E-3 Visa Clinical Director Jobs
Clinical Director roles qualify as E-3 visa specialty occupations, requiring at least a bachelor's degree in healthcare administration, nursing, medicine, or a related field. Australian professionals can secure E-3 sponsorship without competing in the H-1B lottery, and the visa renews indefinitely in two-year increments as long as you hold a qualifying position.
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Get Access To All JobsLocation
ST. LOUIS, MO 63108
Scheduled Hours
40
Position Summary
The Department of Radiation Oncology at Washington University School of Medicine is seeking a highly experienced, strategic, and systems-oriented Associate Director of Clinical Research Operations. Under the direct guidance of the Department Chair / Interim Clinical Trials Director and the Executive Director of Business Affairs, this individual will serve as the primary operational leader for our expansive clinical trials enterprise.
As our department enters a new phase of strategic growth, a primary mandate of this role will be the rapid expansion, standardization, and oversight of our Investigator-Initiated Trials (IIT) portfolio, which includes landmark multi-disciplinary grants (e.g. our ROBIN U54 center) and pioneering global protocols in SBRT and cardiac radioablation. We are seeking a collaborative leader who can navigate scientific complexity, translate clinical inputs into strategic program plans, and implement enterprise-level systems to elevate overall organizational performance. The successful candidate will bring a systems-oriented approach to process improvement, empowering our existing teams while promoting consistency, compliance, and high-quality execution across all phases of oncology research.
Job Description
Primary Duties & Responsibilities:
IIT Program Expansion & Leadership
- Lead the strategic growth of the department's Investigator-Initiated Trials (IIT) portfolio.
- Support principal investigators through concept development and governance review, and oversee the operational execution of complex early-phase and multi-center oncology studies.
Operational Leadership & Mentorship
- Direct the day-to-day operations of the Clinical Trials Office, including the direct supervision, mentorship, and performance evaluation of the Clinical Research Manager.
- Oversee cross-functional teams, manage critical paths, and ensure staffing strategies align with program-level planning.
- Design and implement career development pathways to improve research staff retention and engagement.
- Partner collaboratively with existing departmental research leadership during the initial onboarding phase to ensure a seamless transfer of historical institutional knowledge and trial continuity.
Systems Integration & Process Optimization
- Lead the implementation and optimization of enterprise research systems, including EDC and eRegulatory platforms.
- Assess institutional system capabilities to determine feasibility and drive EHR-to-EDC integration initiatives to reduce manual data entry and improve data integrity.
Program Budget & Financial Forecasting
- Oversee the clinical trials program budget and partner with department finance and research administration on financial forecasting.
- Develop advanced project and financial tracking tools (e.g., Smartsheet dashboards) to enhance leadership visibility into timelines, workloads, budgets, and accrual performance.
Strategic Institutional Collaboration
- Foster strong, collaborative relationships with key institutional partners across Washington University and BJC HealthCare (e.g., CTMS offices, Biorepositories, Research Administration, and hospital/laboratory groups) to streamline workflows and overcome institutional bottlenecks.
Regulatory Compliance & Quality Assurance
- Overhaul and maintain program SOPs and guidance documents.
- Ensure all trials maintain strict compliance with FDA, ICH/GCP, and OHRP regulations.
- Manage site feasibility, qualification, and oversight for multi-center studies.
Working Conditions:
Job Location/Working Conditions
Normal office environment
Physical Effort
Typically sitting at a desk or a table
Equipment
- Office equipment
The above statements are intended to describe the general nature and level of work performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all job duties performed by the personnel so classified. Management reserves the right to revise or amend duties at any time.
Required Qualifications
Education:
Bachelor's degree
Certifications /Professional Licenses:
No specific certification/professional license is required for this position.
Work Experience:
Clinical Research (8 Years)
Skills:
Not Applicable
Driver's License:
A driver's license is not required for this position.
More About This Job
Required Qualifications:
- Bachelor’s degree in biological sciences, healthcare administration, public health, nursing, business, or a related field.
