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Global drug and device development services

Trial Clinical Delivery Lead

Full-TimePosted on 10/15/2026
No salary listed
Expert
Bachelor's
Lisbon, Portugal+6 moreMore locations: Madrid, Spain | Reading, UK | Warsaw, Poland | Frankfurt, Germany | Prague, Czechia | Dublin, Ireland
HybridOffice or home options are available at the listed locations; travel may be required up to 20% of the time.
Biology & BiotechClinical Research Operations

About the job

Requirements
  • A graduate background (medical or life sciences degree) in a clinical research-related discipline or equivalent is required.
  • Clinical operations experience, ideally across Phases I-IV, is required.
  • Expert knowledge of clinical development principles and concepts, including the regulatory environment such as ICH GCP and applicable regional and local regulations, is required.
  • At least 10 years of professional and project management experience in clinical research in a CRO, pharmaceutical, or biotechnology company, including site management or oversight and clinical study planning and conduct, is required.
  • Ability to interpret outputs from analytical tools to enhance and improve study execution is required.
  • Fluency in English, orally and in writing, plus the local language is required.
  • Ability to work independently on assigned tasks or projects is required.
  • Ability to assess risk, solve problems, and make decisions is required.
  • Ability to handle and oversee multiple tasks simultaneously and prioritize effectively is required.
  • Analytical skills, quick perception, and good judgment are required.
  • Good interpersonal skills are required.
  • Good written, verbal, and presentation skills are required.
  • Cultural awareness is required.
  • The legal right to work in the country where the role is based is required.
Responsibilities
  • Be accountable for delivery and quality of Phase I-IV, epidemiology and real-world evidence company-sponsored studies, collaborative research studies, investigator-sponsored studies, early access programs, and other research activities across assigned programs or products.
  • Provide leadership, strategic direction, and operational oversight for Clinical Site Lead and/or Clinical Research Manager activities across assigned programs or studies, responding to quality and performance oversight measures and trends.
  • Serve as the operational delivery expert for assigned programs or studies, promote data-driven and realistic planning at the site and study level, and drive delivery-focused accountability among external and internal partners, including Clinical Site Leads, Clinical Research Managers, Clinical Trial Leads, Clinical Operations Leads, Early Project Leads, and Global Medical Affairs leads.
  • Facilitate identification and implementation of operational excellence strategies across assigned programs or studies, leveraging expertise within Clinical Trial Execution and partner functions.
  • Identify trends and issues that may affect study deliverables, including timelines, quality, and costs, and work with relevant internal and external partners to implement action plans to resolve or mitigate them.
  • Drive proactive risk-based site oversight, study management, and quality-risk oversight across all stages of study delivery.
  • Escalate trends, issues, and risks in a timely and appropriate manner within Clinical Operations, study teams, Global Medical Affairs, department leadership, and senior management as appropriate.
  • Promote solution-oriented thinking and issue resolution at the country, study, and program levels; provide an escalation path for major observations from Clinical Site Leads and Clinical Research Managers and ensure appropriate follow-up.
  • Support program-, product-, and study-specific onboarding for new team members and contribute to their site and study management capabilities.
  • Promote product knowledge, collaboration, and information sharing, and contribute best-practice guidance for consistent site and study management.
  • Act as the point of contact between Clinical Site Leads, Clinical Research Managers, and global functions for operational topics and escalations, channel information, and facilitate program-level solutions.
  • Lead regular calls with Clinical Site Leads and Clinical Research Managers working on studies or other activities in assigned programs.
  • Participate in investigator and study coordinator meetings and promote information sharing with Clinical Site Leads and Clinical Research Managers as needed.
  • Act as functional lead for process-improvement initiatives and perform other accountabilities assigned by the Functional Manager.
  • Use site performance and quality-data analytics to drive risk-based sponsor oversight of investigational sites in outsourced studies.
  • Represent the Clinical Site Lead group at Clinical Operations Team and Trial Team meetings by regularly reviewing study and site performance and quality metrics, planning strategic actions, addressing immediate issues, and attending other appropriate meetings such as kick-off meetings.
  • Consolidate data-driven Clinical Site Lead assessments of country and site selection proposals, ensuring quality and consistency across regions and countries to support Trial Team decisions, and inform Clinical Site Leads of resulting selections.
  • Design country start-up strategy with the Start-up Solutions Team and Country Start-up Specialists, aligned with Clinical Trial Leads and CROs, and work with Country Start-up Specialists to oversee delivery at site and country level.
  • Establish monitoring strategy, including management of identified risks, with Clinical Trial Leads and CROs, using risk-based quality-management principles; update the strategy as the external environment or internal data changes.
  • Develop, implement, and follow up on robust Site Oversight Plans with Clinical Trial Leads and the respective Clinical Site Leads.
  • Identify and encourage use of data-driven oversight tools and methods at site, study, and program levels.
  • Oversee company-sponsored, collaborative research, and investigator-sponsored studies across the portfolio for setup, conduct, and delivery in line with governance approvals and contractual obligations, including agreed quality and safety data-exchange expectations.
  • Act as global operations lead for Early Access activities, partner with Medical Affairs to co-lead a cross-functional team implementing the agreed Early Access strategy, including vendor selection and management where applicable, and share regular status updates with Global Medical Affairs, Clinical Trial Execution, and ICSO leadership.
  • Work with Global Medical Affairs leads to track overall progress, quality, and milestone performance and promptly address issues in priority studies.
  • Participate in Global Medical Affairs, launch, and brand-team meetings as appropriate to provide operational expertise and promote information sharing with Clinical Research Managers.
  • Represent Clinical Trial Execution at governance boards, including by reviewing Clinical Research Manager operational plans and guiding fit-for-purpose study feasibility across timelines, cost, and resources.
  • Review the program-level CML Dashboard and Finance Tool monthly to support timely risk management and mitigation.
  • Work with Clinical Research Managers and other functions to support program-level financial planning.
  • Handle sensitive issues and guide, influence, and persuade colleagues in other teams and functions and external partners.
  • Identify opportunities for innovation to reduce study and project timelines or costs.
  • Provide functional leadership for Clinical Site Leads, Clinical Research Managers, contract/FSP staff, and Trial Clinical Delivery Leads where applicable.
  • Collaborate with ICSO Heads on Clinical Site Lead, Clinical Research Manager, and FSP resourcing needs and performance-related escalations.
  • Oversee external providers as applicable.
  • Travel domestically or internationally up to 20% of the time, if required.
Desired Qualifications
  • Oncology, neurology, and/or immunology therapeutic-area experience is desired.

