E-3 Visa Medical Director Jobs
Medical Director roles qualify as E-3 specialty occupations, requiring a medical degree plus demonstrated clinical leadership experience. Australian physicians and healthcare executives can secure E-3 visa sponsorship without entering an H-1B lottery, and the visa renews indefinitely as long as you hold a qualifying position with a U.S. employer.
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When we put unexpected teams in the same room, we unleash bold thinking with the power to inspire life-changing medicines. In-person working gives us the platform to connect, work at pace and challenge perceptions. That’s why we work, on average, a minimum of three days per week from the office. But that doesn’t mean we’re not flexible. We balance the expectation of being in the office while respecting individual flexibility. Join us in our unique and ambitious world.
The Associate Medical Director, Global Drug Safety is accountable for executing the safety and risk management activities for one or more assigned clinical development projects or marketed products to enable the safe and effective use of Alexion’s products by patients and healthcare providers. The Associate Medical Director will be responsible for safety activities for investigational products and/or marketed, including identification and evaluation of safety signals and risk management to drive decision-making on risk/benefit evaluation. The Associate Medical Director, Global Drug Safety is an individual contributor role and will be supervised by Medical/Senior/Executive Director, Global Drug Safety.
Key Responsibilities include:
- Through data review and research, identifies and presents at Safety Management Team meetings, safety issues for further review and analysis
- Assists in preparation of safety data for DSMBs and other safety governance meetings
- Represents GDS on other project/product team(s) or subteam(s) as a key cross functional member and subject matter expert
- Detects, validates and manages pre-and/or post-approval safety signals through to resolution
- Conducts medical review of Individual Case Safety Report (ICSR) and analysis of similar events (AOSE) as necessary, including the assessment of quality within the ICSR process; identifies process improvement opportunities and drives changes in process
- Evaluates aggregate safety data and provides contributions to core regulatory documents i.e. Periodic Safety Update Reports, Drug Safety Update Reports, Risk Management Plans, and other routine and non-routine safety and risk/benefit evaluations for internal or regulatory purposes as required
- Identifies, initiates and manages to completion, necessary safety updates to the IB, CCSI and/or local product information, Medication Guide, Patient Leaflet, and other labeling documentation as necessary
- Assist in regulatory responses to safety inquiries from regulatory agencies
- May be directed by the line function to support initiatives outside of their projects
You will need to have:
- MD or equivalent degree required
- A minimum of 1 year experience in drug safety and risk management within the pharmaceutical, biotech or CRO industry or 3 years within a clinical care setting
- Excellent, independent judgment based on knowledge and expertise
- Strong verbal and written communication including making recommended courses of action to management and/or senior leaders that impact the discipline, department or line, and influences their decisions
- Sound problem solving skills including the ability to make decisions by developing innovative options and/or multiple solutions to highly complex problems
- Expertise with Microsoft Word, PowerPoint and Excel
We would prefer for you to have:
- Rare, Ultra-Rare or Orphan Disease Area experience
- Strong personal time-management and project-management skills
- Knowledge and understanding of US and EU safety regulations, CIOMS, ICH and GCP guidelines
- Clinical development/research experience is preferred
- Broad and deep knowledge of the principles, concepts, and theories of drug-induced disease for therapeutic/product area(s)
At Alexion, you will find a collaborative culture that encourages innovation and a diverse environment where your contributions are valued. You will have the opportunity to be at the forefront of rare disease research and make a meaningful difference in patients' lives.
Ready to lead and inspire? Apply now and take the first step towards a fulfilling career at Alexion, AstraZeneca Rare Disease.
LI-Hybrid

When we put unexpected teams in the same room, we unleash bold thinking with the power to inspire life-changing medicines. In-person working gives us the platform to connect, work at pace and challenge perceptions. That’s why we work, on average, a minimum of three days per week from the office. But that doesn’t mean we’re not flexible. We balance the expectation of being in the office while respecting individual flexibility. Join us in our unique and ambitious world.
The Associate Medical Director, Global Drug Safety is accountable for executing the safety and risk management activities for one or more assigned clinical development projects or marketed products to enable the safe and effective use of Alexion’s products by patients and healthcare providers. The Associate Medical Director will be responsible for safety activities for investigational products and/or marketed, including identification and evaluation of safety signals and risk management to drive decision-making on risk/benefit evaluation. The Associate Medical Director, Global Drug Safety is an individual contributor role and will be supervised by Medical/Senior/Executive Director, Global Drug Safety.
