Neurocrine Biosciences Inc. Posted October 8, 2026

Sr. Medical Director MD, Immunology

US CA San Diego, United States Full time
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Neurocrine Biosciences Inc. is the source of truth for this posting and owns the application process. We surface normalized context and market comparison you won't find on the original listing.

About this opportunity

Who We Are:

Neurocrine Biosciences is a leading biopharmaceutical company with a simple purpose: to relieve suffering for people with great needs. We are dedicated to discovering, developing and commercializing life-changing treatments for patients with under-addressed neurological, psychiatric, endocrine and immunological disorders. The company's diverse portfolio includes FDA-approved treatments for tardive dyskinesia, chorea associated with Huntington's disease, classic congenital adrenal hyperplasia, hyperphagia in Prader-Willi syndrome, endometriosis* and uterine fibroids*, as well as a robust pipeline including multiple compounds in mid- to late-phase clinical development across our core therapeutic areas. For more than three decades, we have applied our unique insight into neuroscience and the interconnections between brain and body systems to treat complex conditions. We relentlessly pursue medicines to ease the burden of debilitating diseases and disorders, because you deserve brave science. For more information, visit  neurocrine.com , and follow the company on  LinkedIn ,  X , Facebook and YouTube . ( *in collaboration with AbbVie )

At Neurocrine, strong leadership drives both business results and team success. We look for leaders who think strategically, anticipate what’s ahead and set clear direction, while building and empowering high-performing teams. Successful leaders foster an environment where people are motivated to do their best work and deliver meaningful, measurable impact through sound decision-making and accountability.

 About the Role:

Medical expert responsible for the development of clinical research strategies and independent direction of Phase 1-3 clinical studies while working with a cross-functional project teams (clinical project managers, preclinical/clinical pharmacology, biometrics, regulatory, drug safety) creation and execution of clinical development plans and in the development of strategies that will ultimately lead to approvals of Neurocrine's products. Provide expert medical advice to advance the development portfolio and will help the company navigate the complex drug development landscape. Works closely with Research and Preclinical Development to develop biomarkers necessary for the most effective evaluation of novel molecules in early clinical development. _

Your Contributions (include, but are not limited to):

For assigned programs, develops clinical development strategies and accountable for the study design of clinical trials in Development, leading on the preparation of clinical study synopses and being a major contributor to the writing of protocols/major amendments, the design of data collection systems, interpretation of clinical data, and the preparation of final clinical study reports. Engages with external experts and organizations as needed to achieve these aims

Represents Medical/Clinical on the cross-functional Program Team as the Program/Therapeutic Medical Lead. Accountable and responsible for the medical input to integrated development plans prepared by the Program Team and the clinical development plans that underpin them. Collaborate cross-functionally to support medical activities for clinical studies

Provides medical leadership to the Program Team. Accountable and responsible for driving the execution of the clinical development plan

Develops and implements study protocols in conjunction with a multidisciplinary Development Team

Assist in the identification and selection of clinical investigators for clinical trials and maintain appropriate communication and professional relationships as Sponsor medical monitor/representative

Conduct medical assessment and disposition of adverse events (in conjunction with Drug Safety physician) and evaluate safety of clinical compounds prior to and during ongoing clinical studies;

Oversee the clinical trials program in conjunction with Clinical Operations in accordance with NBI SOPs, Good Clinical Practice, and applicable regulations

Identify resource requirements, leads budget planning and personnel forecasting for clinical research programs; key contributor in the recruitment, training and development of the clinical teams, as well as Identify and select clinical consultants as needed

Leads the analysis, interpretation, and presentation of results of assigned clinical studies to internal and external audiences

Work with Medical Affairs and external opinion leaders to secure new collaborators and present trial results

Interface with Research, Product Development and Business Development to assess new product opportunities, develop clinical research strategy and product development plans

Other duties as assigned

Requirements:

MD or DO (or equivalent) degree in relevant clinical specialty for the therapeutic area required AND 4+ years clinical experience with broad bio/pharmaceutical/CRO industry experience in drug development OR

Accredited residency training and board certification preferred AND

Recognized Internal thought leader and deep expertise in a discipline

Requires broad, deep and comprehensive expertise in leading-edge theories and techniques for functional area

Applies ingenuity and creativity to problem analysis and resolution in complicated and/or novel situations

Influences internal/external business and/or industry issues that have an impact on Neurocrine

Strong mentoring skills and leadership abilities supervise lower levels and/or leads indirect teams

Proven ability to translate strategy into tactical plans and drive outcomes

Must be flexible, adaptable, self-motivated, able to prioritize, and able to manage/progress a large volume of work with minimal supervision

