Clinical Trial Manager Jobs in North Carolina
Clinical Trial Manager jobs in North Carolina are open across Durham and Morrisville and other North Carolina metros, with employers like Fortrea, IQVIA, and Syneos Health hiring at every experience level. Find a role that fits below and apply directly.
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INTRODUCTION
Fortrea is seeking Clinical Trial Managers to join our team! We are seeking experienced CTLs with 3+ years of experience. Remote US or Canadian based.
Job Overview:
The Clinical Trial Manager has ownership in the clinical delivery and operational oversight of clinical research trials. This role collaborates with project managers and other functional leads to deliver clinical and start-up activities within budget and contract, ensuring quality, compliance and meeting country-specific commitments.
Summary of Responsibilities:
- End-to-end oversight of start-up and clinical responsibilities—from site identification through to database lock—through proactive management of project scope, timelines, milestones, and budget.
- Ensure start-up and clinical project plans address identified risks while adhering to professional standards, SOPs, client, and regulatory requirements.
- Proactively identify and address start-up and clinical project, financial, and quality risks by applying comprehensive risk management strategies and ensuring compliance, including tracking within applicable systems.
- Responsible for financial aspects of clinical and start-up activities, including revenue forecasting, adherence to contracted scope, and oversight of scope modifications.
- Ensure project team awareness and tracking of Key Project Indicators (KPI) for any client-specific start-up and clinical metrics.
- Ensure and plans for start-up and clinical resources with accurate projections for the resourcing teams.
- Develop and implement the site activation and recruitment strategy in collaboration with project teams.
- Lead and oversee site identification and site selection.
- Oversight of Informed Consent Form development and translations.
- Oversight of essential document creation and collection, including insurance.
- Oversight of the development, negotiation, and execution of Clinical Trial Agreements (CTA), including site budgets.
- Lead the end-to-end process of regulatory/ethics committee submissions, approvals, and tracking.
- Ensure clinical and ancillary supplies—including import/export logistics and supply destruction processes—are in place as applicable.
- Manage operational aspects to support subject recruitment and retention, patient safety, vendor performance, and the monitoring visit strategy.
- Proactive planning for monitoring activities to ensure data integrity, patient safety and endpoint protection.
- Ensure inspection-readiness through quality oversight of TMF, monitoring reports, protocol deviations and issue management.
- Oversight and approval of site payments, including payment reconciliation.
- Foster effective communication and collaboration with clients and cross-functional project teams in a global and multicultural environment.
- Ability to lead client-facing calls to communicate project status updates and demonstrate operational control of start-up and clinical deliverables.
- Support new business with active participation in pre-award preparation as required.
- Provide feedback on team members as needed to respective line managers.
- All other duties as needed or assigned.
Qualifications (Minimum Required):
- University/college degree (life science preferred) or certification in a related allied health profession (nursing, medical, or laboratory technology) from an appropriately accredited institution.
- Fortrea may consider relevant and equivalent experience in lieu of educational requirements.
- Fluent in English, both written and verbal.
Experience (Minimum Required):
- Four or more years of relevant clinical research experience in pharmaceutical, CRO, or health care setting will be considered.
- Previous SSU and Clinical Trial Lead experience.
- Comprehensive knowledge of GCP, ICH, and regulatory guidelines.
- Proficiency in Microsoft Office and familiarity with EDC, CTMS, eTMF, and vendor platforms (e.g. Veeva Vault, Medidata).
- Effective leadership in remote and global environment.
- Strong communication, planning, and organizational abilities.
- Proven team motivational skills.
- Proficiency in balancing concurrent tasks within time-sensitive environments.
- Financial awareness and use of tracking systems/tools.
- Demonstrated independent problem-solving and risk management mindset.
- Demonstrated professional client interaction and presentation skills, with ability to work independently and collaboratively.
In this role, employees will leverage their existing experience and skills to assume additional responsibilities within the broader role. These will be aligned with operational requirements and internal training, without altering the fundamental nature or classification of the position.
Preferred Qualifications Include:
- Master’s or other advanced degree.
- PMP certification or equivalent.
Physical Demands / Work Environment:
- Remote-based work required with possible office presence depending on location.
- Travel requirements: up to 20% (global – primarily domestic and international).
Pay Range: $140,000-148,000 USD annually
Learn more about our EEO & Accommodations request here.
See All 8 Clinical Trial Manager Jobs in North Carolina
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Find Clinical Trial Manager JobsClinical Trial Manager Jobs by City in North Carolina
Where North Carolina roles are concentrated, by current openings.
Clinical Trial Manager Job Market in North Carolina
A snapshot from current North Carolina openings, updated as new roles post.
Who's Hiring
- Fortrea4

- IQVIA3

- Syneos Health1

Top Industries Hiring
- Biotechnology & Pharmaceuticals7
- Consulting & Professional Services7
- Science & Research1
What North Carolina Employers Look For
The qualifications that appear most often in clinical trial manager jobs across North Carolina.
- Bachelor's or advanced degree in life sciences, nursing, or a related clinical field
- 3-5 years of clinical trial management or clinical research associate experience
- ICH E6 Good Clinical Practice certification or equivalent documented training
- Proficiency with clinical trial management systems such as Veeva Vault or Medidata Rave
- Experience managing investigative sites across Phase II, III, or IV studies
- Strong working knowledge of FDA regulations and applicable regulatory guidelines
Clinical Trial Manager Jobs in North Carolina: Frequently Asked Questions
How many clinical trial manager jobs are there in North Carolina?
There are 8+ clinical trial manager openings in North Carolina on Migrate Mate as of June 2026, with the most roles in Durham and Morrisville. New positions post regularly as employers across North Carolina hire.
Which North Carolina cities have the most clinical trial manager jobs?
Durham and Morrisville have the most clinical trial manager openings in North Carolina right now, with additional roles spread across smaller metros statewide.
Which companies hire clinical trial managers in North Carolina?
Employers hiring clinical trial managers in North Carolina include Fortrea, IQVIA, and Syneos Health, based on current listings on Migrate Mate as of June 2026.
Are there remote clinical trial manager jobs in North Carolina?
Yes. About 88% of clinical trial manager openings tied to North Carolina are remote or hybrid as of June 2026. The rest are on-site roles based in North Carolina metros.
How do I apply for clinical trial manager jobs in North Carolina?
You can apply to clinical trial manager jobs in North Carolina directly on Migrate Mate. Search the listings above, find roles that match your experience and preferred North Carolina location, then apply to each one that fits.
See All 8 Clinical Trial Manager Jobs in North Carolina
Find roles in North Carolina that match your experience and apply in just a few clicks.
Find Clinical Trial Manager Jobs