Clinical Trial Manager Jobs in California
Clinical trial manager jobs in California are among the most active in the country, concentrated in biopharma, medical device, and academic research sectors and open to candidates from entry-level clinical research coordinators through senior-level trial leads. The largest hiring hubs are San Francisco Bay Area, San Diego, and Los Angeles, where established employers such as Genentech, Johnson and Johnson, and UCLA Health maintain ongoing clinical operations teams. The most consistent openings are in oncology trials, CNS studies, and regulatory-focused site management roles. Find a role that fits below and apply directly.
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Overview of Position:
The (Senior) Clinical Trial Manager (CTM) is responsible for the planning, execution, and delivery of one or more clinical studies across the Company's development portfolio. This role provides operational leadership from study start-up through closeout, ensuring trials are conducted in compliance with protocol requirements, ICH-GCP, applicable regulations, and company quality standards.
The Senior CTM serves as the primary operational lead for assigned studies and collaborates closely with cross-functional teams, CROs, vendors, and investigator sites to drive study timelines, budget management, quality oversight, and risk mitigation. In a fast-paced biotech environment, this individual combines strategic thinking with hands-on execution to advance innovative therapies while maintaining a culture of quality, compliance, and operational excellence.
This position reports to the Vice President, Clinical Operations.
Essential Duties & Responsibilities:
Clinical Trial Leadership & Execution
- Lead the operational planning, execution, and closeout of Phase I-III clinical trials, ensuring delivery of study objectives on time, within budget, and in compliance with applicable regulations and company procedures.
- Serve as the primary operational lead and central point of coordination across Clinical Development, Data Management, Biostatistics, Regulatory Affairs, Medical Writing, Quality, CMC, Translational Sciences, and other functional areas.
- Provide operational input into protocol development, study design, feasibility assessments, investigator selection, enrollment strategy, and study execution plans.
- Develop and maintain study timelines, forecasts, risk management plans, and key performance indicators (KPIs).
- Proactively identify, assess, and mitigate operational risks that may impact study quality, timelines, budget, or patient safety.
- Oversee start-up activities, including vendor selection, site activation, contracting support, and enrollment readiness.
- Monitor trial progress and performance metrics, driving issue resolution and timely escalation of critical study challenges.
- Conduct site visits, co-monitoring visits, or other oversight activities as needed to ensure protocol compliance, data quality, and positive site engagement.
- Contribute to organizational growth by identifying opportunities to improve processes, increase efficiency, and enhance study execution.
CRO and Vendor Management
- Lead CRO and vendor selection activities, including RFP development, proposal evaluation, bid defenses, and contract scope review.
- Serve as the primary sponsor contact for CROs and key vendors, ensuring accountability for study deliverables, quality, timelines, and budget.
- Conduct vendor governance and performance reviews, utilizing metrics and regular oversight meetings to drive execution and continuous improvement.
- Review and manage study budgets, forecasts, change orders, contracts, and invoices in partnership with Finance and external partners.
- Ensure alignment of vendor activities with study objectives, regulatory requirements, and company expectations.
Clinical Trial Systems & Operational Oversight
- Provide oversight of clinical trial systems, including CTMS, eTMF, EDC, IRT/RTSM, and other study technologies.
- Ensure study systems, documentation, and Trial Master Files remain complete, accurate, and inspection-ready throughout the study lifecycle.
- Partner with vendors and functional teams to define system requirements, user access, reporting needs, and performance metrics.
- Develop and maintain study dashboards and operational reports to monitor enrollment, site performance, TMF health, milestones, and study metrics.
- Support system implementations, user acceptance testing (UAT), process enhancements, and adoption of new technologies.
Quality, Compliance & Process Improvement
- Ensure studies are conducted in accordance with ICH-GCP, applicable regulatory requirements, company SOPs, and quality standards.
- Support inspection readiness activities and participate in audits, inspections, and quality assessments involving sites, CROs, and vendors.
- Identify, escalate, and support resolution of quality and compliance issues, including CAPA development and root cause investigations as applicable.
- Contribute to the development and continuous improvement of SOPs, processes, templates, and operational tools.
- Drive operational excellence through the use of quality metrics, lessons learned, and industry best practices.
Qualifications:
Education
- Bachelor's degree in Life Sciences, Nursing, or a related scientific discipline required.
- Advanced degree preferred.
Experience
- 8+ years of clinical research experience within the biotechnology, pharmaceutical, or CRO industry, including at least 3 years of clinical trial management responsibility.
- Proven experience leading global Phase I-III clinical trials from start-up through closeout.
- Experience in immunology, inflammation, autoimmune disease, rare disease, or other complex therapeutic areas preferred.
- Demonstrated success managing CROs, specialty vendors, investigator sites, study budgets, timelines, and deliverables.
- Experience supporting sponsor audits, regulatory inspections, and inspection-readiness activities.
- Prior experience in a small biotech, growth-stage, or resource-constrained environment strongly preferred.
- Strong working knowledge of ICH-GCP, FDA, EMA, and global clinical trial regulations.
- Experience with clinical systems including CTMS, eTMF, EDC, IRT/RTSM, and related trial technologies.
- Demonstrated ability to lead and influence cross-functional teams in a matrix environment.
Key Competencies
- Strong project management, organizational, and risk management skills.
- Excellent communication, collaboration, and stakeholder management abilities.
- Ability to independently manage multiple priorities in a fast-paced environment.