Strong interpersonal skills and outstanding collaborative skills; proven track record and success in building relationships and having scientific discourse with medical and scientific experts

Outstanding oral and written communication skills, with close attention to detail; ability to translate complex scientific concepts into simple language tailored for different audiences

Demonstrated success with project management

Proficiency with word processing, spreadsheet, database, and presentation software and with filing (archiving) systems

Deep knowledge and understanding of the drug development process including technical, business, and regulatory issues

Proven track record working with regulatory agencies and providing clinical leadership for the filing of INDs, NDAs, or other similar government filings

Strong knowledge of Good Clinical Practice, regulatory procedures relevant to investigational drug development

Strong knowledge in translational medicine and biomarker evaluation, clinical study execution, regulatory requirements and documents, study design, biostatistics, data analysis, report writing, and scientific presentation of data

Able to effectively operate in a multi-level matrix corporate environment, requiring interaction with, and/or direction of clinical research project teams, including physicians, scientists, monitors, administrative, regulatory, commercial, and consultant personnel

Demonstrated success managing interactions with external CROs, consultants and other contract organizations, especially from the context of a small group

Has successfully driven program strategy, launch and project management within Clinical Development

Previous experience with developing and implementing policies and processes

#LI-KM1

Neurocrine Biosciences is an EEO/Disability/Vets employer.

We are committed to building a workplace of belonging, respect, and empowerment , and we recognize there are a variety of ways to meet our requirements. We are looking for the best candidate for the job and encourage you to apply even if your experience or qualifications don’t line up to exactly what we have outlined in the job description.

_

The annual base salary we reasonably expect to pay is $301,100.00-$411,000.00. Individual pay decisions depend on various factors, such as primary work location, complexity and responsibility of role, job duties/requirements, and relevant experience and skills. In addition, this position offers an annual bonus with a target of 35% of the earned base salary and eligibility to participate in our equity based long term incentive program. Benefits offered include a retirement savings plan (with company match), paid vacation, holiday and personal days, paid caregiver/parental and medical leave, and health benefits to include medical, prescription drug, dental and vision coverage in accordance with the terms and conditions of the applicable plans.

Job details

Seniority
Director
Function
Medical Affairs
Therapeutic area
Immunology
Location
US CA San Diego, United States
Employment type
Full time

How this role compares

Computed from every other active Medical Affairs role in our database, not just this employer's listings.

We currently track 289 comparable Director Medical Affairs roles across 59 biopharma companies.

289Comparable roles tracked
279Currently active
59Companies hiring similar roles
28Countries represented

Salary context

136 of 289 peers report a salary range (USD, annualized)

Peers share this role's job function and a matching or adjacent seniority level -- not necessarily the same therapeutic area or country.

This roleSubject $301,100/yr – $411,000/yr
Lowest disclosed · Principal Strategic Medical Writer · AbbVie $109,500/yr – $208,500/yr
Peer group range $159,000 – $392,100 (median $264,000)

Where these roles are based

Top locations among the 289 comparable roles

United States210
United Kingdom22
China8
Canada6
Germany5
France4

+ 22 more countries

Seniority mix

289 of 289 peers have a known seniority level

Director240
Senior Director32
Principal17

Therapeutic area mix

128 of 289 peers have a known therapeutic area; the rest are genuinely unlabeled, not hidden

Oncology53
Neuroscience17
Respiratory14
Immunology12
Dermatology & Aesthetics10
Cardiovascular / CVRM7
Vaccines & Infectious Disease5
Rare Disease5
Gastroenterology4
Ophthalmology1

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Get an email when we spot other openings like this one – same job function, comparable seniority, roles you'd actually want to see.

How we calculate "similar"

No black box, no LLM guesswork: a deterministic score built from four normalized attributes. Here's this role's own peer group at different match levels, so you can see the mechanism, not just the result.

Every comparison starts from the same 100-point budget: 25 for working in the same function, 40 for the same therapeutic area, 20 for the same or adjacent seniority, 15 for the same country. A dimension we can't confirm on both sides contributes nothing, never a guess, never a free pass.

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Unmatched or unknown dimensions score exactly the same: 0 points, never a partial guess. A role we know almost nothing about beyond its function bottoms out at 25%; it never inflates to 100% just because there's little to compare against. Seniority uses a defined ladder (Associate → Manager → Associate Director → Senior → Principal → Director → Senior Director → Executive/VP) so "Director" and "Senior Director" count as adjacent, but "Director" and "Executive/VP" do not.