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The Study Start-Up Manager is pivotal at the country level, orchestrating start-up activities to align with AstraZeneca's procedures, local and international guidelines such as ICH-GCP, and relevant regulations. This role involves detailed preparation, review, tracking, and management of site regulatory documentation. The manager will also maintain and report on site performance metrics, collaborating closely with Clinical Research Associates (CRAs) and the Local Study Team to ensure efficient and timely study start-up activities.