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Introduction

Medical Affairs has never been more critical to the success of pharmaceutical and biotechnology organisations. Once a niche function, it now sits at the very heart of strategic decision-making — bridging science and commercial, shaping evidence generation, and guiding external engagement with Key Opinion Leaders (KOLs) and Healthcare Professionals.

In 2026, demand for top-tier Medical Affairs professionals is at an all-time high. But with that demand comes new challenges: rising salary expectations, talent scarcity in niche areas like oncology and rare disease, and a fiercely candidate-driven market where employers compete as much on culture and opportunity as on compensation.

This report distils the latest market intelligence into actionable guidance for hiring managers. Drawing on benchmarking data, candidate feedback, and real-time industry shifts, it provides a clear-eyed view of what it takes to attract, hire, and retain the best Medical Affairs talent in today’s competitive environment.

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