As of Sep 22, 2026, Rare disease sales has 339 matching live postings. Median advertised annual base: $175,750 (n=187), versus $124,000 nationally.
Orphan drugs and gene therapies — very small patient populations, a handful of treating centers, and a territory that can be a whole region.
Matching live postings · Observed on the board Sep 22, 2026. Counts are postings, not individual vacancies or hires.
| Measure | This search | United States |
|---|---|---|
| Median advertised annual base | $175,750 | $124,000 |
| Qualifying annual base ranges | 187 of 339 | 5,134 of 7,877 |
| Publish a numeric pay range (any pay type) | 232 (68%) | — |
Method: advertised annual base in USD; midpoint of each published range; hourly and on-target earnings (OTE) excluded. Non-promotional field-support roles and implausible midpoints outside $20,000–$700,000 are excluded. Medians require 8 ranges. Missing pay is unknown, not $0. Range disclosure counts any pay type; the median uses only qualifying annual base ranges.
| Employer | Open postings |
|---|---|
| Syneos Health | 74 |
| Mirum Pharmaceuticals | 45 |
| Takeda | 42 |
| Amgen | 32 |
| BridgeBio Pharma | 16 |
| Apellis Pharmaceuticals | 13 |
| Dyne Therapeutics | 12 |
| Alexion | 11 |
| ITF Therapeutics | 11 |
| Alkermes | 10 |
| Experience | Postings | Share of this search |
|---|---|---|
| 0–2 years | 32 | 9% |
| 3–4 years | 83 | 24% |
| 5+ years | 222 | 65% |
| Not stated | 2 | 1% |
| Setting | Postings | Share of this search |
|---|---|---|
| Physician office | 273 | 81% |
| Hospital / IDN | 61 | 18% |
| Cancer / infusion center | 38 | 11% |
| Payer / managed care | 20 | 6% |
| Pharmacy | 5 | 1% |
| C-suite | 2 | 1% |
| Cath lab / EP | 1 | 0% |
| Home health / DME | 1 | 0% |
| Lab / pathology | 1 | 0% |
| Operating room | 1 | 0% |
Settings may overlap and include classifications from product context; the board labels assumptions on individual roles. They do not add up to 100%. Experience not stated is kept separate from zero years.
| Background | Postings | Share of this search |
|---|---|---|
| Outside or B2B sales | 45 | 13% |
| Clinical or allied health | 43 | 13% |
| Military | 1 | 0% |
As of Sep 22, 2026, 32 matching postings state a minimum of zero to two years, while 2 do not state a minimum. These are stated experience requirements, not a guarantee of entry-level eligibility. A posting can require industry experience, a credential or a particular background separately; read the employer's qualifications before applying.
The median advertised annual base is $175,750, calculated from 187 qualifying postings as of Sep 22, 2026. This uses each published range's midpoint and excludes hourly rates, on-target earnings and non-promotional field-support roles. It measures advertised base pay, not take-home pay or first-year total compensation. 68% publish a numeric pay range of any kind.
The largest matching employer counts as of Sep 22, 2026 are Syneos Health (74), Mirum Pharmaceuticals (45), Takeda (42). These are currently advertised postings on MedSales Radar, not a complete census of hiring or proof of expansion. Counts can change after an employer refreshes its careers site; use the linked listings to check current requirements and locations.
0 of 339 matching postings carry a remote or home-based location flag as of Sep 22, 2026; 234 state a travel percentage. Home-based medical sales work can still involve customer visits and a defined territory. A missing remote flag does not establish an office requirement, and an unstated travel percentage does not mean no travel. Confirm territory and travel expectations with the employer.
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Orphan drugs and gene therapies — very small patient populations, a handful of treating centers, and a territory that can be a whole region. Territories are geographically enormous and hold very few accounts, because the prescribers sit in academic centers. The job is closer to key-account management than to a call plan: find the treating center, work the multidisciplinary team, and stay with a handful of patients through a long path to therapy. Employers hire experience here rather than train it. Most of these postings ask for prior specialty or biologics selling, so it is a step across from another line rather than a way in. 339 open roles right now. Every role here either names this line in its own posting or is at an employer that sells only this — never a guess from the employer’s industry.