Senior Director, Field Medical Affairs

About CG Oncology, Inc.

Are you ready to make a difference in the world and become part of our patient-centered team that is focused on Attacking Bladder Cancer for a Better Tomorrow? At CG Oncology, we believe that by having exceptionally talented individuals on our team who share our passion and enjoy working together, we can truly achieve our Vision and Mission to benefit patients around the world.

Every day we are making significant advancements across our multiple pipelines and are growing rapidly to meet the needs of our patients who cannot afford to wait to benefit from our novel immunotherapies. Please review this job posting and our Values and if they resonate with you and are what you expect from your organization and team, then we would like to hear from you.

About the role

The Senior Director, Field Medical Affairs is the people and strategic leader of CG Oncology's Medical Science Liaison (MSL) organization. This role builds, develops, inspires, and leads a high-performing field medical team that serves as a trusted scientific interface between CG Oncology and the external medical community. Success requires exceptional people leadership, emotional intelligence, active listening, and the ability to create alignment, accountability, and trust across a geographically dispersed field organization.

As a key member of the Medical Affairs Leadership Team, the Senior Director develops and executes an insight-driven field medical strategy supporting clinical development, launch readiness, and CG Oncology's transition to a commercial-stage oncology company. The role partners closely with Clinical Development, Commercial, Marketing, Market Access, Regulatory Affairs, Medical Information, Compliance, and Executive Leadership while maintaining clear Medical/Commercial guardrails, scientific independence, and the highest standards of scientific rigor, integrity, and compliance.

The Senior Director is accountable for MSL team performance, leadership and talent development, scientific engagement strategy, KOL development, medical insights generation and translation, field operations, and organizational effectiveness. This leader translates enterprise priorities into clear field strategy and ensures how results are achieved reflects CG Oncology's values and leadership behaviors.

Essential Functions

Strategic & People Leadership

• Develop and execute Field Medical Affairs strategy aligned with Medical Affairs, clinical development, launch readiness, and corporate objectives.
• Lead, coach, mentor, and develop a high-performing national MSL organization; create clarity, accountability, trust, and strong team cohesion.
• Translate enterprise priorities into clear scientific objectives, priorities, KPIs, and measures of impact.
• Create alignment through transparent communication, active listening, clear decision-making, and disciplined follow-through.
• Anticipate evolving needs as CG operates simultaneously as a clinical and emerging commercial organization.
• Build connection across a remote field organization through intentional communication, in-person engagement, recognition, and consistent leadership presence.

Field Medical & Scientific Leadership

• Oversee field-based scientific exchange with healthcare professionals, investigators, and KOLs.
• Ensure balanced, accurate, and compliant scientific information regarding CG Oncology products, pipeline assets, and disease-state education.
• Lead advisory boards, investigator meetings, scientific congress activities, medical education programs, and other field medical initiatives.
• Guide strategic KOL identification, development, and engagement aligned to prioritized scientific objectives.
• Maintain uncompromising scientific rigor while helping MSLs translate complex science into clear, relevant, and credible scientific exchange.

Cross-Functional Partnership & Enterprise Alignment

• Build trusted partnerships with Clinical Development, Commercial, Marketing, Market Access, Medical Information, Regulatory Affairs, Clinical Operations, Compliance, and Pharmacovigilance.
• Serve as a proactive bridge between Field Medical and Commercial leadership, ensuring coordinated planning, mutual respect for functional roles, appropriate information sharing, and clear Medical/Commercial guardrails.
• Use scientific rigor, external insights, and enterprise judgment to influence strategy; respectfully challenge assumptions and help cross-functional teams reach aligned decisions.
• Partner with Commercial and launch teams to understand evolving customer and market needs while preserving Medical Affairs scientific independence and compliance.
• Model CG Oncology's Patient-Centered, Integrity, Collaboration, Innovation, Perseverance, and Well-Being values and leadership behaviors, including respectful disagreement, ownership, accountability, intellectual honesty, and assuming positive intent.

Medical Insights & Strategy

• Establish processes for collecting, analyzing, prioritizing, and communicating field medical insights.
• Translate external feedback into actionable recommendations informing clinical development, evidence generation, publication planning, Medical Affairs, and appropriate enterprise strategy.
• Synthesize complex field information into concise, solution-oriented recommendations and a preferred path forward.
• Monitor scientific advances, competitive intelligence, and treatment landscape changes to support forward-looking decisions.

