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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Overview

Open Jobs33+
Top Visa TypeH-1B
Work Type73% On-site
Median Salary$144K
Top LocationRemote
Most JobsRegeneron

Showing 5 of 33+ Senior Clinical Trial Manager jobs

Precision Medicine Group
Clinical Trial Manager/Senior Clinical Trial Manager
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Precision Medicine Group
Added 1w ago
Clinical Trial Manager/Senior Clinical Trial Manager
Precision Medicine Group
North, South Carolina
Clinical Trials & Medical Research
Healthcare Administration
Project & Program Management
Clinical Trials
Project Management
$100,700/yr - $200,900/yr
On-Site
7+ yrs exp.
Bachelor's
1,001-5,000

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Parexel
Senior Clinical Trial Manager
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Parexel
Added 2w ago
Senior Clinical Trial Manager
Parexel
Washington, Washington DC
Clinical Trials & Medical Research
Healthcare Administration
Project & Program Management
Clinical Trials
Project Management
Remote (US)
5+ yrs exp.
Bachelor's
10,000+

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Exelixis
Senior Clinical Trials Manager
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Exelixis
Added 2mo ago
Senior Clinical Trials Manager
Exelixis
Alameda, California
Clinical Trials & Medical Research
Project & Program Management
Healthcare Administration
Clinical Trials
Project Management
$172,000/yr - $245,000/yr
On-Site
9+ yrs exp.
Bachelor's

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Artech, LLC
Sr. Clinical Trial Manager
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Artech, LLC
Added 1w ago
Sr. Clinical Trial Manager
Artech, LLC
San Francisco, California
Clinical Trials & Medical Research
Healthcare Administration
Project & Program Management
Clinical Trials
Project Management
Not listed
On-Site
Associate's

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Syneos Health
Sr Clinical Trial Manager
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Syneos Health
Added 2mo ago
Sr Clinical Trial Manager
Syneos Health
Morrisville, North Carolina
Clinical Trials & Medical Research
Healthcare Administration
Project & Program Management
Clinical Trials
Project Management
On-Site
7+ yrs exp.
Bachelor's

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Tips 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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Senior 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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