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The Site Manager position at System One in Portsmouth, NH, is a full-time, permanent role responsible for overseeing the performance of clinical research site activities. The Clinical Site Manager will provide on-site oversight to ensure the execution and coordination of clinical research activities, documentation, and follow-up actions in accordance with ICH/FDA guidelines, Good Clinical Practice (GCP), and company Standard Operating Procedures (SOPs). This role is critical in driving site performance, enhancing efficiencies, ensuring patient safety, and maintaining compliance with protocols, GCP, and regulatory requirements. The Site Manager will collaborate with management to support delivery expectations, meet study milestones such as site activation and enrollment targets, and ensure that quality data is delivered to sponsors. Responsibilities include overseeing resource allocations, site assignments, and the performance of study team members to ensure that study deliverables are on track. The Site Manager will also review performance dashboards and clinical trial systems to monitor site and patient activities, ensuring proper staff coverage and timely execution of operational aspects. In addition to managing site staff, the Site Manager will assess compliance with study-specific processes and training, develop corrective action plans as needed, and handle people management activities such as timecard approvals, new hire training, and performance appraisals. The role requires strong problem-solving skills to propose and implement risk mitigations, as well as the ability to collaborate with investigators to ensure patient safety and meet client goals and timelines. The Site Manager will also participate in management meetings and perform other duties as assigned.