Talent Management & Culture

• Recruit, develop, and retain exceptional MSL talent.
• Demonstrate exceptional people leadership through active listening, frequent coaching, candid feedback, recognition, and individualized development.
• Foster an inclusive, high-trust culture of collaboration, accountability, scientific excellence, continuous learning, and patient-centered leadership.
• Create an environment where MSLs can respectfully challenge ideas, share scientific perspectives, and raise concerns while remaining aligned to team and enterprise decisions.
• Lead performance management, succession planning, career development, and ongoing scientific and compliance training.

Operational Excellence & Compliance

• Develop meaningful field medical KPIs measuring impact, quality, strategic execution, and organizational effectiveness.
• Manage field medical budgets, resource allocation, vendors, and external partnerships.
• Drive continuous improvement, including appropriate use of modern technology and analytics.
• Ensure activities comply with FDA regulations, GCP, the PhRMA Code, company policies, and applicable standards.
• Promote the highest standards of ethics, integrity, scientific independence, and compliance.

Qualifications

• Advanced degree in life sciences, pharmacy, or related field required (Pharm.D, PhD, MD).
• Twelve (12) years of progressive Medical Affairs experience with significant field medical and MSL leadership responsibility.
• Demonstrated success leading, coaching, developing, and retaining high-performing, geographically dispersed MSL teams.
• Demonstrated ability to develop and execute field medical strategy aligned with Medical Affairs, clinical development, launch readiness, and enterprise objectives.
• Experience supporting a first commercial launch or major oncology launch strongly preferred.
• Previous experience building, scaling, or materially evolving a national MSL organization.
• Oncology experience required; immuno-oncology or immunotherapy strongly preferred. Bladder cancer, urologic oncology, or gene therapy is advantageous but not required.
• Exceptional cross-functional collaboration with Commercial and enterprise partners while maintaining scientific independence and compliant guardrails.
• Ability to translate complex scientific priorities and field insights into clear strategy, focused execution, and actionable enterprise recommendations.
• Strong KOL engagement and advisory board, investigator-sponsored research, publication planning, and congress strategy experience.
• Thorough knowledge of FDA regulations, GCP, PhRMA Code, and Medical Affairs compliance requirements.
• Exceptional interpersonal, active listening, communication, and presentation skills.
• Leadership style and behaviors strongly aligned with CG Oncology's values and culture.
• Able to travel by car/air (domestic/international) – Est. 25%

Work Authorization: Applicants must be authorized to work for any employer in the U.S. We are unable to sponsor or take over sponsorship of an employment visa at this time.

Please note that CG Oncology does not accept unsolicited information and/or resumes from search firms or agencies for our job postings. Any resumes or client information submitted to our careers page or any employee of CG Oncology by any search firm or agency without an applicable contract in place will become the property of CG Oncology and no fee(s) will be paid.

Total Rewards

CG Oncology offers very competitive and comprehensive Total Rewards, helping to support and reward our global team of high-performing employees focused on developing bladder-saving therapeutics for patients afflicted with bladder cancer.

HIGHLY COMPETITIVE SALARIES

ANNUAL PERFORMANCE/MERIT REVIEWS

ANNUAL PERFORMANCE BONUSES

EQUITYSPECIAL RECOGNITION

Well-Being Benefits

In addition to our Total Rewards, CG Oncology offers a variety of Well-Being Benefits to meet the majority of the needs of our unique and growing workforce. These benefits are designed to support our team to achieve a healthy balance between work and their personal lives to remain refreshed, engaged, and creating an environment where each person can find a deeper meaning and purpose in their work.

Well-Being Benefits eligibility begins the 1st of the month after hire. While a majority of these benefits are for our US-based workforce, we continue to assess comparable levels of benefits for our international team members that are aligned with country-specific regulations and their national programs offered.

FULLY REMOTE WORK ENVIRONMENT

REST AND RECHARGE BENEFITS - Unlimited Flexible Time Off

HOLIDAYS - In 2026 we will observe 14 holidays

RETIREMENT - 401K with 100% company Safe Harbor match up to 4% of base salary

HEALTH (MEDICAL, DENTAL, VISION) - PPO & HDHP - Cigna/Principal

HEALTH SPENDING ACCOUNTS - HSA (with Annual Company Contribution), FSA, FSA-DC

ILLNESS & DISABILITY PROTECTION - Company Paid LTD Coverage + Voluntary Plans

LIFE INSURANCE - Company Paid 2 x base salary + Voluntary Plans

ADDITIONAL EXCLUSIVE BENEFITS - Voluntary Legal, Pet, Plus More

CG Oncology is an Equal Opportunity Employer:

All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status. At CG Oncology, we are building a community of intelligent and passionate team members that share our Vision, Mission and Values, and while the biotechnology space can feel limited in BIPOC, non-binary and even female representation, we endeavor to make hiring decisions that will continue to grow and support our team in the direction of maintaining cultural diversity and sustainability.