About the company

Provides consulting, development, and commercialization services for drugs and medical devices through a global network to help clients accelerate development and bring products to market. A global team of experts in 53 countries offers end-to-end support across strategy, development, regulatory, manufacturing, and market access to reduce time to market, lower costs, and improve quality. The company differentiates itself with its large global presence, clear focus on speed and cost, and extensive experience across therapeutic areas. Its goal is to help clients accelerate the development of life-saving drugs and devices by delivering high-quality information, solutions, and performance.

Company Size

10,001+

Company Stage

IPO

Headquarters

Ireland

Founded

1990

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Simplify's Take

What believers are saying

  • Anthropic collaboration launched July 28, 2026, giving ICON a marquee AI partnership.
  • Q2 2026 gross bookings rose 24.1% and net book-to-bill reached 1.51.
  • Backlog climbed to $23.4 billion by June 30, 2026, improving near-term demand visibility.

What critics are saying

  • ICON restates 2023-2025 revenue after Audit Committee found material weaknesses in controls.
  • 2026 revenue guidance of $7.85 billion-$8.15 billion signals decline from $8.251 billion in 2025.
  • Senior unsecured refinancing on August 13, 2026 raises fixed costs while margins already fell.

What makes Icon unique

  • ICON’s Orbis platform embeds Claude across trial planning, enrollment risk, and protocol optimization.
  • ICON’s 55-country footprint and 40,200-person delivery network support global clinical execution.
  • ICON’s $23.4 billion backlog gives sponsors unusually deep revenue visibility.

Help us improve and share your feedback! Did you find this helpful?

Benefits

  • Health Insurance
  • Paid Vacation
  • 401(k) Retirement Plan
  • Mental Health Support
  • Life Insurance
  • Flexible Work Hours

Growth & Insights and Company News

Headcount

6 month growth

29%

1 year growth

31%

2 year growth

31%
Yahoo Finance
Aug 28th, 2026
Icon shares up 2.5% post-earnings despite missing EPS estimates, reiterates $7.85B–$8.15B revenue guidance

Icon PLC shares rose 2.5% in the month following its latest earnings report, underperforming the S&P 500. The company posted second-quarter adjusted earnings per share of $2.56, down 21.5% year-over-year and missing analyst estimates by 0.4%. Total revenues increased 1.4% to $2.06 billion, beating consensus estimates by 3.5%. On a constant-currency basis, revenues grew 0.4%. Icon reiterated its full-year 2026 guidance, expecting revenues between $7.85 billion and $8.15 billion. Adjusted earnings per share are forecast in the range of $10.00 to $11.00. Since the earnings release, analyst estimates have trended downward. The stock currently holds a Zacks Rank of Hold, suggesting expected in-line returns in coming months.

