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Parexel
Southport, North Carolina

Medical Director - Psychiatry/Neuropsychiatry - FSP

Medical AffairsFull-Time

Compensation

Pay not listed

The week · per this posting · weekdays assumed

Ask the employer about the pay range, the work setting, call expectations and time off.

Posted 3mo ago

Job Description

When our values align, there's no limit to what we can achieve.

At Parexel, we all share the same goal - to improve the world's health. From clinical trials to regulatory, consulting, and market access, every clinical development solution we provide is underpinned by something special - a deep conviction in what we do.

Each of us, no matter what we do at Parexel, contributes to the development of a therapy that ultimately will benefit a patient. We take our work personally, we do it with empathy and we're committed to making a difference.

The Medical Director is a medical expert with specialized therapeutic expertise and some experience across indications, clients and drug development.

They initiate and maintain medical and consultative relationships with clients, consult on early engagement and pre-award efforts and serve as a medical monitor for contracted projects.

The Medical Director may take on leadership roles by participating in initiatives, mentoring junior MDs and/or, where appropriate, managing a team of physicians. The Medical Director may represent GMS on cross-functional initiatives, lead initiatives within GMS, and where appropriate, manage a small team of physicians.

Medical Director

This position will have critical responsibilities in the clinical department involved in the development of therapies for neuropsychiatric indications.

Key trial related responsibilities include medical monitoring, review of eligibility forms, ongoing clinical data review, participation on protocol deviation teams, participation on cross-functional safety review teams, and participation on study teams and clinical subteams.

This position will work cross-functionally to ensure projects trial issues and execution are well coordinated with partners from multiple departments:

Serves as the Global Clinical Lead and medical monitor for 1 or more studies, including participation on the clinical subteams of those programs

Direct authorship contributions in protocols, clinical study reports, study documents, regulatory documents, and external publications

  • Provide medical review of clinical trial data and medical monitoring of clinical trials
  • Interact with senior management in the context of data presentation, trial updates, and discussions of executional or strategic development issues
  • Contribute to strategic discussions related to clinical development plans and indication prioritization

In collaboration with clinical operations, oversee and coordinate the operational aspects of ongoing projects to ensure that goals of time, cost and quality performance expectation are met

Ensure that standard operating procedures (SOP) for Clinical Development facilitate the development of effective clinical research programs and are compliant with clinical/medical and industry standards

Critically review and contribute to regulatory documents and interactions as needed

Qualifications

Requires an MD and residency training in psychiatry with extensive drug development experience in psychiatry, particularly clinical development (phase 1-3) experience in indications of schizophrenia, bipolar disorder, ADHD, major depressive disorder

5 or more years of experience in the pharmaceutical industry in a clinical development role (medical director or senior medical director)

Outstanding written and verbal communication, with experience interacting with and presenting to senior management and external audiences

  • Ability to manage complexity and ambiguity in a highly matrixed work environment
  • Displays strong leadership and collaborative interpersonal skills
  • Ability to work independently, prioritize tasks efficiently, and meet expected time frames
  • Ability to perform thorough reviews of various medical and trial related documents in a timely manner

EEO Disclaimer

Parexel is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to legally protected status, which in the US includes race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

Key Responsibilities

The Medical Director serves as a global clinical lead and medical monitor, overseeing clinical trial execution and ensuring data quality for neuropsychiatric indications. They also contribute to strategic clinical development plans, regulatory documentation, and cross-functional team leadership.

Qualifications

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

Key Skills

NeuropsychiatryRegulatory AffairsProtocol DevelopmentMedical WritingStrategic PlanningCross-functional Collaboration

Medical Affairs — Physician Career Context

The cost-of-living index for North Carolina is 94.3 (US average = 100; BEA Regional Price Parities (2024)). 59.2% of North Carolina clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Medical Affairs pay on WeekdayDoc is up 1.6% vs. the prior quarter (through Oct 2026).

What does the Medical Affairs market look like in North Carolina?
MeasureThis jobMarket
Work-life score7.2 / 10 · top 10% in medical affairsranked against 271 Medical Affairs listingslisting-based score, 0–10
Listed paynot listedMedical Affairs median $324k (middle half $280k–$403k)16 comparable listings, Nov 2026
Cost of livingNorth Carolina index 94.3US average = 100BEA Regional Price Parities (2024)
Medical Affairs listings in North Carolina6 active271 nationallylive on WeekdayDoc, Nov 2026
Sign-on & loan repaymentnot statedNorth Carolina physician listings (all specialties): 29% state a sign-on bonus (median $30k) · 14% offer loan repayment476 active listings, Nov 2026
Medical Affairs hiring demand#6 of 28 specialtiespostings stay open a median 69 daysWeekdayDoc Hiring Index, October 2026 · 162 postings, 36 closed
New Medical Affairs listings95 in the last 30 days91 the 30 days before (+4%)U.S., first seen on WeekdayDoc, Nov 2026
Medical Affairs pay trend+1.6% vs prior quarter—through Oct 2026
Sources: WeekdayDoc live listing index (271 Medical Affairs listings), BEA Regional Price Parities (2024), WeekdayDoc Hiring Index; as of Nov 2026. Same values as the Weekday Verdict and Market Insights on this page.

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Medical Director - Psychiatry/Neuropsychiatry - FSP at Parexel a 7.2 out of 10 for work-life balance — classified as very good. This places the position in the top 10% in Medical Affairs — ranked against 271 active Medical Affairs listings on WeekdayDoc.

Top Medical Affairs Jobs

1 matches · ranked by pay
#1

Payer & Health Systems Oncology, Medical Affairs Director (PHSO MAD) (PA, MD, Upstate NY)

MSD · Baltimore, Maryland

$210k-$331k

Work-life snapshot

median 3.0this job 7.2
Among the best 10% of Medical Affairs listings for work-life

Listing-based score, 0–10, across 271 comparable listings. Shaded area = the share scoring below this one.

Living in Southport

Typical 3-bedroom home value
$525k
Typical market rent
$1,833/mo
Residents’ average commute
24 min
State income tax
Up to 4.8%
Sources & methodology

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

City-level figures. Not a cost-of-living guarantee.