Principal Clinical Trial Manager (PCTM) - United States - Remote
Syneos Health Clinical
Job description
Principal Clinical Trial Manager (PCTM) - United States - Remote - (22005729)


Principal Clinical Trial Manager (PCTM) - United States - Remote - Home based

Experienced, capable, and committed to continuing your tenured career in Clinical Trial Management. By nature your inquisitive mind drives you to collect answers to be the go-to source of information for colleagues and clients alike. You are who gets called when there's a question - because you've built a network to know the answers and can be counted on to mentor and be that trusted resource. You look for ways to "do it better" and bring your CRO experience to the table to voice those opinions, and a plan. Your professional passion lies in being the clinical SME, and you have the organizational, communication skills, and love of solving complex problems to help Syneos Health innovate toward the future. If this is you, we are interested in speaking to learn more about your experience, and talk with you about what Syneos Health has to offer.


The Principal Clinical Trial Manager (PCTM) serves as the clinical functional lead, accountable for the delivery of site management, clinical monitoring, and central monitoring of assigned study(ies). The position as defined by scope provides leadership, problem-solving, mentoring, and technical support to the Clinical Operations team to ensure compliance with the monitoring plan as well as ensures timeliness and quality of deliverables within the specified budget. The PCTM provides direction, oversight and coordination of CTM(s) working across regions and/or countries and/or a compound to ensure clinical project and site deliverables are met consistently. Performs all tasks routinely and independently, with minimal guidance. May provide support to CTMs/Sr CTMs including training and mentoring.


