Clinical Trial Manager Jobs in USA with Visa Sponsorship
Clinical Trial Managers are in high demand across U.S. biotech, pharma, and CROs, and most employers in this space have established H-1B visa and E-3 visa sponsorship pipelines. A master's degree or bachelor's in life sciences with several years of CRA experience is the typical qualifying profile. For detailed occupation requirements, see the O*NET profile.
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INTRODUCTION
Syneos Health® is a leading fully-integrated life sciences services organization built to accelerate customer success. We partner with innovators at every point across the drug development and commercialization continuum, helping them navigate complexity, anticipate change and accelerate progress.
Our Clinical Solutions team members act with a drug development mindset, applying their years of experience and deep expertise to truly understand customer needs and represent those in the solutions we shape.
Whether you join us in a Functional Service Provider partnership or a Full-Service environment, you’ll collaborate with passionate problem solvers, innovating as a team to help our customers achieve their goals. We are agile and driven to deliver – for one another, our customers, and, most importantly, for those in need.
Discover what your 25,000 future colleagues already know:
Why Syneos Health
- We are passionate about developing our people, through career development and progression; supportive and engaged line management; technical and therapeutic area training; peer recognition and total rewards program.
- We are committed to building an inclusive culture – where you can authentically be yourself. Central to this is our purpose – Driven to Deliver – which captures the passion of our colleagues to show up each day and shape solutions that have the ability to dramatically impact someone’s life.
- We are continuously building the company we all want to work for and our customers want to work with. Why? Because we know that when we bring together smart colleagues from across the world, we can shape the future of healthcare, driving impact for customers and defining the pace of patient progress.
CLINICAL TRIAL MANAGER (CTM) – US/ Remote
Lead Global Clinical Trials | Drive Innovation | Advance Patient Impact
At Syneos Health, we bring together clinical development and commercialization expertise to help our customers accelerate the delivery of life-changing therapies. By integrating clinical operations, medical affairs, and commercial insights, we create smarter, faster development pathways—always with patients at the center.
We’re expanding our Clinical Operations team and are seeking Clinical Trial Managers (CTMs) who are passionate about operational excellence, collaborative leadership, and delivering high-quality global clinical trials.
THE ROLE:
As a Clinical Trial Manager, you will serve as the operational leader for one or more clinical trials, owning execution from study start-up through closeout. You’ll work within a dynamic, matrixed environment—partnering closely with cross-functional teams, sponsors, and sites to ensure timely, compliant, and high-quality trial delivery.
This is an opportunity to lead complex studies, influence outcomes, and play a key role in advancing innovative therapies to patients worldwide.
WHAT YOU WILL DO:
- Lead end-to-end clinical trial execution, ensuring delivery against timelines, quality standards, and budget
- Provide operational oversight of site management and monitoring activities, including on-site and centralized monitoring
- Identify, assess, and proactively mitigate clinical and operational risks using a risk-based management approach (RACT)
- Serve as the primary escalation point for CRAs, investigative sites, and cross-functional stakeholders
- Partner closely with Study Start-Up, Data Management, Biostatistics, Safety, and Patient Recruitment teams to drive milestone achievement
- Leverage integrated systems and data (CTMS, EDC, ePRO, TMF, dashboards) to monitor performance, trends, and risk indicators
- Ensure ongoing inspection readiness and compliance with ICH-GCP, SOPs, and global regulatory requirements
- Lead study-specific training and foster alignment across the clinical trial team
- Review metrics and operational data to anticipate challenges and implement timely solutions
- Mentor and support CRAs, contributing to a culture of accountability, continuous improvement, and collaboration
WHO YOU ARE:
Required
- Hands-on Clinical Research Associate (CRA) experience, including on-site monitoring (not remote-only)
- 2+ years of experience as a Clinical Trial Manager, preferably within a CRO environment
- Strong understanding of global clinical trial operations and site management
Preferred Strengths
- Demonstrated success leading cross-functional, global clinical teams
- Solid experience with risk-based monitoring and centralized oversight models
- Deep knowledge of ICH-GCP and international regulatory requirements
- Strong analytical, critical-thinking, and problem-solving capabilities
- Confident communicator with the ability to navigate complex stakeholder and sponsor environments
- Comfortable working in a global, matrixed organization
- Proficiency with clinical trial systems (CTMS, EDC, ePRO, TMF)
- Experience in oncology and/or ophthalmology is a strong asset
WHY SYNEOS HEALTH?
