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Fortrea

Global CRO providing Phase I-IV trials

Senior Clinical Site Navigator – Senior Start-up Specialist

Clinical Research OperationsConfirmed live in the last 24 hours
Full-timeSão Paulo, State of São Paulo, BrazilNo salary listedRemote

About the Job

Requirements

  • A university/college degree, preferably in life science, or certification in a related allied health profession from an appropriate accredited institution, plus four years of clinical research work experience and strong working knowledge of ICH guidelines and RA, IRB/IEC regulations.
  • Alternatively, a high school diploma or equivalent and at least five years of clinical research work experience, including strong working knowledge of ICH guidelines and RA, IRB/IEC regulations.
  • Relevant and equivalent experience may be considered in lieu of educational requirements.
  • Advanced English proficiency.
  • More than four years of experience in clinical development or regulatory processes.
  • In-depth experience applying knowledge of ICH, RA, IRB/IEC, and other applicable regulations and guidelines; expert knowledge of investigator start-up documents; and prior interaction with operational project teams and investigative sites.
  • In-depth experience with issue escalation and resolution.
  • Effective communication and problem solving.
  • Ability to manage relationships and negotiate solutions while remaining approachable with internal and external colleagues.
  • Strategic thinking, team leadership, coping with complexity, business acumen, oversight, matrix competence, emotional intelligence, resilience, diversity orientation and cultural awareness, quality and service leadership, customer focus, innovation and change, collaboration, self and team development, and execution.

Responsibilities

  • Oversee site-level tasks associated with efficient site activation in accordance with ICH/GCP guidelines, local regulations, SOPs, and project requirements; collaborate with project leadership and local monitors to achieve project milestones while protecting patient rights, well-being, and safety.
  • Identify potential research sites that meet study criteria and assess their capabilities and resources.
  • Conduct initial site outreach and engagement, including collecting confidentiality agreements and feasibility surveys.
  • Conduct remote pre-study visits and complete follow-up documentation, including visit preparation and trip reports, to support site selection in line with sponsor, protocol, local, and country requirements.
  • Support customization and translation of informed consent forms and patient-facing materials.
  • Collect, track, and quality-review essential documents needed for compliant site activation from outreach and submissions through greenlight and activation; maintain awareness of site regulatory compliance and support annual renewals, principal investigator changes, and document expirations as applicable.
  • Participate in team meetings to advance trials and implement action plans for site-level risks, underperforming sites, or issues affecting project milestones.
  • Support the CRA team in preparing for site initiation visits by coordinating vendors, supply teams, and study leads to ensure timely distribution of clinical trial supplies, access, and documents.
  • Support submissions to and liaise with applicable IRB/IEC, third bodies where applicable, and regulatory authorities in collaboration with the Global Regulatory Submissions Lead.
  • Conduct initial contract and budget negotiations with research sites.
  • Ensure high-quality documents are filed in applicable systems in accordance with SOPs and project requirements.
  • Track start-up progress and ensure research sites meet requirements and deadlines.
  • Maintain audit readiness by completing accurate, timely, and consistent system compliance on an ongoing basis.
  • Serve as the primary contact for investigative sites and ensure timely delivery aligned with the scope of work and study budget.
  • Prepare research sites for patient enrollment, including staff training, protocol review, and equipment setup.
  • Perform case report form review and data validation against source documentation according to protocol and guidelines, as applicable; monitor site protocol deviations, serious adverse event reporting, and patient safety concerns, escalating issues as appropriate.

About the Company

Fortrea

Global CRO providing Phase I-IV trials

Fortrea is a global contract research organization that provides clinical development services for the life sciences industry. It offers full service, functional service, and hybrid outsourcing models across Phase I–IV trials, clinical pharmacology, and consulting, serving biotech, biopharma, medical devices, and diagnostics. Its work is delivered through a network of investigators and specialized teams in approximately 100 countries, supporting trial design, execution, data management, and regulatory compliance. Fortrea’s approach combines its legacy experience from Covance and Labcorp with a pureplay CRO model to deliver fit-for-purpose solutions and agile project delivery. This positions it to manage trials across more than 20 therapeutic areas with scientific rigor and operational excellence. The company aims to bring predictability to clinical trial execution and help clients turn research ideas into real-world outcomes.

Company size
10,001+
Company stage
IPO
Headquarters
Winston-Salem, NC
Founded
2023

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