  • Responsible for site management oversight, clinical monitoring, and central monitoring deliverables with a focus on patient safety, protocol/GCP/regulatory compliance and data integrity.
  • Oversees site interactions post activation through site closeout. This may include patient recruitment, investigator payments or other related activities.
  • May be responsible for identification of critical data and process, protocol execution risks and risk mitigations related to completion of the Risk Assessment and Categorization Tool (RACT). · Reviews the study scope of work, budget and protocol content and ensures the clinical project team (CRAs/CeMs) is aware of the contractual obligations and parameters.
  • Uses prior clinical experience, operational data, metrics and reports to identify risks to clinical trial management deliverables.
  • Escalates to the project manager any risks to clinical trial management deliverables (timeline, quality, and budget) and any activities and requests which are out of contracted scope.
  • Employs strategic thinking and problem-solving skills to propose and implement risk mitigations.
  • Participates and presents in key meetings such as Kick Off Meeting.
  • Serves as an escalation point for communications with investigator site staff and may be required to interact on the phone or in person with principal investigators or other site staff members. This may include accompanying CRA team members to sites for observation or conflict resolution.
  • Collaborates with other functional leaders such as Study Start Up, Patient Recruitment and Data Management to coordinate delivery handoffs and meet expected study milestones such as site activation targets, enrollment targets and database lock timelines. Reviews and provides feedback on other functional plans (e.g., Data Management Plan, Communication Plan) as they relate to the clinical trial management activities.
  • Responsible for development and ongoing maintenance of clinical study tools and templates, including the Clinical Monitoring Plan. Ensures CTMS, dashboards and other systems are set up and available for use by the clinical team, including overseeing user acceptance testing (UAT) as needed. Ensures access and audit trail reviews are conducted as required.
  • Coordinates initial and ongoing training to the study team regarding protocol specificities, Case Report Form (CRF) completion, dashboards, Sponsor Standard Operating Procedures (SOPs), clinical plans and guidelines, data plans and timelines for the study.
  • Oversees resourcing allocations for CRAs and Central Monitors, site assignments and study team members' conduct, and identifies risks to delivery or quality.
  • Ensures quality of the clinical monitoring, central monitoring and site management deliverables within a project and maintain proper visibility of its progress by the use of approved systems and / or tracking tools.
  • Reviews the project oversight dashboards and other clinical trial systems (e.g. Clinical Trial Management System (CTMS), Electronic Data Capture (EDC), eDiary, Electronic Patient Reported Outcomes (ePROs), Trial Master File (TMF), IVRS/IWRS, Central Monitoring dashboards), to oversee site and patient activities, study team conduct and to ensure the data has been updated to reflect timely execution of all operational aspects (required visits/calls, duration, and frequency) according to plan.
  • Understands the monitoring strategy required for the study and, where required, participates in the development of the study risk assessment plan. Is accountable for their assigned clinical team members' understanding, ongoing compliance and delivery according to the stated monitoring strategy, CMP/SMP, and risk plans.
  • Reviews the content and quality of site and central monitoring documentation (site monitoring calls, site visit reports, site letters, central monitoring reports and pertinent correspondence), to ensure they represent site management activities and conduct and that they appropriately convey any risks to protocol/GCP compliance, trial conduct, patient safety or data integrity. Document requested revisions and approvals in CTMS. Ensures these deliverables are provided according to company and/or sponsor specifications, including delivery deadlines.
  • Interacts with the client and other functional departments related to clinical monitoring, central monitoring and site management activities and deliverables. Provides status updates on the clinical deliverables and risks to clients, project management and leadership as per departmental or study agreements. Provides solutions for obstacles in protocol execution and site management.
  • Demonstrates understanding of other functions' roles in achieving compliance and delivery according to protocol, SOPs, ICH GCP and country regulations This may include data management, study start up, patient recruitment, medical monitoring, pharmacovigilance and Quality Assurance (QA). Supports Inspection Readiness for clinical trial management scope.
  • Oversees CRAs and Central Monitors assigned to the study and routinely assesses study-specific process and training compliance, CMP compliance, and identifies emerging risks. Develop and support execution of corrective action plans at site and study level. Supports and completes activities to achieve data cut and lock deadlines
  • Provides feedback to line managers on staff performance including strengths as well as areas for development.
  • May be assigned to larger, more complex trials or may coordinate clinical activities for a team of CTMs across a portfolio of projects
  • May coach and mentor CTMs regarding functional clinical delivery, evaluation of project risks, and action implementation.
  • May participate in business development activities including the development of the clinical operations/site management strategy and budget development, proposal responses, defense meetings and any decision making/kick off meetings.
  • May lead departmental initiatives and serve as an SME in cross-functional or corporate initiatives. QUALIFICATION REQUIREMENTS (please indicate if ‘preferred’)
  • Demonstrated ability to synthesize and summarize clinical trial metrics and data for presentation to sponsor and internal executives
  • Demonstrated ability to lead and align teams in the achievement of project milestones
  • Demonstrated capability of working in an international environment.
  • Demonstrated expertise in site management and monitoring (clinical or central)
  • Preferred experience with risk-based monitoring
  • Demonstrates understanding of clinical trial management financial principles and budget management · Knowledge of Good Clinical Practice/ICH Guidelines and other applicable regulatory requirements
  • Must demonstrate good computer skills
  • Strong conflict resolution skills
  • Demonstrated ability to apply problem solving techniques to resolve complex issues and apply a risk management approach to identifying and mitigating potential threats to the successful conduct of a clinical research project.
  • Demonstrates critical thinking to determine the cause and appropriate solution in the identification of issues
  • Moderate travel may be required, approximately 20%
  • Embraces innovation and willingness to drive change; and fosters others to serve as change agents to lead team members to adoption
Tasks, duties, and responsibilities as listed in this job description are not exhaustive. The Company, at its sole discretion and with no prior notice, may assign other tasks, duties, and job responsibilities. Equivalent experience, skills, and/or education will also be considered so qualifications of incumbents may differ from those listed in the Job Description. The Company, at its sole discretion, will determine what constitutes as equivalent to the qualifications described above. Further, nothing contained herein should be construed to create an employment contract. Occasionally, required skills/experiences for jobs are expressed in brief terms. Any language contained herein is intended to fully comply with all obligations imposed by the legislation of each country in which it operates, including the implementation of the EU Equality Directive, in relation to the recruitment and employment of its employees. The Company is committed to compliance with the Americans with Disabilities Act, including the provision of reasonable accommodations, when appropriate, to assist employees or applicants to perform the essential functions of the job.

This job excludes CO applicants.

As a healthcare company we have an important responsibility to protect individual and public health. This position will require individuals to be fully vaccinated against COVID-19 as part of their job responsibilities unless an exemption can be confirmed based on a medical condition or sincerely held religious belief. Submission & Approval of an Exemption does not guarantee that an exemption can be accommodated.

The Company will not sponsor applicants for work visas.

Primary Location: North America - US Home-Based
Job: Clinical Monitoring
Schedule: Full-time
Travel: Yes, 25 % of the Time
Employee Status: Regular
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