H-1B Visa Senior Clinical Trial Manager Jobs
Senior Clinical Trial Manager roles sit squarely within H-1B specialty occupation criteria, requiring at least a bachelor's degree in a life sciences or related field. Sponsors must file an LCA with DOL before submitting your I-129 petition to USCIS, and most large CROs and pharma companies have established H-1B sponsorship pipelines for this role.
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Position Summary:
Serves as the clinical trial lead responsible for the planning, conduct and oversight of the operational portion of clinical studies per defined scope of work and ensures that clinical studies are conducted in accordance with the protocol, standard operating procedures (SOPs), ICH-GCP and all applicable regulatory requirements.
Essential functions of the job include but are not limited to:
- Primary clinical point of contact with the client
- Collaborate with PM on monthly invoicing and variance management of clinical budget
- Develop study related clinical documents (e.g. clinical plans, Informed Consent Form templates, study specific forms and manuals, CRF completion guidelines, study trackers, PSV/SIV slides and other training materials)
- Identify and develop training needs for CRAs and third-party vendors specific to the study, protocol and practices including presenting these at Investigator Meetings and Study Kick-off meetings
- Generate potential site list from key stakeholders and drive site feasibility process
- Identify potential risks to the enrollment targets based on feasibility analysis and site's contracted commitment
- Develop and finalize the country recruitment/retention strategy
- Develop timely and effective communication and good working relationships with investigators and study team to ensure effective and timely feasibility, site start up, enrollment, maintenance and close out procedures
- Lead internal clinical team meetings and sets expectations for clinical team of CRAs and CTAs
- Address all CRA and site questions and maintains Frequently Asked Question (FAQ) log as appropriate
- Support in planning and conducting investigator meetings
- Review and/or approve of IP release packages
- Oversee, support and track all submissions and approvals to Competent Authorities and IRB/Ethics Committees in conjunction with regulatory departments as applicable
- Develop clinical monitoring strategies for assuring study timelines are met and assuring quality deliverables
- Generate and utilizes metric reporting (e.g., CTMS, DM Query Trends, Outstanding Monitoring Reports) to ensure that the study is conducted per plan and communicates issues to PM and CRAs as appropriate
- Responsible for eTMF implementation and management
- Collaborate with PM, CRAs and QA to develop any Corrective and Preventative Action Plan (CAPA) and is accountable for implementation and timely closure
- Accountable to assist sites, internal staff and CRAs with the preparation for GCP audits
- Work closely with PM for project-specific resourcing issues
- Escalate pertinent CRA performance and site compliance issues when necessary
- Collaborate with data management and CRAs to ensure data quality and compliance with data cleaning timelines
- Manage processes for investigational product (IP) including drug accountability and reconciliation
- When a cross-functional PM is not assigned to a given program, the CTM will assume project management responsibility as needed
- Support business development and marketing activities as appropriate
- May negotiate site budget and investigator contract with support from the legal department and/or site contracts group
- May review site visit reports and ensures monitoring (i.e. scheduling and scope) is executed per monitoring plan
- May be responsible for management of clinical vendors (e.g. labs, IP, patient diary, home health care) in conjunction with PM
- May perform clinical data review of patient profiles, data listings and summary tables, including query generation
- May have line management responsibilities
- Performs other duties as assigned by management
Qualifications
Minimum Required:
- Bachelor's degree or equivalent combination of education/experience in science or health-related field. Advanced degree preferred
- Minimum of 7 years of clinical research experience or proven competencies for the position with significant clinical monitoring experience
Preferred:
- Advanced degree
Other Required:
- Experience with Microsoft Office Products (Outlook, Word, Excel, PowerPoint)
- Excellent communication and interpersonal skills to effectively interface with others in a team setting
- Excellent organizational skills, attention to detail, and a customer service demeanor
- Ability to travel domestically and internationally including overnight stays
Competencies:
- Demonstrates mastery knowledge of ICH-GCP, relevant Precision SOPs, and regulatory guidance, as well as the ability to implement
- Working knowledge of clinical management techniques and tools
- Direct work experience in a cross-functional environment
- Proven experience in functional management including proven experience in delegating while fostering cohesive team dynamics
- Proven experience in planning, risk management and change management
- High level of integrity and must inspire and demand the highest standards from a professional and ethical perspective
- Ability to lead and inspire excellence within a team
- Ability to create an environment where employees have a sense of ownership that will lead to increases in productivity and efficiency
- Results oriented, accountable, motivated and flexible
- Excellent time management, negotiation, critical thinking, decision making, analytical and interpersonal skills
- Excellent presentation, verbal and written communications skills
- In depth proven experience in pharmaceutical and/or device research required
- Demonstrated successful independent negotiation and conflict management strategies
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Precision Medicine Group is an Equal Opportunity Employer. Employment decisions are made without regard to race, color, age, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status or other characteristics protected by law.