- Eight years of progressive leadership experience in clinical research operations and program management, strictly within an academic medical center or complex oncology setting.
Preferred Qualifications:
- Master’s degree (MHA, MPH, MBA, or MSN).
- Five years of direct personnel management, including experience supervising mid-level managers.
- Exceptional cross-functional leadership skills with the ability to manage complex, multi-site investigator consortia.
- Extensive, proven expertise in managing, scaling, and operationalizing Investigator-Initiated Trials (IIT) and early-phase oncology portfolios.
- Demonstrated experience leading the rollout of enterprise research platforms (EDC/eReg) and developing advanced project tracking tools/dashboards.
- Expert-level knowledge of FDA, ICH/GCP, and OHRP regulations.
- Proven track record of building collaborative structures that support innovation and process improvement.
Preferred Qualifications
Education:
Master's degree
Certifications /Professional Licenses:
Certified Clinical Research Coordinator (CCRC) - Association of Clinical Research Professionals (ACRP), Certified Clinical Research Professional (CCRP) - Society of Clinical Research Associates (SOCRA), Clinical Research Associate (CRA) - Association of Clinical Research Professionals (ACRP), Clinical Research Management (CRM) - Association of Clinical Research Professionals (ACRP), Clinical Research Professional (CRP) - Association of Clinical Research Professionals (ACRP), Registered Nurse - Illinois Department of Financial and Professional Regulation, Registered Nurse - Missouri Division of Professional Registration
Work Experience:
No additional work experience unless stated elsewhere in the job posting.
Skills:
Building High Performance Team, Clinical Research, Clinical Research Operations, Clinical Research Organizations (CRO) Management, Clinical Trials, Compliance Management, Compliance Requirements, Data Reporting, Diplomacy, External Stakeholders, Financial Acumen, Grants Management, Grant Writing, Internal Stakeholders, Interpersonal Communication, Leadership, Project Planning, Protocol Development, Regulatory Submissions, Standard Operating Procedure (SOP) Development, Strategic Planning
Grade
G15
Salary Range
$84,200.00 - $148,500.00 / Annually
The salary range reflects base salaries paid for positions in a given job grade across the University. Individual rates within the range will be determined by factors including one's qualifications and performance, equity with others in the department, market rates for positions within the same grade and department budget.
Questions
For frequently asked questions about the application process, please refer to our External Applicant FAQ.
Accommodation
If you are unable to use our online application system and would like an accommodation, please email CandidateQuestions@wustl.edu or call the dedicated accommodation inquiry number at 314-935-1149 and leave a voicemail with the nature of your request.
All qualified individuals must be able to perform the essential functions of the position satisfactorily and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions of their job, absent undue hardship.
Pre-Employment Screening
All external candidates receiving an offer for employment will be required to submit to pre-employment screening for this position. The screenings will include criminal background check and, as applicable for the position, other background checks, drug screen, an employment and education or licensure/certification verification, physical examination, certain vaccinations and/or governmental registry checks. All offers are contingent upon successful completion of required screening.
Benefits Statement
Personal
- Up to 22 days of vacation, 10 recognized holidays, and sick time.
- Competitive health insurance packages with priority appointments and lower copays/coinsurance.
- Take advantage of our free Metro transit U-Pass for eligible employees.
- WashU provides eligible employees with a defined contribution (403(b)) Retirement Savings Plan, which combines employee contributions and university contributions starting at 7%.
Wellness
- Wellness challenges, annual health screenings, mental health resources, mindfulness programs and courses, employee assistance program (EAP), financial resources, access to dietitians, and more!
Family
- We offer 4 weeks of caregiver leave to bond with your new child. Family care resources are also available for your continued childcare needs. Need adult care? We’ve got you covered.
- WashU covers the cost of tuition for you and your family, including dependent undergraduate-level college tuition up to 100% at WashU and 40% elsewhere after seven years with us.
