Senior Director or Director, Head of Medical Writing (Hybrid)

Company Overview 

Fulcrum Therapeutics is a clinical-stage biopharmaceutical company focused on improving the lives of patients with genetically defined rare diseases in areas of high unmet medical need. Fulcrum’s lead program in clinical development is pociredir, a small molecule designed to increase expression of fetal hemoglobin for the treatment of sickle cell disease and other hemoglobinopathies. The company’s proprietary product engine identifies drug targets that can modulate gene expression to treat the known root cause of gene mis-expression.

Description

The Senior Director or Director, Head of Medical Writing, will report to the Head of Regulatory Affairs & Quality Assurance and collaborate cross-functionally with colleagues in Discovery, Clinical Development, Medical Affairs, and Regulatory. This individual will lead the development and delivery of a broad range of clinical and regulatory documents to support the company’s drug development programs.

Initially, this role will oversee an outsourced medical writing model. Over time, the Director will be responsible for building and managing an internal medical writing team that is appropriately resourced to meet the organization's evolving needs. The ideal candidate will combine hands-on writing expertise with strategic leadership to ensure the timely delivery of high-quality documents.

Responsibilities

Strategic Leadership & Operational Execution

• Develop and implement a scalable, fit-for-purpose medical writing delivery model that balances internal and external resources
• Lead the planning, preparation, and review of high-quality clinical, regulatory, and publication documents in collaboration with cross-functional teams
• Ensure consistency, accuracy, and compliance with applicable regulatory and scientific guidelines and standards
• Serve as a subject matter expert in medical writing and provide direct writing support as needed

Document Ownership

Clinical Documents:

• Investigator Brochures
• Protocol Synopses, Protocols, and Amendments
• Informed Consent Forms
• Clinical Study Reports (CSRs), Safety Narratives

Regulatory Documents:

• Annual Reports, Safety Updates
• Briefing Documents, Regulatory Correspondence
• Clinical Trial and Marketing Applications in eCTD format, including INDs, CTAs, NDAs/sNDAs, MAAs

Qualifications:

• Minimum of 10 years of medical writing experience in the biopharmaceutical industry or a CRO setting
• PhD preferred, but not required
• Proven leadership experience managing teams of full-time employees and/or contractors
• Deep knowledge of GCP, ICH, and CFR regulatory requirements
• Familiarity with Health Canada, MHRA, PMDA, and EMA guidelines
• Proficiency in scientific literature research methods
• Familiarity with AMA, APA, CSE, and Chicago style guides
• Understanding of publication guidelines, including GPP2, ICMJE, and CONSORT
• Strong technical proficiency with tools such as Adobe Acrobat Pro and Microsoft Office Suite (Word, Excel, PowerPoint, Teams, Project, SharePoint)
• Hybrid work model, with employees expected to be onsite at least 50% of the time