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  • Posted: May 2, 2026
    Deadline: Not specified
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  • Syneos Health is the only fully integrated end-to-end clinical and commercial solution organization. We are purpose-built for biopharmaceutical acceleration, creating better, smarter, faster ways to help clients navigate an increasingly complex marketplace. Our business addresses todays market realities through clinical and commercial sharing expertise an...
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    Senior Site Activation Manager (SAM) Sponsor-Dedicated/ Remote - US Based

    Why This Role

    • This is a high-visibility opportunity for outstanding Site Activation Managers ready to step into a more strategic, sponsor-facing role within an FSP model. You’ll lead global site activation efforts while helping shape processes in a fast-evolving environment.

    What You’ll Own
    End-to-End SSU Leadership

    • Drive global site start-up strategy and execution from site identification through activation and lifecycle maintenance
    • Own SSU timelines, forecasts, and delivery against contracted milestones
    • Identify risks early (regulatory, enrollment, timelines) and implement mitigation plans

    Operational Oversight

    • Lead all start-up deliverables, including:
    • Site identification and feasibility
    • Regulatory submissions and lifecycle maintenance (amendments, HA/EC communications, licenses)
    • CTA and investigator budget negotiation/execution
    • Essential document collection and TMF readiness
    • Ensure delivery aligns with SOPs, sponsor expectations, and quality standards

    Sponsor & Cross-Functional Engagement

    • Act as a key interface with sponsor stakeholders, presenting strategy, risks, and status
    • Partner across Clinical Ops, PM, Contracts, Data Management, Medical Writing, and SSU Country teams
    • Collaborate within a team-first, highly accountable FSP environment

    Financial & Scope Accountability

    • Review SSU budgets vs. milestones and support profitability targets
    • Track and manage out-of-scope activities in partnership with PM/SSU leadership

    Regulatory Leadership

    • Oversee preparation of core submission documents and amendment dossiers
    • Conduct Regulatory Impact Assessments and communicate risks
    • Support development of SIS/ICF documents and country-specific submissions

    Process & Build Mindset

    • Contribute to process creation and refinement as the team scales
    • Operate effectively in a setting where execution and process development happen in parallel

    Required Experience

    • Minimum 3 years prior experience as a Site Activation Manager (SAM).
    • Minimum of 2 years' experience in Managing large scale, US-based Site Activation with high success.
    • Strong track record delivering SSU activities across Phase II–IV trials
    • Solid understanding of ICH-GCP, regulatory pathways, and start-up processes
    • Demonstrated ability to manage multiple studies and competing priorities
    • Strong communication, stakeholder management, and problem-solving skills

    Highly Preferred

    • FSP (Functional Service Provider) experience
    • Prior Global SAM responsibility (regional experience considered with strong performance, if US based sites.)
    • Experience integrating Syneos and sponsor systems
    • Proven ability to operate in ambiguity and help build processes while delivering
    • Track record of high performance and readiness for increased scope/visibility

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