For policies, detailed benefits, and eligibility, please visit: https://hr.wustl.edu/benefits/
EEO Statement
Washington University in St. Louis is committed to the principles and practices of equal employment opportunity. It is the University’s policy to provide equal opportunity and access to persons in all job titles without regard to race, ethnicity, color, national origin, citizenship (where prohibited by federal law), age, religion, sex, sexual orientation, gender identity or expression, disability, protected veteran status, or genetic information.
Location
ST. LOUIS, MO 63108
Scheduled Hours
40
Position Summary
The Department of Radiation Oncology at Washington University School of Medicine is seeking a highly experienced, strategic, and systems-oriented Associate Director of Clinical Research Operations. Under the direct guidance of the Department Chair / Interim Clinical Trials Director and the Executive Director of Business Affairs, this individual will serve as the primary operational leader for our expansive clinical trials enterprise.
As our department enters a new phase of strategic growth, a primary mandate of this role will be the rapid expansion, standardization, and oversight of our Investigator-Initiated Trials (IIT) portfolio, which includes landmark multi-disciplinary grants (e.g. our ROBIN U54 center) and pioneering global protocols in SBRT and cardiac radioablation. We are seeking a collaborative leader who can navigate scientific complexity, translate clinical inputs into strategic program plans, and implement enterprise-level systems to elevate overall organizational performance. The successful candidate will bring a systems-oriented approach to process improvement, empowering our existing teams while promoting consistency, compliance, and high-quality execution across all phases of oncology research.
Job Description
Primary Duties & Responsibilities:
IIT Program Expansion & Leadership
- Lead the strategic growth of the department's Investigator-Initiated Trials (IIT) portfolio.
- Support principal investigators through concept development and governance review, and oversee the operational execution of complex early-phase and multi-center oncology studies.
Operational Leadership & Mentorship
- Direct the day-to-day operations of the Clinical Trials Office, including the direct supervision, mentorship, and performance evaluation of the Clinical Research Manager.
- Oversee cross-functional teams, manage critical paths, and ensure staffing strategies align with program-level planning.
- Design and implement career development pathways to improve research staff retention and engagement.
- Partner collaboratively with existing departmental research leadership during the initial onboarding phase to ensure a seamless transfer of historical institutional knowledge and trial continuity.
Systems Integration & Process Optimization
- Lead the implementation and optimization of enterprise research systems, including EDC and eRegulatory platforms.
- Assess institutional system capabilities to determine feasibility and drive EHR-to-EDC integration initiatives to reduce manual data entry and improve data integrity.
Program Budget & Financial Forecasting
- Oversee the clinical trials program budget and partner with department finance and research administration on financial forecasting.
- Develop advanced project and financial tracking tools (e.g., Smartsheet dashboards) to enhance leadership visibility into timelines, workloads, budgets, and accrual performance.
Strategic Institutional Collaboration
- Foster strong, collaborative relationships with key institutional partners across Washington University and BJC HealthCare (e.g., CTMS offices, Biorepositories, Research Administration, and hospital/laboratory groups) to streamline workflows and overcome institutional bottlenecks.
Regulatory Compliance & Quality Assurance
- Overhaul and maintain program SOPs and guidance documents.
- Ensure all trials maintain strict compliance with FDA, ICH/GCP, and OHRP regulations.
- Manage site feasibility, qualification, and oversight for multi-center studies.
Working Conditions:
Job Location/Working Conditions
Normal office environment
Physical Effort
Typically sitting at a desk or a table
Equipment
- Office equipment
The above statements are intended to describe the general nature and level of work performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all job duties performed by the personnel so classified. Management reserves the right to revise or amend duties at any time.
Required Qualifications
Education:
Bachelor's degree
Certifications /Professional Licenses:
No specific certification/professional license is required for this position.
Work Experience:
Clinical Research (8 Years)
Skills:
Not Applicable
Driver's License:
A driver's license is not required for this position.
More About This Job
Required Qualifications:
- Bachelor’s degree in biological sciences, healthcare administration, public health, nursing, business, or a related field.
