About The Position

The Clinical Trial Manager (CTM) is responsible for the operational leadership and execution of assigned clinical trials from study start-up through close-out. The CTM ensures studies are conducted in accordance with the protocol, applicable regulatory requirements, ICH-GCP guidelines, and company/CRO SOPs, while maintaining high standards for quality, timelines, and budget. Reporting to the VP of Clinical Operations, the CTM partners with cross-functional teams and external vendors to advance the company’s clinical programs. This role is expected to provide hands-on oversight of early-phase oncology studies, including complex site activation, enrollment, safety, and data-delivery activities. This is a hybrid position based at our site in San Diego.

Requirements

  • Bachelor’s degree in life sciences, nursing, public health, or related field required.
  • 7+ years of progressive experience in clinical research or clinical operations within biotech, pharmaceutical, or CRO environments.
  • Demonstrated experience managing Phase 1 and/or other early-phase clinical trials; study start-up and close-out experience strongly preferred; oncology trial experience strongly preferred.
  • Hands-on experience leading clinical trial execution balancing strategic oversight with detailed operational follow-through.
  • Proven experience managing CROs and external vendors including performance oversight, issue escalation, and budget accountability.
  • Working knowledge of oncology trial operations, including complex eligibility criteria, safety-intensive studies, dose-escalation/expansion designs, and time-sensitive site and data workflows.
  • Strong understanding of ICH-GCP, FDA requirements, and applicable global clinical trial regulations and processes.
  • Experience partnering with CMC and supply-chain stakeholders to support clinical supply readiness and continuity, including experience with clinical trial supply projections.
  • Experience partnering with clinical translation and pharmacology stakeholders to support clinical trial PK/PD sample collection, reconciliation, and trouble-shooting.
  • Strong clinical trial financial management skills, including budget tracking, forecasting, accruals, invoice review, and change-order management.
  • Excellent project management, organizational, problem-solving, and communication skills, with the ability to manage multiple priorities in a fast-paced environment.
  • Ability to build effective relationships across functions and with external partners, influence without direct authority, and communicate clearly with senior leadership.

Nice To Haves

  • Advanced degree (MS, MPH, PharmD, or PhD, or equivalent) preferred.
  • Experience helping build, scale, or optimize clinical operations processes and infrastructure is preferred.
  • Experience using AI to help create efficiencies and scale workload is a plus.

Responsibilities

  • Lead the day-to-day operational management of assigned clinical trials from study start-up through close-out, with particular focus on early-phase oncology development.
  • Develop and maintain integrated study timelines, operational plans, trackers, and key performance indicators to ensure milestones are achieved.
  • Coordinate cross-functional study activities across clinical development, clinical operations, data management, biostatistics, regulatory, pharmacovigilance/safety, quality, CMC, translational, and other relevant functions.
  • Identify operational risks, escalate issues appropriately, and implement mitigation and contingency plans to protect study timelines, quality, and patient safety.
  • Support operational planning for dose-escalation and dose-expansion cohorts, including readiness for safety review and dose-escalation decision meetings, as applicable.
  • Manage and oversee CROs, clinical vendors, and consultants, with clear accountability for scope, timelines, deliverables, quality, and budget.
  • Monitor vendor performance using agreed metrics and governance processes; drive timely resolution of performance or quality issues.
  • Participate in vendor identification and selection, RFP processes, bid defenses, scope-of-work development, and contract review.
  • Oversee site feasibility, selection, activation, initiation, monitoring, and close-out activities conducted by CROs or monitors.
  • Review monitoring reports, enrollment metrics, site performance data, protocol compliance, and quality trends; ensure follow-up actions are completed.
  • Develop and support site engagement and enrollment strategies appropriate for competitive oncology indications and patient populations.
  • Partner with cross-functional teams and vendors to address site-level operational barriers, including recruitment, retention, sample logistics, and study drug supply.
  • Drive or support study start-up activities, including site feasibility, essential document collection, investigator meeting planning, and activation readiness.
  • Collaborate with Regulatory and CRO partners on submission-related activities, responses, and documentation for applicable health authorities and ethics committees/IRBs.
  • Manage assigned study budgets, forecasts, accrual inputs, and clinical trial expenditures in partnership with Finance and Clinical Operations leadership.
  • Review CRO and vendor invoices for accuracy, milestone achievement, and alignment with contractual terms; identify and resolve discrepancies.
  • Ensure clinical trials are conducted in compliance with ICH-GCP, applicable global regulatory requirements, protocol requirements, and company SOPs.
  • Support inspection and audit readiness, including timely identification, documentation, escalation, and remediation of quality issues.
  • Partner closely with internal stakeholders to ensure operational plans remain aligned with clinical development objectives and program priorities.
  • Provide clear, concise study status updates, risk assessments, and decision points to the VP of Clinical Operations and other senior leaders.
  • Contribute to the development and continuous improvement of clinical operations processes, tools, and infrastructure as the company grows.

Benefits

  • Industry competitive compensation
  • Annual target bonus
  • Stock options
  • 401K plan
  • Career advancement opportunities
  • Monthly town halls to share business and scientific updates
  • Comprehensive medical, dental, and vision plans for employees and their dependents
  • Health and Dependent Care FSA and HSA Plan with monthly Neomorph contribution
  • Employee Assistance Program
  • 10 holidays + Winter Shutdown + 3 weeks of vacation time with additional accruals after 2nd year of employment, separate sick leave.
  • Supplemental pay for Pregnancy Disability Leave
  • Paid Parental Leave for employees with a newborn child or a child placed with them for adoption or foster care
  • Volunteer days off each year to spend time contributing to causes you care about
  • Flexible work schedule
  • Access to onsite gym
  • Onsite space to store your bicycle (or surfboard)
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