ph3Role Overview /h3 /brpThe (Senior) Medical Director, Italy will serve as the foundational medical leader for Rett syndrome in Italy, responsible for designing and executing the full pre-launch and launch medical strategy for a first commercial product, in close collaboration with the country medical staff and aligned with Regional medical and country launch readiness plan strategy.
This role combines strategic leadership with hands?on execution, requiring comfort operating with limited infrastructure, evolving processes, and high ambiguity.
The position will also act as medical interface to Italian healthcare professionals (HCPs), key opinion leaders (KOLs), and patient advocacy groups (PAGs), while increasing the company's medical presence and credibility.
/p /brh3Key Responsibilities /h3 /brh3Medical Strategy Startup Leadership /h3 /brul /brliDevelop and own the Italian medical strategy for Rett syndrome from pre-launch through launch and post-launch, including budget responsibilities.
/li /brliAlign European scientific vision and strategy into practical, locally relevant medical plans aligned with Italian clinical practice and patient pathways.
/li /brliAct as the single-country medical authority for Rett syndrome, representing the company externally and internally, together with the country medical affairs cross functional team /li /br /ul /brh3Pre-Launch Launch Execution /h3 /brul /brliDesign and coordinate/execute disease-education and unmet-need medical initiatives ahead of national product approval aligned with launch readiness plan /li /brliLead medical launch readiness, including scientific narratives, medical materials, and internal training, aligned with cross functional launch readiness plan in collaboration EU Regional medical team and local cross functional team /li /brliPartner closely with Commercial, Market Access, Compliance, and Regulatory colleagues to ensure a cohesive, compliant launch.
/li /br /ul /brh3HCP KOL Engagement /h3 /brul /brliFurther develop Italy-wide KOL networks and expert centers, and multidisciplinary Rett syndrome care teams aligned with cross functional engagement plan /li /brliTogether with country medical colleagues, lead high-impact scientific exchanges, at medical conferences, advisory boards, and expert meetings, often acting as the primary scientific presenter.
/li /brliSupport congress planning, abstracts, and publications relevant to Rett syndrome.
/li /br /ul /brh3Patient Advocacy Group (PAG) Engagement /h3 /brul /brliSupport and increase established trusted, long-term partnerships with Italian Rett syndrome patient and caregiver organizations together with country medical staff.
/li /brliIntegrate the patient and caregiver perspective into medical strategy, education, and evidence generation.
/li /brliCollaborate ethically with PAGs on disease awareness, diagnostic journeys, and unmet needs, in line with Italian and EU compliance standards.
/li /br /ul /brh3Evidence Generation Medical Infrastructure /h3 /brul /brliContribute to the design and execution of real-world evidence, registries, and post-marketing studies in Italy, including Investigator Initiated Studies (IISs), as applicable /li /brliSupport and drive national publication strategies and scientific communication activities.




/li /brliHelp establish medical governance, SOPs, and compliant ways of working in Italy, appropriate for a growing biotech organization.
/li /br /ul /brh3Cross-Functional External Leadership /h3 /brul /brliAct as a key medical strategic partner to the General Manager, cross functional team, and senior leadership on scientific, clinical, and medical patient-centric decisions related to Italy.
/li /brliSupport build-out of the Italian medical function, including future hiring, vendor selection, and process development, as needed.
/li /brliBe an active member of local leadership team as well as European Medical Team /li /br /ul /brh3Qualifications Experience /h3 /brh3Education /h3 /brul /brliMD, (PharmD, PhD) or equivalent advanced degree in life sciences.
/li /brliBackground in neurology, paediatric neurology, neurodevelopmental disorders, or rare diseases strongly preferred.
/li /br /ul /brh3Experience /h3 /brul /brli10+ years in Medical Affairs, Patient Advocacy, or related roles within biotech or (smaller) pharmaceutical companies.
/li /brliExperience in pre-launch and launch medical activities, ideally in a first-in-class or early-stage product environment, is a strong plus.
/li /brliStrong experience in rare diseases and/or neurodevelopmental disorders.
/li /brliDemonstrated ability to work independently, entrepreneurially, and cross-functionally in a lean organization.
/li /brliDeep understanding of the Italian healthcare system, reference centers, and national rare disease networks.
/li /br /ul /brh3Skills Attributes /h3 /brul /brliHighly hands?on, adaptable, and comfortable with ambiguity.
/li /brliCross-functional understanding and collaboration /li /brliStrong scientific credibility and ability to influence without authority.
/li /brliExcellent communication skills in Italian and English.
/li /brliHigh ethical standards and strong understanding of medical compliance in Italy and the EU.
/li /br /ul /brpIn addition to a competitive base salary, this position is also eligible for discretionary bonus and equity awards based on factors such as individual and organizational performance.
Actual amounts will vary depending on experience, performance, and location.
/p /brpSalary Range: €*******—€******* EUR /p /brh3What we offer US-based Employees: /h3 /brul /brliCompetitive base, premio, new hire and ongoing equity packages /li /brliMedical, dental, and vision insurance /li /brliEmployer-paid life, disability, business travel and EAP coverage /li /brli401(k) Plan with a fully vested company match 1:1 up to 5% /li /brliEmployee Stock Purchase Plan with a 2-year purchase price lock-in /li /brli15+ vacation days /li /brli****** paid holidays, including office closure between December 24th and January 1st /li /brli10 days of paid sick time /li /brliPaid parental leave benefit /li /brliTuition assistance /li /br /ul /brpbEEO Statement (US-based Employees):



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📌 Senior Medical Director, Italy (Lazio)
🏢 Acadia Pharmaceuticals
📍 Lazio