- Be part of a global, innovative organization with a strong and diverse pipeline of clinical programs
- Lead high-impact, complex trials across multiple therapeutic areas
- Work in a collaborative, inclusive environment where your expertise and perspective matter
- Gain exposure to a wide range of sponsors—from emerging biotech to top global pharmaceutical companies
- Access clear pathways for career growth, leadership development, and continuous learning
Salary Range: $132,000 - $178,000 USD
At Syneos Health, we believe in providing an environment and culture in which Our People can thrive, develop and advance. We reward and recognize our people by providing valuable benefits and a quality-of-life balance. The benefits for this position may include a company car or car allowance, Health benefits to include Medical, Dental and Vision, Company match 401k, eligibility to participate in Employee Stock Purchase Plan, Eligibility to earn commissions/bonus based on company and individual performance, and flexible paid time off (PTO) and sick time. Because certain states and municipalities have regulated paid sick time requirements, eligibility for paid sick time may vary depending on where you work. Syneos complies with all applicable federal, state, and municipal paid sick time requirements.
The base salary range represents the anticipated low and high of the Syneos Health range for this position. Actual salary will vary based on various factors such as the candidate’s qualifications, skills, competencies, and proficiency for the role.
ADDITIONAL INFORMATION
Tasks, duties, and responsibilities as listed in this job description are not exhaustive. The Company, at its sole discretion and with no prior notice, may assign other tasks, duties, and job responsibilities. Equivalent experience, skills, and/or education will also be considered so qualifications of incumbents may differ from those listed in the Job Description. The Company, at its sole discretion, will determine what constitutes as equivalent to the qualifications described above. Further, nothing contained herein should be construed to create an employment contract. Occasionally, required skills/experiences for jobs are expressed in brief terms. Any language contained herein is intended to fully comply with all obligations imposed by the legislation of each country in which it operates, including the implementation of the EU Equality Directive, in relation to the recruitment and employment of its employees. The Company is committed to compliance with the Americans with Disabilities Act, including the provision of reasonable accommodations, when appropriate, to assist employees or applicants to perform the essential functions of the job.

INTRODUCTION
Syneos Health® is a leading fully-integrated life sciences services organization built to accelerate customer success. We partner with innovators at every point across the drug development and commercialization continuum, helping them navigate complexity, anticipate change and accelerate progress.
Our Clinical Solutions team members act with a drug development mindset, applying their years of experience and deep expertise to truly understand customer needs and represent those in the solutions we shape.
Whether you join us in a Functional Service Provider partnership or a Full-Service environment, you’ll collaborate with passionate problem solvers, innovating as a team to help our customers achieve their goals. We are agile and driven to deliver – for one another, our customers, and, most importantly, for those in need.
Discover what your 25,000 future colleagues already know:
Why Syneos Health
- We are passionate about developing our people, through career development and progression; supportive and engaged line management; technical and therapeutic area training; peer recognition and total rewards program.
- We are committed to building an inclusive culture – where you can authentically be yourself. Central to this is our purpose – Driven to Deliver – which captures the passion of our colleagues to show up each day and shape solutions that have the ability to dramatically impact someone’s life.
- We are continuously building the company we all want to work for and our customers want to work with. Why? Because we know that when we bring together smart colleagues from across the world, we can shape the future of healthcare, driving impact for customers and defining the pace of patient progress.
CLINICAL TRIAL MANAGER (CTM) – US/ Remote
Lead Global Clinical Trials | Drive Innovation | Advance Patient Impact
At Syneos Health, we bring together clinical development and commercialization expertise to help our customers accelerate the delivery of life-changing therapies. By integrating clinical operations, medical affairs, and commercial insights, we create smarter, faster development pathways—always with patients at the center.
We’re expanding our Clinical Operations team and are seeking Clinical Trial Managers (CTMs) who are passionate about operational excellence, collaborative leadership, and delivering high-quality global clinical trials.
THE ROLE:
As a Clinical Trial Manager, you will serve as the operational leader for one or more clinical trials, owning execution from study start-up through closeout. You’ll work within a dynamic, matrixed environment—partnering closely with cross-functional teams, sponsors, and sites to ensure timely, compliant, and high-quality trial delivery.
This is an opportunity to lead complex studies, influence outcomes, and play a key role in advancing innovative therapies to patients worldwide.