If you are an individual with a disability and require a reasonable accommodation to complete any part of the application process or are limited in the ability or unable to access or use this online application process and need an alternative method for applying, you may contact Precision Medicine Group at QuestionForHR@precisionmedicinegrp.com.
It has come to our attention that some individuals or organizations are reaching out to job seekers and posing as potential employers presenting enticing employment offers. We want to emphasize that these offers are not associated with our company and may be fraudulent in nature. Please note that our organization will not extend a job offer without prior communication with our recruiting team, hiring managers and a formal interview process.
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Get Access To All JobsTips for Finding H-1B Visa Sponsorship as a Senior Clinical Trial Manager
Align your degree to the role
USCIS evaluates whether your degree field directly relates to clinical trial management. A degree in life sciences, nursing, pharmacy, or public health maps cleanly. A business or unrelated degree needs a credential evaluation and a strong employer justification letter.
Target CROs with active LCA filings
Contract research organizations file LCAs for Senior CTM roles year-round, not just during cap season. Use the OFLC Wage Search to confirm a company has certified LCAs under SOC code 11-9121 before applying. Use Migrate Mate to filter employers by verified H-1B filing history.
Verify therapeutic area alignment before applying
Sponsors writing your specialty occupation letter will cite your therapeutic area expertise as core to the role. Mismatches between your trial experience and the sponsor's pipeline slow adjudication and invite RFEs. Target companies whose active trials match your documented protocol experience.
Request premium processing in your offer negotiation
USCIS offers premium processing for H-1B petitions, cutting the adjudication window to 15 business days. For Senior CTM roles, where trial start dates are fixed, ask the employer to include premium processing in the offer before countersigning.
Confirm the employer's prevailing wage tier before accepting
DOL assigns prevailing wages to Senior CTM roles by geography and experience level. The OFLC Wage Search shows Level III and Level IV wages for SOC 11-9121 in your metro. Your offered salary must meet or exceed the certified LCA wage, or USCIS will issue an RFE.
Document your clinical trial oversight record precisely
USCIS scrutinizes Senior CTM petitions for evidence you held budget authority, vendor oversight, and protocol deviation management, not just site monitoring. Collect performance reviews, org charts, and trial completion certificates that show scope of responsibility before your employer drafts the support letter.
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Find Senior Clinical Trial Manager JobsSenior Clinical Trial Manager H-1B Visa: Frequently Asked Questions
Does a Senior Clinical Trial Manager role qualify as an H-1B specialty occupation?
Yes. USCIS consistently classifies Senior Clinical Trial Manager as a specialty occupation because the role requires at least a bachelor's degree in a life sciences, nursing, pharmacy, or directly related field. O*NET lists the position under SOC code 11-9121 with a Job Zone 4 education requirement, which supports the specialty occupation argument in the I-129 petition.
Which employers sponsor H-1B visas for Senior Clinical Trial Manager roles?
Large contract research organizations, pharmaceutical companies, and academic medical centers are the most consistent H-1B sponsors for Senior CTM positions. You can identify employers with verified H-1B filing history for this role on Migrate Mate, which surfaces DOL Labor Condition Application data by occupation so you're only targeting companies that have already gone through the process.
Can I transfer my H-1B to a new clinical trial employer mid-study?
Yes, through H-1B portability under AC21. Your new employer files an I-129 transfer petition, and you can begin working as soon as USCIS receives it, without waiting for approval, provided your prior H-1B was approved and you've maintained valid status. The challenge for CTMs is trial continuity: your new employer's LCA must cover the same or a substantially similar role.
What happens to my H-1B if my sponsor terminates a trial and eliminates my position?
If your employer terminates you, your H-1B status ends and USCIS allows a 60-day grace period to find a new sponsor, change status, or depart. The employer is also obligated to pay your return transportation costs. Acting quickly matters: file an H-1B transfer petition with a new employer before the 60-day window closes to preserve your work authorization.
Does the H-1B cap apply to Senior Clinical Trial Manager positions at hospitals or universities?
Not always. Hospitals affiliated with a university or nonprofit research institution, and universities themselves, are cap-exempt under INA Section 214(g)(5). If a CRO or pharma company places you at a qualifying cap-exempt site, you may also qualify for cap-exempt status. Confirm the employer's cap status with USCIS guidance before assuming lottery exposure applies to your situation.
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