- Strong problem-solving skills with a proactive, solutions-oriented mindset.
- Detail-oriented with a commitment to quality, compliance, and operational excellence.
- Comfortable balancing strategic leadership with hands-on execution in a small biotech setting.
Success Measures
- Clinical studies delivered on time, within budget, and in compliance with quality standards.
- Effective management of CRO and vendor performance.
- High-quality, inspection-ready study documentation and TMFs.
- Proactive identification and mitigation of study risks.
- Continuous improvement of operational processes, systems, and study execution practices.
Skills & Attributes
- Highly organized with exceptional attention to detail and the ability to maintain accuracy across multiple priorities and deliverables.
- Strong leadership presence with the ability to build credibility, foster collaboration, and drive accountability across cross-functional teams and external partners.
- Excellent interpersonal skills with the ability to develop productive relationships, navigate challenging situations, and influence stakeholders at all levels.
- Effective communicator with strong written, verbal, and presentation skills, tailored to diverse audiences.
- Proactive, resourceful, and solutions-oriented, with a willingness to independently identify issues and drive resolution.
- Sound judgment and decision-making skills, with the ability to assess risk, balance competing priorities, and make informed recommendations.
- Adaptable and resilient, with the flexibility to thrive in a dynamic, fast-paced, and evolving biotechnology environment.
- Demonstrated emotional intelligence, including self-awareness, empathy, professionalism, and the ability to navigate complex team dynamics.
- Collaborative team player who values transparency, open communication, and a shared commitment to organizational goals.
- Strong critical thinking and problem-solving capabilities, with a continuous improvement mindset.
- Self-motivated and accountable, with a high level of ownership, initiative, and follow-through.
- Maintains the highest standards of integrity, ethics, and professionalism in all interactions and activities.
- Proficient with Microsoft Office Suite (Excel, Word, PowerPoint, Outlook, Project) and able to rapidly learn and adopt new systems and technologies.
- Willingness to travel up to 20–30%, including investigator site visits, vendor meetings, and company-related business activities.
Equal Opportunity Employer
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Where California roles are concentrated, by current openings.
Clinical Trial Manager Job Market in California
A snapshot from current California openings, updated as new roles post.
Who's Hiring


Top Industries Hiring
- Biotechnology & Pharmaceuticals
- Healthcare & Medical Services
What California Employers Look For
The qualifications that appear most often in clinical trial manager jobs across California.
- Bachelor's degree in life sciences, nursing, or a related clinical field required
- Minimum two to five years of clinical research or site management experience preferred
- Demonstrated knowledge of ICH-GCP guidelines and FDA clinical trial regulations
- Experience managing investigational sites and coordinating with IRBs and sponsor teams
- Proficiency with electronic data capture systems such as Medidata Rave or Veeva Vault
- Strong project management skills with ability to oversee timelines across multiple sites
Clinical Trial Manager Jobs in California: Frequently Asked Questions
How do you become a clinical trial manager in California?
Most clinical trial managers in California start with a bachelor's degree in life sciences, nursing, pharmacy, or a closely related field, then gain experience as a clinical research coordinator or associate. California does not require a state-issued license specific to this role, but the ACRP Certified Clinical Research Professional or SOCRA CCRP certification is widely expected by California employers and strengthens candidacy significantly. Large biopharma and academic medical centers in the Bay Area and San Diego typically require several years of site or sponsor experience before hiring at the manager level.
Which companies hire clinical trial managers in California?
Employers hiring clinical trial managers in California right now include NURIX, Nurix Therapeutics, and Maze Therapeutics, based on current listings on Migrate Mate as of October 2026. California's dense concentration of biopharma headquarters and academic medical centers means hiring tends to be ongoing rather than seasonal, particularly in the Bay Area and San Diego corridors.
Which California cities have the most clinical trial manager jobs?
San Diego, San Francisco, and South San Francisco account for the greatest number of clinical trial manager openings in California. The San Francisco Bay Area leads because it is home to a high concentration of biopharma and biotech headquarters, San Diego draws heavily from its established life sciences cluster around Torrey Pines, and Los Angeles hiring is largely driven by academic medical centers and specialty oncology programs at institutions such as UCLA and Cedars-Sinai.
Are there remote clinical trial manager jobs in California?
Yes, and more than many clinical roles, since the oversight and coordination work of a clinical trial manager can often be performed off-site. About 56% of clinical trial manager openings tied to California are remote or hybrid as of October 2026, reflecting the role's heavy reliance on documentation review, vendor communication, and data monitoring rather than hands-on patient care. Sponsor-side and CRO positions tend to offer the most remote flexibility, while site-based roles typically require in-person presence.
How can I get hired as a clinical trial manager in California with little or no experience?
The most realistic entry path is starting as a clinical research coordinator at a California academic medical center or community research site, where you gain direct site experience under a supervising manager. Institutions such as UCSF, UC San Diego Health, and Cedars-Sinai run active research programs that regularly onboard coordinators without prior clinical trial experience. Transitioning from a related role such as research nurse, regulatory affairs associate, or data coordinator is also a recognized path. Earning the ACRP or SOCRA coordinator certification before applying gives candidates a meaningful edge at California employers.
Where can I find and apply to clinical trial manager jobs in California?
You can find and apply to clinical trial manager jobs in California on Migrate Mate, which lists current California openings updated regularly. Find the roles that fit your experience and location preference, then apply directly to the ones that match.
See All 31 Clinical Trial Manager Jobs in California
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