Key Responsibilities include:
- Through data review and research, identifies and presents at Safety Management Team meetings, safety issues for further review and analysis
- Assists in preparation of safety data for DSMBs and other safety governance meetings
- Represents GDS on other project/product team(s) or subteam(s) as a key cross functional member and subject matter expert
- Detects, validates and manages pre-and/or post-approval safety signals through to resolution
- Conducts medical review of Individual Case Safety Report (ICSR) and analysis of similar events (AOSE) as necessary, including the assessment of quality within the ICSR process; identifies process improvement opportunities and drives changes in process
- Evaluates aggregate safety data and provides contributions to core regulatory documents i.e. Periodic Safety Update Reports, Drug Safety Update Reports, Risk Management Plans, and other routine and non-routine safety and risk/benefit evaluations for internal or regulatory purposes as required
- Identifies, initiates and manages to completion, necessary safety updates to the IB, CCSI and/or local product information, Medication Guide, Patient Leaflet, and other labeling documentation as necessary
- Assist in regulatory responses to safety inquiries from regulatory agencies
- May be directed by the line function to support initiatives outside of their projects
You will need to have:
- MD or equivalent degree required
- A minimum of 1 year experience in drug safety and risk management within the pharmaceutical, biotech or CRO industry or 3 years within a clinical care setting
- Excellent, independent judgment based on knowledge and expertise
- Strong verbal and written communication including making recommended courses of action to management and/or senior leaders that impact the discipline, department or line, and influences their decisions
- Sound problem solving skills including the ability to make decisions by developing innovative options and/or multiple solutions to highly complex problems
- Expertise with Microsoft Word, PowerPoint and Excel
We would prefer for you to have:
- Rare, Ultra-Rare or Orphan Disease Area experience
- Strong personal time-management and project-management skills
- Knowledge and understanding of US and EU safety regulations, CIOMS, ICH and GCP guidelines
- Clinical development/research experience is preferred
- Broad and deep knowledge of the principles, concepts, and theories of drug-induced disease for therapeutic/product area(s)
At Alexion, you will find a collaborative culture that encourages innovation and a diverse environment where your contributions are valued. You will have the opportunity to be at the forefront of rare disease research and make a meaningful difference in patients' lives.
Ready to lead and inspire? Apply now and take the first step towards a fulfilling career at Alexion, AstraZeneca Rare Disease.
LI-Hybrid
See all 254+ Medical Director jobs
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Get Access To All JobsTips for Finding E-3 Visa Sponsorship as a Medical Director
Verify your credentials meet U.S. licensing standards
Australian medical degrees are generally accepted, but U.S. employers will expect ECFMG certification if you've held clinical responsibilities. Confirm your credential equivalency before applying so sponsorship conversations don't stall at the offer stage.
Target health systems with existing immigration infrastructure
Hospital networks, academic medical centers, and large physician group practices already file LCAs regularly. They understand E-3 sponsorship obligations and won't treat your visa as an unknown risk during salary negotiations.
Frame your role as a specialty occupation during interviews
Medical Director positions must meet the DOL specialty occupation standard for E-3 purposes. Clarify upfront that the role requires a medical degree specifically, not just any bachelor's degree, which protects the LCA filing from later challenge.
Use Migrate Mate's E-3 filing service for the LCA and consulate prep
Once you have an offer, Migrate Mate's E-3 filing service manages the LCA submission to DOL, prepares your DS-160, and walks you through your Sydney, Melbourne, or Perth consulate appointment from start to finish.
Search for Medical Director jobs with E-3 sponsorship on Migrate Mate
Migrate Mate filters roles by visa sponsorship history, so you can focus on employers who have already sponsored E-3 or H-1B holders rather than educating recruiters about the visa from scratch.
Negotiate your start date around the LCA certification timeline
DOL typically certifies LCAs within seven business days, but building in a two-to-three week buffer protects you if the filing requires correction. Agree on a contingency start date with your employer before signing your offer letter.
Medical Director jobs are hiring across the US. Find yours.
Find Medical Director JobsMedical Director E-3 Visa: Frequently Asked Questions
How do I find Medical Director jobs in the U.S. that offer E-3 visa sponsorship?
Migrate Mate is the most direct way to search. It surfaces Medical Director roles from employers with active sponsorship history, so you're not cold-applying to organizations that have never filed an LCA. Filter by role and location to identify health systems and physician groups already familiar with the E-3 process.
How much does it cost to get an E-3 visa?
Migrate Mate's E-3 filing service covers the entire process for $499, including the Labor Condition Application, visa document preparation, and consulate appointment guidance. Traditional immigration lawyers charge $2,000–$5,000+ for the same work. The E-3 has less paperwork than most work visas, so paying thousands for legal help is usually unnecessary.
Does a Medical Director role qualify as a specialty occupation for the E-3 visa?
Yes. The E-3 requires a position that normally requires at least a bachelor's degree in a specific specialty. Medical Director roles require a medical degree and typically a specialty qualification, which satisfies the standard. Your employer will certify this through the LCA filed with the DOL before your visa application.
How does the E-3 visa compare to the H-1B for Medical Director positions?
The E-3 is available exclusively to Australian nationals and has no annual cap or lottery, so there's no April registration window and no chance of being randomly excluded. The H-1B runs a heavily oversubscribed lottery each year. For a qualified Australian physician stepping into a Medical Director role, the E-3 is a significantly more predictable path to U.S. employment.
Can I switch health systems or take a new Medical Director role while on an E-3?
Yes, but your new employer must file a fresh LCA with the DOL before you begin work. The E-3 is employer-specific, so you can't simply transfer it. Plan for a two-to-four week certification window between accepting an offer and your start date to ensure the new LCA is certified before you change roles.
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