value realization. Commercial Technology Leadership - Lead IT partnership and delivery for Commercial functions, including Sales, Marketing, Market Access, Patient Services, Commercial Operations, Sales Operations, Forecasting, Insights and Analytics, Incentive Compensation, Training, Digital, Omnichannel, and related commercial capabilities. - Support the continued optimization and scaling of Madrigal's Commercial technology landscape, including systems and capabilities that enable field execution, customer engagement, patient access, payer engagement, market insight, commercial operations, and decision-making. - Partner with Commercial leaders to identify technology needs across the commercial lifecycle and translate those needs into practical, scalable solutions. - Provide leadership across Commercial platforms and capabilities such as CRM, data warehouse / data lake capabilities, marketing automation, consent management, MDM, territory alignment, call planning, field reporting, speaker programs, sample management, patient services platforms, and related commercial systems. - Ensure Commercial technology investments support field effectiveness, omnichannel engagement, patient identification, market access execution, patient services operations, commercial analytics, and business agility. - Work closely with Data & AI to ensure Commercial data needs are represented in Madrigal's broader enterprise data strategy, including HCP, HCO, patient, payer, claims, specialty pharmacy, CRM activity, consent, digital engagement, market access, and patient access data. - Identify opportunities to improve visibility, process consistency, data quality, productivity, and decision-making across Commercial teams and external partners. Medical Affairs Technology Leadership - Lead IT partnership and delivery for Medical Affairs functions, including MSLs, Medical Information, Medical Communications, Publications, Field Medical, Medical Operations, Grants, Investigator-Initiated Trials, KOL Engagement, Congresses, and related medical capabilities. - Support the continued advancement of Madrigal's Medical Affairs technology landscape, with a focus on scaling advanced capabilities, improving insight generation, enabling field medical excellence, and supporting compliant medical engagement. - Partner with Medical Affairs leaders to identify technology needs across the medical lifecycle and translate those needs into practical, scalable solutions. - Provide leadership across Medical Affairs platforms and capabilities such as Veeva CRM, Medical Information, inquiry management, publication planning, grants / IIT systems, KOL management, medical content, field medical insights, congress planning, and related medical systems. - Ensure Medical Affairs technology investments support medical engagement, scientific exchange, insight capture, medical content, inquiry response, publications, evidence generation, and operational excellence. - Partner closely with Data & AI to identify and enable high-value AI use cases across Medical Affairs, including field medical insights, MSL insight synthesis, medical inquiry support, content intelligence, KOL engagement, and other future-state capabilities. - Ensure Medical Affairs technology aligns appropriately with Commercial platforms where shared capabilities create value, while maintaining the controls, governance, and separation needed for compliant medical and commercial operations. Capability Building, Service Delivery & Business Outcomes - Lead the Commercial and Medical Affairs IT Business Partnership organization and ensure it can scale with the evolving needs of Commercial and Medical Affairs. - Own the Commercial and Medical Affairs IT application portfolio globally, including lifecycle management, roadmap alignment, enhancement planning, operational support, and continuous improvement. - Establish a clear service delivery model for Commercial and Medical Affairs IT, including support expectations, ownership, escalation paths, vendor responsibilities, performance management, and business continuity. - Ensure Commercial and Medical Affairs applications are stable, compliant, well-supported, and continuously improved to meet business, regulatory, privacy, compliance, and operational needs. - Maintain executive accountability for technology outcomes across the Commercial and Medical Affairs portfolio, including delivery performance, adoption, value realization, operational readiness, and risk management. - Ensure delivery teams, managed service providers, and strategic partners understand business objectives, success measures, compliance expectations, and operating requirements. - Manage vendors and external partners supporting the Commercial and Medical Affairs IT portfolio, ensuring accountability for service quality, delivery outcomes, and long-term supportability. - Ensure Commercial and Medical Affairs IT initiatives follow appropriate controls for privacy, consent, promotional review, MLR, pharmacovigilance intake, adverse event reporting, Sunshine / transparency reporting, data use rights, cybersecurity, audit readiness, and other applicable compliance expectations. - Build the right mix of business partnership, product ownership, application management, vendor oversight, compliance awareness, data fluency, AI enablement, and delivery leadership within the Commercial and Medical Affairs IT team. - Drive continuous improvement in how IT engages with Commercial and Medical Affairs, moving from reactive support to proactive strategic partnership. - Create a culture of ownership, service, accountability, and practical problem-solving across the Commercial and Medical Affairs IT organization. - Ensure technology decisions support Madrigal's ability to scale globally, operate compliantly, improve patient access, strengthen customer and medical engagement, and deliver for patients. Qualifications Education - Bachelor's degree in Computer Science, Information Systems, Engineering, Life Sciences, Business, or a related field required. - Advanced degree, such as an MBA, MS, or related graduate degree, preferred. - Equivalent combination of education and relevant experience may be considered. Experience - Typically requires 20+ years of progressive experience in IT, digital, technology strategy, business partnership, enterprise applications, commercial technology, medical technology, or related technology leadership roles. - Significant experience in biotech, pharmaceutical, life sciences, or other regulated healthcare environments required. - Demonstrated experience partnering with senior executives or functional leadership teams to translate business strategy into technology roadmaps and investment plans. - Strong understanding of Commercial and / or Medical Affairs business processes, systems, data needs, compliance requirements, and operating models. - Experience leading technology portfolios across complex, cross-functional, global environments. - Experience managing teams, budgets, vendors, strategic partners, and multi-year technology roadmaps. - Experience supporting commercial-stage life sciences organizations, including field force effectiveness, omnichannel engagement, market access, patient services, commercial operations, medical engagement, and related capabilities. - Experience with relevant life sciences platforms and capabilities across CRM, Veeva, Salesforce, marketing automation, patient services, MDM, consent, commercial data, medical information, medical content, publications, grants / IITs, KOL engagement, field medical insights, data, integrations, and enterprise systems. - Experience operating in regulated environments with working knowledge of commercial and medical compliance considerations, including promotional review, MLR, privacy, consent, pharmacovigilance intake, adverse event reporting, Sunshine / transparency reporting, medical / commercial separation, data use rights, audit readiness, and compliance-by-design practices. - Experience enabling data, analytics, automation, and AI use cases in Commercial and / or Medical Affairs environments preferred. - Prior experience in a high-growth biotech o