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Retension
Falls Church, Virginia

Medical Director, Clinical Development

Medical AffairsFull-Time

Listed compensation

$245k-$320k

The week · per this posting · weekdays assumed

Ask the employer about the work setting, call expectations, weekend coverage and time off.

Posted 1h ago · Verified live

Job Description

Who We Are

We are a clinical-stage biopharmaceutical company focused on developing medicines for the treatment of hypertension and other cardiovascular diseases. Our product candidate, RTN-001, is a next-generation, once-daily, oral, small molecule phosphodiesterase-5 (PDE-5) inhibitor designed to reduce blood pressure by potentiating nitric oxide signaling, a key mechanism underlying the development and severity of hypertension.

Who You Are

The Medical Director provides medical and scientific leadership for assigned clinical development programs at Retension Pharmaceuticals, including RTN-001, under the direction of the SVP, Clinical Development. This hands-on role partners with cross-functional teams to design and execute patient-centered clinical trials, provide medical oversight, and support patient safety, scientific rigor, and regulatory compliance.

What You'll Do

Medical Leadership

  • Serve as the medical and scientific lead for assigned cardiovascular clinical development studies, including RTN-001.
  • Partner with Clinical Operations and other cross-functional teams to support scientific rigor, patient safety, regulatory alignment, and timely execution of assigned studies.
  • Monitor scientific literature, treatment guidelines, and competitive trends to inform development decisions.

Clinical Development

  • Lead medical input into the design, execution, medical monitoring, and interpretation of assigned clinical trials in collaboration with Clinical Operations, Biostatistics, and other functions.
  • Review key study documents, including protocols, investigator brochures, informed consent forms, study reports, and safety narratives.
  • Provide medical oversight of safety, efficacy, and cardiovascular endpoints for assigned studies, and contribute to clinical development strategy for RTN-001 and future programs.
  • Provide medical and scientific guidance during study start-up and execution, including investigator and site assessment, site initiation, investigator engagement, enrollment support, protocol interpretation, and review of study conduct. Escalate significant medical or safety issues to the SVP, Clinical Development and appropriate cross-functional teams.
  • Participate in advisory boards, congresses, investigator meetings, and educational programs. Regulatory & Compliance Support
  • Partner with Regulatory Affairs on submissions, labeling strategy, health authority interactions, and responses to regulatory questions.
  • Provide medical input on clinical trial applications, amendments, safety updates, briefing materials, and related documents.
  • Ensure assigned medical activities comply with applicable regulatory requirements and FDA, ICH, and GCP guidelines, in collaboration with Regulatory Affairs and Quality.

Pharmacovigilance & Safety

  • Provide medical review and assessment of adverse event reports and safety signals.
  • Participate in safety review committees and risk management activities.
  • Support benefit-risk evaluations and product safety monitoring activities.

External Scientific Engagement

  • Build relationships with external experts, investigators, academic institutions, professional societies, and clinical trial sites.
  • Present and discuss scientific and clinical data at professional forums as indicated.
  • Contribute medical and scientific input to publication planning, congress strategy, and scientific communications in collaboration with cross-functional teams and clinical development leadership.

Cross-Functional Collaboration

  • Collaborate with internal teams and executive leadership to align on clinical objectives, priorities, and timelines.
  • Collaborate with investigators, clinical research organizations, and other external partners on medical and scientific activities for assigned studies.
  • Serve as medical and scientific resource to internal and external stakeholders.
  • Provide medical and scientific input to business development, investor communications, and strategic planning activities as requested by clinical development leadership.

What You Bring

Education

  • MD, DO, or equivalent medical degree required.
  • Board certification in a relevant specialty preferred.

Experience

  • 7+ years of pharmaceutical, biotechnology, clinical research, or academic medicine experience, preferably in cardiovascular, cardiometabolic, hypertension, renal, or related areas.
  • Experience in pharmaceutical or biotechnology clinical development, including hands-on medical monitoring and cross-functional study team collaboration.
  • Experience with Phase 2 or later clinical trials, investigator engagement, and clinical data review; experience contributing to regulatory submissions preferred.
  • Strong knowledge of drug development, GCP, clinical trial conduct, and pharmaceutical regulations.

