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ITF Therapeutics

Develops and commercializes rare-disease therapies

Director, Medical, Legal, Regulatory Operations

Business OperationsConfirmed live in the last 24 hours
Full-timeUnited States$210k - $225kIn-person

About the Job

Requirements

  • A bachelor's degree is required.
  • At least 10 years of experience in pharmaceutical or biotechnology, with significant experience in promotional review, MLR/PRC operations, content operations, or a closely related function.
  • Direct, hands-on experience owning or significantly shaping an MLR review process, including platform ownership such as Veeva Vault PromoMats.
  • Strong working knowledge of FDA promotional regulations, OPDP guidance, and the PhRMA Code.
  • Demonstrated success managing complex, multi-stakeholder processes under tight deadlines in a matrixed organization.
  • A track record of influencing and holding accountable senior leaders at Director level and above without formal authority.

Responsibilities

  • Own the MLR operating model end-to-end, including intake, routing, review cycles, approvals, and archiving, and continuously evolve it as volume, therapeutic areas, and regulatory expectations change.
  • Set governance standards, standard operating procedures, and best practices for the review process, and ensure consistent adoption across Medical, Legal, Regulatory, and Marketing.
  • Serve as business owner for the technology ecosystem, such as Veeva Vault PromoMats, partnering with IT and Compliance on configuration, upgrades, and process automation opportunities.
  • Identify systemic bottlenecks and lead cross-functional process-improvement initiatives, using data to justify changes to senior stakeholders.
  • Build and maintain enterprise-wide review calendars across teams, launches, and material types, including promotional, training, medical, and other materials.
  • Lead MLR operational readiness for new product launches, indications, label changes, and other high-volume business events, including submission-volume forecasting, reviewer-capacity planning, critical-path calendars, and escalation protocols.
  • Serve as the primary strategic point of coordination between Medical, Legal, Regulatory, Marketing, and Commercial leadership on all review matters.
  • Facilitate and, where needed, redesign MLR review governance meetings to drive efficient, decisive outcomes among senior reviewers.
  • Establish and reinforce clear roles, service-level expectations, timelines, and escalation protocols across reviewer functions and organizational levels; constructively address deviations that put quality, compliance, or business timelines at risk.
  • Build credibility and trusted-advisor relationships across the matrix, influencing decisions and behavior change without direct authority.
  • Proactively escalate timeline or compliance risks with clear, data-backed rationale and recommended solutions.
  • Provide role-based training and onboarding for material owners, reviewers, agencies, and other stakeholders.
  • Establish company requirements for submissions and approvals that external agencies and partners must adhere to.
  • Define and maintain an MLR performance framework, including submission volume, cycle time, service-level agreement adherence, review rounds, and aging; translate insights into capacity plans, process improvements, and leadership recommendations.
  • Ensure audit and inspection readiness through accurate, well-governed review documentation and records retention.
  • Stay current on evolving FDA, OPDP, and PhRMA Code expectations, and partner with Regulatory, Legal, and Compliance to translate evolving regulatory requirements, guidance, internal policies, and enforcement trends into the MLR process.
  • May mentor or oversee junior process coordinators supporting the MLR function.

Desired Qualifications

  • An advanced degree such as an MBA or MPH, or a related degree.
  • Additional experience in medical affairs, regulatory, legal review, or compliance operations, including experience operating at a strategic or leadership level.
  • Experience in a global, matrixed pharmaceutical or biotechnology organization.
  • Demonstrated process-improvement, project-management, or change-management capability.
  • Prior direct experience partnering with Legal and Regulatory review leadership on governance or policy matters.
  • Experience leading or contributing to MLR platform implementations or major process redesigns.
  • Demonstrated experience working with small, growing companies as they expand their portfolio and scale their business.

About the Company

ITF Therapeutics

Develops and commercializes rare-disease therapies

ITF Therapeutics is a division of Italfarmaco S.p.A. focused on developing and commercializing treatments for rare diseases in the U.S., especially Duchenne Muscular Dystrophy (DMD). The company works on early-stage research and clinical development, partnering with patient advocacy groups and clinical leaders to align programs with patient needs. Its lead program is DUVYZAT (givinostat), a histone deacetylase (HDAC) inhibitor aimed at DMD. Revenue comes from bringing these specialized therapies to market. Compared with competitors, ITF Therapeutics emphasizes collaboration with patient groups and clinicians, a pipeline-focused early-development approach, and a specialty in HDAC inhibitors for rare diseases. The company’s goal is to deliver effective treatments for rare-disease patients by advancing promising therapies through development and into commercialization.

Company size
1-10
Company stage
Not listed
Total funding
Not listed
Headquarters
Concord, NH
Founded
2024

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