Senior Site Activation Manager (US)

Worldwide Clinical Trials•Nashville, TN
•$107,000 - $213,000•Remote

About The Position

The Senior Site Activation Manager II leads study start-up and site activation across assigned clinical research projects. The role is accountable for activation deliverables, timelines, and project performance, ensuring sites are ready to begin research efficiently, compliantly, and on schedule. It involves coordinating sponsors, project teams, regulatory stakeholders, and sites; identifying and mitigating risks; and keeping study milestones on track. The manager also contributes to process improvements, mentors colleagues, and supports best practices in site activation. This is a remote role open to candidates based in the United States, collaborating with global teams across multiple time zones.

Requirements

  • Bachelor's degree in a medical, biological, physical, health, pharmacy, or other related scientific field, or a two-year degree plus four years of clinical research experience.
  • At least seven years of CRO or pharmaceutical industry experience, preferably in start-up management, project management, site management, or related clinical research functions.
  • Strong leadership, project management, planning, organizational, and decision-making skills, with the ability to manage multiple priorities.
  • Thorough understanding of clinical trial start-up, site activation processes, clinical project execution, and overall project planning.
  • Knowledge of ICH GCP guidelines and applicable FDA, EU, and national clinical trial regulations.
  • Ability to collaborate effectively across global and cross-functional teams, including strong cross-cultural communication skills.
  • Strong verbal and written communication skills and ability to engage sponsors, sites, and internal stakeholders.
  • Proficiency in written and spoken English.
  • Strong working knowledge of Microsoft Word, Excel, PowerPoint, and other digital systems.

Responsibilities

  • Lead and oversee study start-up and site activation activities across assigned clinical research projects.
  • Serve as the primary point of contact and accountability for site activation deliverables, timelines, and project performance.
  • Coordinate cross-functional teams to ensure critical-path activities are completed on time and within budget.
  • Monitor site identification, qualification, essential document collection, regulatory submissions, and contract progression.
  • Assess project risks, develop mitigation strategies, and proactively escalate issues to support on-time study delivery.
  • Track, analyze, and communicate site activation metrics, milestones, and project status to sponsors and internal stakeholders.
  • Partner with project teams to develop and maintain site activation plans and ensure work scope and budgets accurately reflect study requirements.
  • Contribute to proposals, budgets, bid defense activities, and other business development initiatives related to site activation.
  • Coach and mentor Site Activation Managers.
  • Support process improvements, SOP development, and implementation of best practices.
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