Knowledge, Skills, and Abilities

  • Strong knowledge of clinical research, cardiovascular medicine, hypertension, pharmacovigilance, and regulatory requirements.
  • Excellent scientific, clinical data interpretation, written, verbal, and presentation skills.
  • Strong command of clinical trial design, endpoints, statistics, safety assessment, dose selection, benefit-risk evaluation, and drug-development principles.
  • Ability to communicate complex medical information clearly to internal and external stakeholders.
  • Strong leadership, collaboration, judgment, and project management skills in a fast-moving clinical-stage environment.
  • Comfortable operating in a small, fast-paced clinical-stage biotechnology environment with a hands-on, collaborative approach.

Preferred Qualifications

  • Board certification or advanced training in cardiology, internal medicine, nephrology, hypertension, vascular medicine, or related specialty.
  • Experience with antihypertensive drug development, cardiovascular therapeutics, PDE5 biology, nitric oxide signaling, or vascular physiology.
  • Experience providing medical leadership within cross-functional study teams in a small or growing biotechnology company.
  • Experience with FDA or other health authority interactions, publications, or scientific contributions in relevant research areas.

What We Offer

Compensation The salary range for this position is $245,000 to $320,000 per year. Competitive compensation package includes base salary, annual performance bonus, long-term incentive/equity opportunities, and comprehensive benefits package.

Key Responsibilities

The Medical Director provides medical and scientific leadership for clinical development programs, overseeing study design, execution, and patient safety. They collaborate with cross-functional teams to ensure regulatory compliance and provide medical input on clinical trial documents and safety assessments.

Requirements

Candidates must hold an MD, DO, or equivalent medical degree with at least 7 years of experience in pharmaceutical or biotechnology clinical research. Strong knowledge of cardiovascular medicine, drug development principles, and regulatory requirements is essential for this role.

Qualifications

Education
Doctoral or professional degree (postgraduate degree)
Experience
5+ years of experience

Certifications

Board Certification (preferred)

Key Skills

FDA regulations

Medical Affairs — Physician Career Context

The cost-of-living index for Virginia is 101.1 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$283k midpoint carries the purchasing power of roughly $279k in an average-cost state. 61.1% of Virginia clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Physician pay on WeekdayDoc is down 2.0% vs. the prior quarter (through Oct 2026).

What does the Physician market look like in Virginia?
MeasureThis jobMarket
Listed pay$245k–$320kPhysician median $300k (middle half $267k–$324k)60 comparable listings, Nov 2026
Cost-of-living adjusted pay~$279k in purchasing powerVirginia index 101.1 (US = 100)BEA Regional Price Parities (2024)
Physician listings in Virginia742 active22,548 nationallylive on WeekdayDoc, Nov 2026
Sign-on & loan repaymentsign-on bonusVirginia Physician listings: 34% state a sign-on bonus (median $55k) · 26% offer loan repayment742 active listings, Nov 2026
Medical Affairs hiring demand#6 of 28 specialtiespostings stay open a median 69 days · 44% state a sign-on bonusWeekdayDoc Hiring Index, October 2026 · 162 postings, 36 closed
New Medical Affairs listings110 in the last 30 days94 the 30 days before (+17%)U.S., first seen on WeekdayDoc, Nov 2026
Physician pay trend−2.0% vs prior quarter—through Oct 2026
Sources: WeekdayDoc live listing index, BEA Regional Price Parities (2024), WeekdayDoc Hiring Index; as of Nov 2026. Same values as the Weekday Verdict and Market Insights on this page.

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Work-life snapshot

median 3.0this job 3.0
Better work-life than 50% of Medical Affairs listings

Listing-based score, 0–10, across 273 comparable listings. Shaded area = the share scoring below this one.

Benefits & Perks

Base salary
Annual performance bonus
Long-term incentive/equity opportunities
Comprehensive benefits package

Living in Falls Church

Typical 3-bedroom home value
$776k≈ 3.2× annual pay
Typical market rent
$2,534/mo≈ 12% of gross pay
Residents’ average commute
29 min
Metro price indexU.S. average = 100
108.9
State income tax
Up to 5.8%
Sources & methodology

Sources: Zillow home values (Sep 2026), Zillow market rents (Sep 2026), U.S. Census ACS 2024 five-year.

BEA 2024 · Washington-Arlington-Alexandria, DC-VA-MD-WV metro prices. Housing figures are city-level.

Ratios use this listing’s gross annual pay. Not a cost-of-living guarantee.