Senior Medical Director, Italy

Role Overview

The (Senior) Medical Director, Italy will serve as the foundational medical leader for Rett syndrome in Italy, responsible for designing and executing the full pre-launch and launch medical strategy for a first commercial product, in close collaboration with the country medical staff and aligned with Regional medical and country launch readiness plan strategy. This role combines strategic leadership with hands‑on execution, requiring comfort operating with limited infrastructure, evolving processes, and high ambiguity. The position will also act as medical interface to Italian healthcare professionals (HCPs), key opinion leaders (KOLs), and patient advocacy groups (PAGs), while increasing the company’s medical presence and credibility.

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Key ResponsibilitiesMedical Strategy & Startup Leadership

• Develop and own the Italian medical strategy for Rett syndrome from pre-launch through launch and post-launch, including budget responsibilities.
• Align European scientific vision and strategy into practical, locally relevant medical plans aligned with Italian clinical practice and patient pathways.
• Act as the single-country medical authority for Rett syndrome, representing the company externally and internally, together with the country medical affairs & cross functional team

Pre-Launch & Launch Execution

• Design and coordinate/execute disease-education and unmet-need medical initiatives ahead of national product approval aligned with launch readiness plan
• Lead medical launch readiness, including scientific narratives, medical materials, and internal training, aligned with cross functional launch readiness plan in collaboration EU Regional medical team and local cross functional team
• Partner closely with Commercial, Market Access, Compliance, and Regulatory colleagues to ensure a cohesive, compliant launch.

HCP & KOL Engagement

• Further develop Italy-wide KOL networks and expert centers, and multidisciplinary Rett syndrome care teams aligned with cross functional engagement plan
• Together with country medical colleagues, lead high-impact scientific exchanges, at medical conferences, advisory boards, and expert meetings, often acting as the primary scientific presenter.
• Support congress planning, abstracts, and publications relevant to Rett syndrome.

Patient Advocacy Group (PAG) Engagement

• Support and increase established trusted, long-term partnerships with Italian Rett syndrome patient and caregiver organizations together with country medical staff.
• Integrate the patient and caregiver perspective into medical strategy, education, and evidence generation.
• Collaborate ethically with PAGs on disease awareness, diagnostic journeys, and unmet needs, in line with Italian and EU compliance standards.

Evidence Generation & Medical Infrastructure

• Contribute to the design and execution of real-world evidence, registries, and post-marketing studies in Italy, including Investigator Initiated Studies (IISs), as applicable
• Support and drive national publication strategies and scientific communication activities.
• Help establish medical governance, SOPs, and compliant ways of working in Italy, appropriate for a growing biotech organization.

Cross-Functional & External Leadership

• Act as a key medical strategic partner to the General Manager, cross functional team, and senior leadership on scientific, clinical, and medical patient-centric decisions related to Italy.
• Support build-out of the Italian medical function, including future hiring, vendor selection, and process development, as needed.
• Be an active member of local leadership team as well as European Medical Team

Qualifications & ExperienceEducation

• MD, (PharmD, PhD) or equivalent advanced degree in life sciences.
• Background in neurology, paediatric neurology, neurodevelopmental disorders, or rare diseases strongly preferred.

Experience

• 10+ years in Medical Affairs, Patient Advocacy, or related roles within biotech or (smaller) pharmaceutical companies.
• Experience in pre-launch and launch medical activities, ideally in a first-in-class or early-stage product environment, is a strong plus.
• Strong experience in rare diseases and/or neurodevelopmental disorders.
• Demonstrated ability to work independently, entrepreneurially, and cross-functionally in a lean organization.
• Deep understanding of the Italian healthcare system, reference centers, and national rare disease networks.

Skills & Attributes

• Highly hands‑on, adaptable, and comfortable with ambiguity.
• Cross-functional understanding and collaboration
• Strong scientific credibility and ability to influence without authority.
• Excellent communication skills in Italian and English.
• High ethical standards and strong understanding of medical compliance in Italy and the EU.

In addition to a competitive base salary, this position is also eligible for discretionary bonus and equity awards based on factors such as individual and organizational performance. Actual amounts will vary depending on experience, performance, and location.

Salary Range: €155.000—€194.200 EUR

What we offer US-based Employees:

• Competitive base, bonus, new hire and ongoing equity packages
• Medical, dental, and vision insurance
• Employer-paid life, disability, business travel and EAP coverage
• 401(k) Plan with a fully vested company match 1:1 up to 5%
• Employee Stock Purchase Plan with a 2-year purchase price lock-in
• 15+ vacation days
• 13 -15 paid holidays, including office closure between December 24th and January 1st
• 10 days of paid sick time
• Paid parental leave benefit
• Tuition assistance

EEO Statement (US-based Employees): Studies have shown that women and people of color are less likely to apply for jobs unless they believe they meet every one of the qualifications in the exact way they are described in job postings. We are committed to building a diverse, equitable, inclusive, and innovative company, and we are looking for the BEST candidate for the job. That candidate may be one who comes from a less traditional background or may meet the qualifications in a different way.

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