Senior Clinical Trial Manager - Regional/Global, Home Based SA

Senior Clinical Trial Manager / Clinical Trial Manager II. Regional and/or Global experience. South Africa Home- based or Hybrid- based roles Updated: March 23, 2026
Location: Bloemfontein, EC, South Africa
Job ID:

Description

Senior Clinical Trial Manager / Clinical Trial Manager II. Regional and/or Global experience. South Africa Home- based or Hybrid- based roles Syneos Health is a leading fully-integrated life sciences services organization built to accelerate customer success. We partner with innovators at every point across the drug development and commercialization continuum, helping them navigate complexity, anticipate change and accelerate progress.

Our Clinical Solutions team members act with a drug development mindset, applying their years of experience and deep expertise to truly understand customer needs and represent those in the solutions we shape.

Whether you join us in a Functional Service Provider partnership or a Full-Service environment, you'll collaborate with passionate problem solvers, innovating as a team to help our customers achieve their goals. We are agile and driven to deliver - for one another, our customers, and, most importantly, for those in need.

Discover what your 25,000 future colleagues already know:

Why Syneos Health
• We are passionate about developing our people, through career development and progression; supportive and engaged line management; technical and therapeutic area training; peer recognition and total rewards program.
• We are committed to building an inclusive culture - where you can authentically be yourself. Central to this is our purpose - Driven to Deliver - which captures the passion of our colleagues to show up each day and shape solutions that have the ability to dramatically impact someone's life.
• We are continuously building the company we all want to work for and our customers want to work with. Why? Because we know that when we bring together smart colleagues from across the world, we can shape the future of healthcare, driving impact for customers and defining the pace of patient progress.

Job Responsibilities

• The Senior Clinical T rial Manager ( Sr. CTM ) 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 Senior CTM may provide direction, oversight and coordination of CTM (s) working across regions and/or countries to ensure clinical project and site deliverables are met.
  
  JOB RESPONSIBILI TIES
  • 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 pro jects
  • May c oach and mentor CTMs regarding functional clinical delivery, evaluation of project risks, and action implementation .
  QUALIFICATION REQUIREMENTS
  • Bachelor's degree or RN in a related field or equivalent combination of education, training, and experience
  • 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
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