- Eight years of progressive leadership experience in clinical research operations and program management, strictly within an academic medical center or complex oncology setting.
Preferred Qualifications:
- Master’s degree (MHA, MPH, MBA, or MSN).
- Five years of direct personnel management, including experience supervising mid-level managers.
- Exceptional cross-functional leadership skills with the ability to manage complex, multi-site investigator consortia.
- Extensive, proven expertise in managing, scaling, and operationalizing Investigator-Initiated Trials (IIT) and early-phase oncology portfolios.
- Demonstrated experience leading the rollout of enterprise research platforms (EDC/eReg) and developing advanced project tracking tools/dashboards.
- Expert-level knowledge of FDA, ICH/GCP, and OHRP regulations.
- Proven track record of building collaborative structures that support innovation and process improvement.
Preferred Qualifications
Education:
Master's degree
Certifications /Professional Licenses:
Certified Clinical Research Coordinator (CCRC) - Association of Clinical Research Professionals (ACRP), Certified Clinical Research Professional (CCRP) - Society of Clinical Research Associates (SOCRA), Clinical Research Associate (CRA) - Association of Clinical Research Professionals (ACRP), Clinical Research Management (CRM) - Association of Clinical Research Professionals (ACRP), Clinical Research Professional (CRP) - Association of Clinical Research Professionals (ACRP), Registered Nurse - Illinois Department of Financial and Professional Regulation, Registered Nurse - Missouri Division of Professional Registration
Work Experience:
No additional work experience unless stated elsewhere in the job posting.
Skills:
Building High Performance Team, Clinical Research, Clinical Research Operations, Clinical Research Organizations (CRO) Management, Clinical Trials, Compliance Management, Compliance Requirements, Data Reporting, Diplomacy, External Stakeholders, Financial Acumen, Grants Management, Grant Writing, Internal Stakeholders, Interpersonal Communication, Leadership, Project Planning, Protocol Development, Regulatory Submissions, Standard Operating Procedure (SOP) Development, Strategic Planning
Grade
G15
Salary Range
$84,200.00 - $148,500.00 / Annually
The salary range reflects base salaries paid for positions in a given job grade across the University. Individual rates within the range will be determined by factors including one's qualifications and performance, equity with others in the department, market rates for positions within the same grade and department budget.
Questions
For frequently asked questions about the application process, please refer to our External Applicant FAQ.
Accommodation
If you are unable to use our online application system and would like an accommodation, please email CandidateQuestions@wustl.edu or call the dedicated accommodation inquiry number at 314-935-1149 and leave a voicemail with the nature of your request.
All qualified individuals must be able to perform the essential functions of the position satisfactorily and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions of their job, absent undue hardship.
Pre-Employment Screening
All external candidates receiving an offer for employment will be required to submit to pre-employment screening for this position. The screenings will include criminal background check and, as applicable for the position, other background checks, drug screen, an employment and education or licensure/certification verification, physical examination, certain vaccinations and/or governmental registry checks. All offers are contingent upon successful completion of required screening.
Benefits Statement
Personal
- Up to 22 days of vacation, 10 recognized holidays, and sick time.
- Competitive health insurance packages with priority appointments and lower copays/coinsurance.
- Take advantage of our free Metro transit U-Pass for eligible employees.
- WashU provides eligible employees with a defined contribution (403(b)) Retirement Savings Plan, which combines employee contributions and university contributions starting at 7%.
Wellness
- Wellness challenges, annual health screenings, mental health resources, mindfulness programs and courses, employee assistance program (EAP), financial resources, access to dietitians, and more!
Family
- We offer 4 weeks of caregiver leave to bond with your new child. Family care resources are also available for your continued childcare needs. Need adult care? We’ve got you covered.
- WashU covers the cost of tuition for you and your family, including dependent undergraduate-level college tuition up to 100% at WashU and 40% elsewhere after seven years with us.