MarketBeat
Aug 11th, 2026
Insider selling: Icon (NASDAQ:ICLR) CEO sells $62,674.74 in stock.

Insider selling: Icon (NASDAQ:ICLR) CEO sells $62,674.74 in stock. August 11, 2026 Key points. * Icon CEO Barry Edward Balfe sold 382 shares for approximately $62,675, reducing his direct holdings by 7.37%. The sale was made to cover tax withholding obligations tied to vested equity awards. * Icon reported quarterly EPS of $2.56, narrowly exceeding estimates, while revenue reached $2.06 billion and increased 2.3% year over year. * Analyst sentiment is mixed, with a consensus rating of "Hold" and an average price target of $170.40; institutional investors own 95.61% of the company. * MarketBeat previews the top five stocks to own by September 1st. Icon Plc (NASDAQ:ICLR - Get Free Report) CEO Barry Edward Balfe sold 382 shares of the stock in a transaction on Monday, August 10th. The shares were sold at an average price of $164.07, for a total value of $62,674.74. Following the sale, the chief executive officer directly owned 4,804 shares in the company, valued at approximately $788,192.28. The trade was a 7.37% decrease in their position. The transaction was disclosed in a legal filing with the Securities & Exchange Commission, which is accessible through the SEC website. The sale was made to cover tax withholding obligations related to the vesting of equity awards. Icon price performance. Icon stock traded down $0.47 during midday trading on Tuesday, reaching $165.58. 656,816 shares of the company were exchanged, compared to its average volume of 1,388,886. The firm's 50-day simple moving average is $160.91 and its 200-day simple moving average is $134.45. Icon Plc has a 1 year low of $66.57 and a 1 year high of $203.91. The company has a market capitalization of $12.68 billion, a price-to-earnings ratio of 38.87, a P/E/G ratio of 6.82 and a beta of 1.21. The company has a debt-to-equity ratio of 0.23, a quick ratio of 0.95 and a current ratio of 0.95. Icon (NASDAQ:ICLR - Get Free Report) last released its earnings results on Thursday, July 30th. The medical research company reported $2.56 earnings per share (EPS) for the quarter, beating analysts' consensus estimates of $2.55 by $0.01. The company had revenue of $2.06 billion for the quarter, compared to analyst estimates of $2 billion. Icon had a net margin of 3.99% and a return on equity of 8.02%. The firm's quarterly revenue was up 2.3% on a year-over-year basis. During the same period in the prior year, the firm earned $3.26 EPS. On average, analysts anticipate that Icon Plc will post 9.57 EPS for the current year. Analyst ratings changes. ICLR has been the subject of several recent analyst reports. Leerink Partners set a $145.00 target price on shares of Icon in a research note on Thursday, May 28th. Truist Financial reissued a "buy" rating and set a $209.00 price target (up from $207.00) on shares of Icon in a research note on Friday, July 31st. UBS Group set a $160.00 price objective on Icon in a report on Wednesday, June 24th. JPMorgan Chase & Co. lifted their price objective on Icon from $130.00 to $155.00 and gave the company a "neutral" rating in a research report on Thursday, June 25th. Finally, William Blair upgraded Icon to a "strong-buy" rating in a research note on Thursday, July 30th. One analyst has rated the stock with a Strong Buy rating, seven have given a Buy rating, seven have assigned a Hold rating and two have issued a Sell rating to the stock. According to data from MarketBeat, the stock has a consensus rating of "Hold" and an average price target of $170.40. Discover more Market cap calculator AI infrastructure stocks Mathematics Institutional investors weigh in on Icon. A number of institutional investors have recently bought and sold shares of ICLR. WINTON GROUP Ltd purchased a new position in Icon during the second quarter worth approximately $254,000. Daiwa Securities Group Inc. grew its stake in shares of Icon by 19.3% during the 2nd quarter. Daiwa Securities Group Inc. now owns 28,145 shares of the medical research company's stock valued at $4,094,000 after buying an additional 4,546 shares during the period. Frontier Capital Management Co. LLC grew its stake in shares of Icon by 97.6% during the 2nd quarter. Frontier Capital Management Co. LLC now owns 71,360 shares of the medical research company's stock valued at $10,379,000 after buying an additional 35,253 shares during the period. Peapack Gladstone Financial Corp acquired a new stake in shares of Icon during the 2nd quarter worth $212,000. Finally, MIRAE ASSET GLOBAL ETFS HOLDINGS Ltd. raised its position in shares of Icon by 58.7% in the 2nd quarter. MIRAE ASSET GLOBAL ETFS HOLDINGS Ltd. now owns 781 shares of the medical research company's stock worth $113,000 after buying an additional 289 shares during the period. 95.61% of the stock is currently owned by hedge funds and other institutional investors. About Icon. Icon plc NASDAQ: ICLR is a global provider of outsourced drug development and clinical research services to the pharmaceutical, biotechnology and medical device industries. The company partners with clients at all stages of the product life cycle, offering expertise in protocol design, trial execution and regulatory compliance across a broad range of therapeutic areas. Icon's service portfolio encompasses clinical trial management, data management and biostatistics, medical imaging, pharmacovigilance and safety monitoring, laboratory sciences and specialized analytical solutions. This instant news alert was generated by narrative science technology and financial data from MarketBeat in order to provide readers with the fastest reporting and unbiased coverage. Please send any questions or comments about this story to [email protected]. Continue following MarketBeat Before you consider Icon, you'll want to hear this. MarketBeat keeps track of Wall Street's top-rated and best performing research analysts and the stocks they recommend to their clients on a daily basis. MarketBeat has identified the five stocks that top analysts are quietly whispering to their clients to buy now before the broader market catches on... and Icon wasn't on the list. While Icon currently has a Hold rating among analysts, top-rated analysts believe these five stocks are better buys. The AI boom is creating opportunities across semiconductors, cloud computing, enterprise software, infrastructure, cybersecurity, and automation. Inside this report, you'll find 10 companies positioned to benefit as artificial intelligence moves from hype to real-world deployment and becomes a core growth driver for corporate America.

