Senior / Executive Medical Director, Clinical Development (Oncology)
Listed compensation
$270K - $367K
The week · per this posting · weekdays assumed
Ask the employer about the work setting, call expectations, weekend coverage and time off.
Job Description
We are seeking a Senior or Executive Medical Director to provide medical and clinical development leadership for our early-stage oncology portfolio. This individual will own the clinical strategy and execution for one or more assets from IND-enabling activities through first-in-human and early efficacy studies.
You will serve as the clinical and scientific lead on cross-functional program teams, working closely with our discovery, translational, regulatory, and clinical operations groups — and directly alongside our AI/ML platform teams — to translate novel candidates into well-designed clinical programs.
- This position will be based in our San Diego Headquarters.
- Title and scope will be calibrated to the successful candidate's experience.
Key Responsibilities
Serve as the clinical/medical lead for early-stage oncology programs, owning the clinical development strategy from IND through Phase 1 and early proof-of-concept.
Author and drive the clinical components of IND submissions, including protocols, investigator's brochures, and clinical sections of regulatory documents; support and participate in health authority interactions (e. g., pre-IND, EOP1).
Design first-in-human and early-phase oncology trials, including dose-escalation and dose-optimization strategies, biomarker and translational plans, and eligibility criteria.
Provide ongoing medical monitoring and safety oversight for active trials, including review of emerging safety data, dose decisions, and management of study conduct in partnership with Clinical Operations and Pharmacovigilance.
Partner with translational science and the AI/ML platform teams to define patient selection strategies, pharmacodynamic endpoints, and data-driven development hypotheses.
Engage key opinion leaders, investigators, and study sites; represent programs to internal governance, partners, and, as appropriate, external stakeholders.
Collaborate cross-functionally with Regulatory Affairs, CMC, Clinical Operations, Biostatistics, and Program Management to keep programs on strategy and on timeline.
Contribute to portfolio-level decisions, candidate selection input, and business development / due diligence as needed.
Qualifications
M.D. or D.O. (or international equivalent); board eligibility/certification in hematology/oncology or medical oncology strongly preferred; exceptional candidates with PharmD and relevant oncology and clinical experience will be considered
Meaningful drug-development experience in biotech or pharma. We anticipate roughly 5+ years for a Senior Medical Director and 8–10+ years for an Executive Medical Director; strong candidates across this range are encouraged to apply.
- Direct, hands-on experience authoring and executing IND submissions.
- Direct experience designing and running Phase 1 / early-phase oncology clinical trials.
- Demonstrated experience with oncology assets and a strong understanding of the oncology therapeutic and drug-development landscape.
- Working knowledge of GCP, ICH guidelines, and the global regulatory environment for oncology development.
Preferred Qualifications
- Experience with small-molecule oncology programs and targeted therapies.
- Experience taking a program from candidate nomination or IND through clinical proof-of-concept.
- Comfort working in a fast-paced, data-rich, technology-forward environment and collaborating with computational and platform teams.
- Prior experience presenting to health authorities and/or supporting BD due diligence
About Iambic Therapeutics
Iambic is a clinical-stage life-science and technology company developing novel medicines using its AI-driven discovery and development platform. Based in San Diego and founded in 2020, Iambic has assembled a world-class team that unites pioneering AI experts and experienced drug hunters.
The Iambic platform has demonstrated delivery of new drug candidates to human clinical trials with unprecedented speed and across multiple target classes and mechanisms of action.
Iambic is advancing a pipeline of potential best-in-class and first-in-class clinical assets, both internally and in partnership, to address urgent unmet patient need. Learn more about the Iambic team, platform, pipeline, and partnerships at iambic. ai.
Mission & Core Values
Our mission is to deliver better medicines through innovations in AI-based discovery technologies. The culture and work at Iambic Therapeutics are profoundly strengthened by the diversity of our people and our differences in background, culture, national origin, religion, sexual orientation, and life experiences. We are committed to building an inclusive environment where a diverse group of talented humans work together to discover therapeutics and create technologies.
Pay and Benefits
We offer industry leading competitive pay, company paid healthcare, flexible spending accounts, voluntary life insurance, 401K matching, and uncapped vacation to our team. We are in a brand-new state-of-the art facility in beautiful San Diego with an onsite gym, dining, and easy access to great places to live and play.
Qualifications
- Education
- Professional certificate or licensure
- Experience
- 10+ years of experience
Certifications
Key Skills
Medical Affairs — Physician Career Context
The cost-of-living index for California is 110.7 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$319k midpoint carries the purchasing power of roughly $288k in an average-cost state. 63.6% of California 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).
| Measure | This job | Market |
|---|---|---|
| Work-life score | 7.2 / 10 · top 10% in medical affairs | ranked against 271 Medical Affairs listingslisting-based score, 0–10 |
| Listed pay | $270k–$367k | Medical Affairs median $315k (middle half $290k–$338k)17 comparable listings, Nov 2026 |
| Cost-of-living adjusted pay | ~$288k in purchasing power | California index 110.7 (US = 100)BEA Regional Price Parities (2024) |
| Medical Affairs listings in California | 41 active | 271 nationallylive on WeekdayDoc, Nov 2026 |
| Sign-on & loan repayment | not stated | California physician listings (all specialties): 30% state a sign-on bonus (median $100k) · 27% offer loan repayment1,000 active listings, Nov 2026 |
| Medical Affairs hiring demand | #6 of 28 specialties | postings stay open a median 69 daysWeekdayDoc Hiring Index, October 2026 · 162 postings, 36 closed |
| New Medical Affairs listings | 95 in the last 30 days | 91 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 |
Work-Life Balance Analysis
WeekdayDoc's proprietary algorithm rates Senior / Executive Medical Director, Clinical Development (Oncology) at Iambic Therapeutics 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.
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