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Role Description

The Director/Senior Director, Site Excellence is a senior leadership role accountable for the strategy, design, build-out, and delivery of operating models supporting specialized, non-traditional, and partner-operated clinical research sites across the United States. This role is intentionally designed for a leader who can operate at both altitude and ground level—setting strategy, defining governance, and building scalable frameworks, while also remaining deeply hands-on in execution, problem-solving, and site engagement. The portfolio requires differentiated management outside the traditional site network due to its unique operational, regulatory, and partnership nuances. The role demands a leader who can build processes, translate site-level realities into enterprise processes, and personally drive outcomes during periods of growth, complexity, and change.

How You'll Make An Impact

• Strategic Leadership & Portfolio Oversight:
  • Own the end-to-end strategy, operating model, and performance of US-based specialized and franchise clinical research sites.
  • Identify opportunities to scale, optimize, or replicate successful site and franchise models.
• Hands-On Execution & Delivery:
  • Serve as the primary owner for building and operationalizing processes across site startup, enrolment, performance management, quality oversight, and partner engagement.
  • Engage directly with sites and partners to assess operations, diagnose issues, and drive rapid resolution.
  • Lead critical initiatives personally until they are stable, scalable, and ready for delegation.
  • Act as the senior escalation point for complex operational, regulatory, and partner challenges.
• Operational Excellence & Scalability:
  • Oversee site startup, onboarding, and integration for new specialty site models.
  • Build and embed operational excellence frameworks informed by best practices from high-performing sites.
  • Establish KPIs, dashboards, and review cadences to monitor performance across quality, enrolment, timelines, cost, and patient experience.
  • Drive continuous improvement initiatives to enhance efficiency, scalability, and operational resilience.
• Partner & Stakeholder Leadership:
  • Serve as the executive owner for partner site relationships, ensuring alignment with quality standards, brand expectations, and contractual obligations.
  • Lead senior-level engagement with sponsors, CROs, and internal stakeholders tied to partner and specialized sites.
  • Translate protocol, sponsor, and regulatory requirements into practical, scalable guidance for site execution.
• Quality, Compliance & Risk Ownership:
  • Ensure all sites operate in compliance with GCP, FDA regulations, IRB requirements, and applicable state and federal laws.
  • Partner with Quality, Compliance, and Legal teams to proactively identify and mitigate operational and regulatory risks.
  • Oversee audit readiness, inspection outcomes, and corrective/preventive action plans across the portfolio.
• Financial & Business Accountability:
  • Own P&L performance for specialized and partner site operations.
  • Partner with Finance to build budgets, forecasts etc.
  • Identify opportunities for sustainable growth, margin improvement, and cost optimization.
• Team Leadership & Capability Building:
  • Build and lead a high-performing leadership team responsible for site operations and operational excellence.
  • Establish role clarity, decision rights, and performance expectations across the organization.
  • Coach leaders to move from reactive site support to proactive, scalable execution.
  • Maintain personal ownership of critical workstreams while building long-term organizational capability.

Qualifications

• Demonstrated success building and scaling non-traditional, partner-led, or complex site operating models.
• Proven ability to operate as both strategist and hands-on operator in high-growth or ambiguous environments.
• Deep understanding of site-level execution: startup, enrolment, regulatory processes, sponsor engagement, and remediation.
• Strong working knowledge of FDA regulations, GCP, and clinical trial operations.
• P&L ownership experience across multi-site portfolios.
• Exceptional executive communication, influence, and change-management skills.

Preferred

• Experience standing up sites or operational excellence functions.
• Background in decentralized or innovative clinical trial delivery models.
• Experience operating in matrixed, global organizations.

Certifications/Licenses, Education, and Experience

• Bachelor’s degree required; advanced degree (MBA, MPH, MS, or similar) strongly preferred.
• 12–15+ years of progressive leadership experience in clinical research operations, site management, or healthcare services.

How We Work Together

• Location: Remote within the United States. This role requires 100% of work to be performed in a remote office environment.
• Travel: This role requires up to 70% travel within the United States. Length of travel will depend upon study requirements, staff needs, and company initiatives.
• Type of travel required: National
• Physical demands associated with this position Include: The ability to use keyboards and other computer equipment.

Salary and Benefits

• The expected base salary range for this role is $130,000 - $190,000 USD per year for full time team members.
• This role is eligible for an annual discretionary bonus as part of its overall cash compensation.
• Paid Time Off (PTO) and Company Paid Holidays.
• 100% Employer paid medical, dental, and vision insurance plan options.
• Health Savings Account and Flexible Spending Accounts.
• Bi-weekly HSA employer contribution.
• Company paid Short-Term Disability and Long-Term Disability.
• 401(k) Retirement Plan, with Company Match.