StreetInsider
Aug 6th, 2026
ICON prices $2.15B in senior unsecured notes to refinance debt

ICON plc has priced $2.15 billion in senior unsecured notes through its subsidiary, ICON Investments Six Designated Activity Company. The offering comprises three tranches: $500 million of 5.064% notes due 2029, $1.0 billion of 5.421% notes due 2031, and $650 million of 5.995% notes due 2036. The notes will be guaranteed by ICON on a senior unsecured basis. The offering is expected to close on 13 August 2026, subject to customary closing conditions. ICON intends to use proceeds to repay all outstanding borrowings under its bridge facility credit agreement, repay all outstanding senior secured term loans, and redeem its 5.809% Senior Secured Notes due 2027. Upon repayment, collateral securing ICON's revolving credit facility will be automatically released.

Yahoo Finance
Aug 5th, 2026
ICON shares jump 33% in three months on $29.7B backlog and improving biotech demand

ICON Public Limited Company shares rose 33.2% over three months amid strengthening recovery signs in clinical research demand. Request-for-proposal flow increased 22% sequentially in Q2 2026, with Phase III programmes representing about 50% of opportunity volume. Gross bookings reached $3.68 billion, up 24.1% year-over-year, whilst net business wins totalled $3.12 billion. The book-to-bill ratio stood at 1.51X. Backlog grew 3% sequentially to $23.4 billion, improving revenue visibility. However, second-quarter adjusted EBITDA declined 21.7% year-over-year to $327.2 million, whilst adjusted earnings fell to $2.56 per share from $3.52. Higher pass-through revenues supported sales but pressured margins. Analysts expect 2026 revenues to decline 1% and earnings to fall 15.3% year-over-year.

Business Wire
Jul 31st, 2026
ICON shareholders approve all resolutions at annual general meeting

ICON plc, a clinical research organisation, announced that shareholders approved all resolutions at its Annual General Meeting held on 31 July 2026. The resolutions, which were sent to shareholders on 26 June 2026, included the re-election of several board members and the election of new directors. The approved resolutions covered various corporate governance matters, including authorising the company to allot shares, disapply statutory pre-emption rights, and make overseas market purchases of shares. Shareholders also authorised the price range for reissuing treasury shares. Headquartered in Dublin, ICON employed approximately 40,200 people across 99 locations in 55 countries as of 30 June 2026. The company provides clinical development and commercialisation solutions to pharmaceutical, biotechnology, medical device, and public health organisations worldwide.