Clinical Trial Operations Lead

UpDocSan Francisco, CA
Remote

About The Position

About UpDoc At UpDoc , we are building the first clinically validated, physician-supervised AI agent that manages chronic diseases. We are an early-stage startup founded by Stanford physicians. We are seeking a Clinical Trial Operations Lead to build and lead the operational foundation for UpDoc’s clinical studies as we generate the evidence needed to validate and scale our technology. This is a remote role, with candidates preferred to be physically located in the San Francisco Bay Area.

Requirements

  • 6+ years of experience in clinical trial operations with at least 4 years in lead roles, clinical research, or clinical study management within digital health, medical devices, SaMD, biotech, pharmaceuticals, or another regulated healthcare environment.
  • Demonstrated experience managing clinical studies end-to-end, including study start-up, execution, monitoring, and closeout.
  • Demonstrated experience executing decentralized and/or hybrid clinical trials, including participant-facing operations, remote data collection, digital study technologies, and direct-to-participant research workflows.
  • Strong working knowledge of ICH-GCP, FDA regulations, IRB requirements, informed consent, and clinical research documentation.
  • Experience working directly with clinical research sites, investigators, CROs, and external study vendors.
  • Experience managing study timelines, budgets, enrollment targets, operational metrics, risks, and dependencies.
  • Strong understanding of clinical data collection and data-quality processes.
  • Excellent project and program management skills with exceptional attention to detail.
  • Ability to create structure in an ambiguous environment and manage multiple priorities simultaneously.
  • Strong written and verbal communication skills and the ability to work effectively with clinical, technical, scientific, and operational stakeholders.
  • A hands-on approach and willingness to own both strategic planning and detailed execution.
  • Bachelor’s degree in life sciences, health sciences, clinical research, public health, or a related field, or equivalent relevant experience.

Nice To Haves

  • Experience running clinical studies for digital health, AI-enabled healthcare, Software as a Medical Device (SaMD), remote patient monitoring, or connected medical device products.
  • Experience implementing and managing digital clinical trial technologies, including EDC, eConsent, ePRO/eCOA, CTMS, eTMF, telehealth, remote monitoring, wearables, or connected devices.
  • Experience designing participant-centric clinical research models that reduce reliance on traditional site-based study visits.
  • Experience working with academic medical centers and health-system research teams.
  • Experience supporting randomized controlled trials and/or studies intended to support regulatory submissions or peer-reviewed publications.
  • Experience establishing clinical operations processes at an early-stage company or building a clinical trial function from the ground up.
  • Experience working closely with Product, Engineering, Data Science, or AI/ML teams.
  • Advanced degree (MPH, MS, RN, PharmD, PhD, or similar) and/or clinical research certification such as CCRC, CCRP, or equivalent.

Responsibilities

  • Own the operational planning and execution of UpDoc clinical studies from study start-up through closeout.
  • Translate clinical protocols into detailed operational plans, timelines, milestones, responsibilities, and study workflows.
  • Design and operationalize decentralized and hybrid clinical trial models, including remote participant engagement, virtual study activities, eConsent, ePRO/eCOA, remote monitoring, and other technology-enabled study activities.
  • Develop participant-centric study workflows that enable high-quality clinical research to be conducted effectively outside traditional research sites.
  • Coordinate study start-up activities, including site identification and activation, IRB submissions, essential documentation, investigator and study-team onboarding, and study readiness.
  • Manage relationships with investigators, clinical sites, CROs, research partners, technology providers, and other study vendors.
  • Drive participant recruitment, enrollment, engagement, retention, and study execution against agreed timelines and targets.
  • Establish processes for study documentation and ensure clinical trial records are complete, accurate, organized, and audit-ready.
  • Monitor study performance, identify operational risks and bottlenecks early, and develop mitigation plans to keep studies on track.
  • Partner closely with Clinical, Product, Engineering, Data, Quality, and Regulatory teams to ensure clinical studies are aligned with product development and evidence-generation priorities.
  • Coordinate study data collection and work with internal and external partners to support data quality, reconciliation, and readiness for analysis.
  • Establish and track study KPIs, including enrollment, retention, protocol adherence, study performance, timelines, data completeness, and operational quality.
  • Support the development and review of study materials, including informed consent forms, participant materials, training materials, study manuals, and operational plans.
  • Ensure studies are conducted in accordance with applicable protocols, ICH-GCP, FDA requirements, IRB requirements, company procedures, and other relevant regulatory and quality standards.
  • Support clinical study audits, inspections, regulatory submissions, and evidence-generation activities as UpDoc’s clinical program evolves.
  • Build scalable clinical trial operations processes, templates, systems, and playbooks that can support a growing portfolio of studies.
  • Evaluate and implement clinical trial technologies and tools where appropriate, including EDC, eConsent, ePRO/eCOA, CTMS, eTMF, telehealth, remote monitoring, and other decentralized trial platforms.
  • Serve as the central operational point of coordination for clinical trials, providing clear visibility into study status, risks, decisions, and next steps to leadership.
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