For policies, detailed benefits, and eligibility, please visit: https://hr.wustl.edu/benefits/
EEO Statement
Washington University in St. Louis is committed to the principles and practices of equal employment opportunity. It is the University’s policy to provide equal opportunity and access to persons in all job titles without regard to race, ethnicity, color, national origin, citizenship (where prohibited by federal law), age, religion, sex, sexual orientation, gender identity or expression, disability, protected veteran status, or genetic information.
See all 238+ E-3 Visa Clinical Director Jobs
Sign up for free to unlock all listings, filter by visa type, and get alerts for new E-3 Visa Clinical Director Jobs.
Get Access To All JobsTips for Finding E-3 Visa Sponsorship in Clinical Director
Verify your credentials translate correctly
Australian three-year bachelor's degrees are generally accepted as equivalent to U.S. four-year degrees for E-3 purposes, but have your clinical credentials evaluated by a NACES-approved agency before you start applying. Gaps here surface during the LCA stage.
Target health systems with existing LCA history
Search the DOL's OFLC disclosure database for employers who have filed LCAs for clinical leadership roles. Health systems that have done it before know the process and won't treat your offer as a one-off administrative burden.
Negotiate the sponsorship conversation before accepting
Raise E-3 sponsorship during final-stage interviews, not after a verbal offer. Clinical Directors are hard to hire, so your leverage is highest before you've accepted. Frame it as a two-to-three week LCA process, not a visa application.
Use Migrate Mate's E-3 filing service for your paperwork
Once you have a signed offer, use Migrate Mate's E-3 filing service to handle the LCA, DS-160, and consulate preparation end-to-end. Clinical Director petitions sometimes draw wage-level scrutiny, so having the documentation structured correctly matters.
Confirm the wage level covers your offered salary
The LCA must certify your offered salary meets the DOL prevailing wage for a Clinical Director in that geographic area. Ask your employer to confirm the wage level before the LCA is filed to avoid a resubmission delay.
Prepare board certification documentation early
Consular officers reviewing Clinical Director applications often request evidence of specialty credentials alongside your degree. Gather your AHPRA registration history, board certifications, and CV before your consulate appointment, not the week before.
E-3 Visa Clinical Director: Frequently Asked Questions
How do I find Clinical Director jobs with E-3 visa sponsorship?
Migrate Mate lets you search Clinical Director roles filtered specifically for E-3 sponsorship, so you're not sorting through listings from employers who won't sponsor. Health systems, multi-site clinic groups, and hospital networks are the most active sponsors for this level of clinical leadership role in the U.S.
How much does it cost to get an E-3 visa?
Migrate Mate's E-3 filing service covers the entire process for $499, including the Labor Condition Application, visa document preparation, and consulate appointment guidance. Traditional immigration lawyers charge $2,000–$5,000+ for the same work. The E-3 has less paperwork than most work visas, so paying thousands for legal help is usually unnecessary.
Does a Clinical Director role qualify as a specialty occupation for the E-3?
Yes. Clinical Director is a specialty occupation because the role typically requires at minimum a bachelor's degree in healthcare administration, nursing, medicine, or a clinical field as a standard industry requirement. Roles where a general business degree satisfies the requirement without a clinical component can be harder to support, so your job offer letter should explicitly state the degree field required.
How does the E-3 compare to the H-1B for Clinical Director positions?
The E-3 has no lottery and no annual cap, so you can apply any time of year as soon as you have a job offer. The H-1B requires you to enter a random selection process in April, and most applicants wait at least a year. For Clinical Directors with a timeline tied to a specific employer or start date, the E-3 is a significantly more predictable path.
Can I change employers or health systems while on an E-3?
Yes, but you need a new LCA filed by the incoming employer before or shortly after you start. Unlike the H-1B, there's no formal portability rule that protects you during the transition, so the safest approach is to have the new LCA certified before your last day with the current employer. USCIS does not require a separate petition for E-3, which makes employer changes faster than for most other work visas.