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Study Activation Manager

Job in Northern, Floyd County, Kentucky, USA
Listing for: Ctifacts
Full Time position
Listed on 2026-09-21
Job specializations:
  • Healthcare
Salary/Wage Range or Industry Benchmark: 120000 - 180000 USD Yearly USD 120000.00 180000.00 YEAR
Job Description & How to Apply Below
  • Develop and lead the global study start-up and site activation strategy for assigned trials, including activation assumptions, country and site sequencing, critical path dependencies, milestone projections, and mitigation plans.
  • Establish, maintain, and communicate country and site activation plans in alignment with sponsor expectations, study timelines, project scope, and core study team priorities.
  • Serve as the primary operational point of accountability for study-startup and site activation status, risks, escalations, decisions, and recovery planning on assigned studies.
  • Partner with Feasibility and Clinical operations to support site identification, site selection inputs, start-up projections, site readiness, and activation planning.
  • Partner with Regulatory Affairs and country teams to support submission planning, document readiness, IRB/IEC or ethics committee requirements, approval dependencies, and site greenlight activities.
  • Partner with Site Contracts and Budgets leads to monitor contract and budget status, identify barriers, escalate delays, and support timely resolution of activation dependencies.
  • Coordinate with Project Management to align start-up milestones, scope assumptions, budget considerations, scope change needs, and sponsor commitments.
  • Monitor activation metrics, dashboards, and project tracking systems to assess milestone progress, data quality and timeliness, cycle-time risks, and delivery commitments.
  • Ensure timely and accurate start-up status reporting by appropriate team members to support sponsor updates, internal governance, and executive reporting.
  • Identify and escalation start-up risks related to delayed sites, submission dependencies, essential document collection, contract or budget barriers, vendor dependencies, and resource constraints.
  • Ensure start-up activities are conducted in accordance with International Council for Harmonisation (ICH) guidelines, Good Clinical Practice (GCP), applicable regulations, sponsor requirements, CTI SOPs, and trial procedures.
  • Ensure projections are established and fully vetted by internal and external stakeholders, updating them as material changes to actuals and assumptions occur.
  • Promote Trial Master File (TMF) completeness, accuracy, and inspection readiness for study start-up deliverables.
  • Coordinate with Feasibility and Clinical Operations to support site identification, site selection inputs, start-up projections, and activation planning.
  • Monitor start-up resource needs and communicate resource, quality, or performance concerns to appropriate functional department heads and study leadership
  • Provide concise start-up updates, risks, decisions, and action items during sponsor, governance, and internal project meetings.
  • Prepare, oversee, or approve study start-up status reports, including milestone progress, risks, escalations, action items and recovery plans.
  • Identify trends, lessons learned, and process improvement opportunities to strengthen operational consistency, cycle-time predictability, and sponsor confidence.
What you'll bring:
  • Experience leading global study start-up and site activation activities across multiple trials, countries, and functional partners.
  • Strong understanding of global, country and site activation strategy, start-up dependencies, critical-path management, and milestone forecasting.
  • Ability to interpret start-up metrics, identify risks or trends, and drive timely mitigation, escalation, and recovery planning.
  • Excellent verbal and written communication skills, including experience presenting risks, decisions, and recommendations to senior internal leaders and sponsor teams.
  • Ability to influence and align cross-functional stakeholders without direct authority.
  • Ability to build strong client, peer, and…
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