Iambic Therapeutics logo
Iambic Therapeutics
San Diego, California

Senior / Executive Medical Director, Clinical Development (Oncology)

Medical AffairsFull-Time

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.

Posted 3mo ago · Verified live

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

Board Certification (preferred)

Key Skills

Phase 1 clinical trialsBiomarker planningCross-functional leadershipProtocol design

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).

What does the Medical Affairs market look like in California?
MeasureThis jobMarket
Work-life score7.2 / 10 · top 10% in medical affairsranked against 271 Medical Affairs listingslisting-based score, 0–10
Listed pay$270k–$367kMedical Affairs median $315k (middle half $290k–$338k)17 comparable listings, Nov 2026
Cost-of-living adjusted pay~$288k in purchasing powerCalifornia index 110.7 (US = 100)BEA Regional Price Parities (2024)
Medical Affairs listings in California41 active271 nationallylive on WeekdayDoc, Nov 2026
Sign-on & loan repaymentnot statedCalifornia 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 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 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.

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.

Iambic Therapeutics logo

About Iambic Therapeutics

Biotechnology Research
San Diego, California
51-200 employees

Benefits & Perks

Company paid healthcare
Flexible spending accounts
Voluntary life insurance
401K matching
Uncapped vacation

Living in San Diego

Typical 3-bedroom home value
$1.00M≈ 3.7× annual pay
Typical market rent
$3,004/mo≈ 13% of gross pay
Residents’ average commute
24 min
Metro price indexU.S. average = 100
111.9
State income tax
Up to 13.3%
Sources & methodology

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

BEA 2024 · San Diego-Chula Vista-Carlsbad, CA metro prices. Housing figures are city-level.

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