• Oversee CRO and vendor activities, while also directly contributing to study start-up and conduct activities (e.g., site specific ICF review, essential document review, progress tracking). • Conduct site initiation and monitoring visits; train and support site personnel on sponsor and regulatory requirements; lead or participate in investigator meetings; prepare or review detailed visit reports and documentation. • Serve as sponsor liaison for assigned research institutions, providing guidance and support to research teams from study start up through close out. • Verify accuracy and completeness of clinical data, source documentation, and regulatory files, ensuring compliance with study protocols, SOPs, GCP, PHI, and global regulations. • Identify, investigate, and resolve discrepancies in study documentation; implement corrective and preventive actions to reduce recurrence. • Mentor junior team members, potentially including oversight and/or management of up to 3 CRAs. • Review and maintain Trial Master File (TMF) documentation for audit readiness; ensure alignment with Good Documentation Practices and regulatory expectations (FDA, ISO, OUS). • Partner with cross-functional teams to support site activation, enrollment progress, and data cleaning in alignment with study timelines.