WHAT YOU WILL DO:
- Lead end-to-end clinical trial execution, ensuring delivery against timelines, quality standards, and budget
- Provide operational oversight of site management and monitoring activities, including on-site and centralized monitoring
- Identify, assess, and proactively mitigate clinical and operational risks using a risk-based management approach (RACT)
- Serve as the primary escalation point for CRAs, investigative sites, and cross-functional stakeholders
- Partner closely with Study Start-Up, Data Management, Biostatistics, Safety, and Patient Recruitment teams to drive milestone achievement
- Leverage integrated systems and data (CTMS, EDC, ePRO, TMF, dashboards) to monitor performance, trends, and risk indicators
- Ensure ongoing inspection readiness and compliance with ICH-GCP, SOPs, and global regulatory requirements
- Lead study-specific training and foster alignment across the clinical trial team
- Review metrics and operational data to anticipate challenges and implement timely solutions
- Mentor and support CRAs, contributing to a culture of accountability, continuous improvement, and collaboration
WHO YOU ARE:
Required
- Hands-on Clinical Research Associate (CRA) experience, including on-site monitoring (not remote-only)
- 2+ years of experience as a Clinical Trial Manager, preferably within a CRO environment
- Strong understanding of global clinical trial operations and site management
Preferred Strengths
- Demonstrated success leading cross-functional, global clinical teams
- Solid experience with risk-based monitoring and centralized oversight models
- Deep knowledge of ICH-GCP and international regulatory requirements
- Strong analytical, critical-thinking, and problem-solving capabilities
- Confident communicator with the ability to navigate complex stakeholder and sponsor environments
- Comfortable working in a global, matrixed organization
- Proficiency with clinical trial systems (CTMS, EDC, ePRO, TMF)
- Experience in oncology and/or ophthalmology is a strong asset
WHY SYNEOS HEALTH?
- Be part of a global, innovative organization with a strong and diverse pipeline of clinical programs
- Lead high-impact, complex trials across multiple therapeutic areas
- Work in a collaborative, inclusive environment where your expertise and perspective matter
- Gain exposure to a wide range of sponsors—from emerging biotech to top global pharmaceutical companies
- Access clear pathways for career growth, leadership development, and continuous learning
Salary Range: $132,000 - $178,000 USD
At Syneos Health, we believe in providing an environment and culture in which Our People can thrive, develop and advance. We reward and recognize our people by providing valuable benefits and a quality-of-life balance. The benefits for this position may include a company car or car allowance, Health benefits to include Medical, Dental and Vision, Company match 401k, eligibility to participate in Employee Stock Purchase Plan, Eligibility to earn commissions/bonus based on company and individual performance, and flexible paid time off (PTO) and sick time. Because certain states and municipalities have regulated paid sick time requirements, eligibility for paid sick time may vary depending on where you work. Syneos complies with all applicable federal, state, and municipal paid sick time requirements.
The base salary range represents the anticipated low and high of the Syneos Health range for this position. Actual salary will vary based on various factors such as the candidate’s qualifications, skills, competencies, and proficiency for the role.
ADDITIONAL INFORMATION
Tasks, duties, and responsibilities as listed in this job description are not exhaustive. The Company, at its sole discretion and with no prior notice, may assign other tasks, duties, and job responsibilities. Equivalent experience, skills, and/or education will also be considered so qualifications of incumbents may differ from those listed in the Job Description. The Company, at its sole discretion, will determine what constitutes as equivalent to the qualifications described above. Further, nothing contained herein should be construed to create an employment contract. Occasionally, required skills/experiences for jobs are expressed in brief terms. Any language contained herein is intended to fully comply with all obligations imposed by the legislation of each country in which it operates, including the implementation of the EU Equality Directive, in relation to the recruitment and employment of its employees. The Company is committed to compliance with the Americans with Disabilities Act, including the provision of reasonable accommodations, when appropriate, to assist employees or applicants to perform the essential functions of the job.
See all 324+ Clinical Trial Manager jobs
Sign up for free to unlock all listings, filter by visa type, and get alerts for new Clinical Trial Manager roles.
Get Access To All JobsTips for Finding Visa Sponsorship as a Clinical Trial Manager
Target CROs and large pharma first
Contract research organizations like ICON, Syneos, and Medpace file H-1B petitions at scale every year. Their established legal infrastructure makes sponsorship smoother and faster than pursuing smaller biotech startups with no prior sponsorship history.
Confirm your degree field matches the role
USCIS treats CTM roles as specialty occupations requiring a degree in life sciences, nursing, pharmacy, or a closely related field. A general business or unrelated science degree may not satisfy the specialty occupation requirement without additional documentation.
Get your GCP and ICH certifications current
Good Clinical Practice certification is a baseline expectation for CTM roles in the U.S. Having current, verifiable GCP training signals readiness to start quickly and reduces employer hesitation around the time and cost of sponsorship.
Raise sponsorship after demonstrating therapeutic fit
Employers weigh therapeutic area experience heavily for CTM roles. Leading with your oncology, neurology, or rare disease background before the sponsorship conversation shifts the focus to your value, making cost and visa complexity feel secondary.
Understand the LCA wage requirement upfront
Every H-1B petition requires a Labor Condition Application certifying the offered wage meets the prevailing wage for the role and location. Knowing this process reassures employers that sponsorship has clear legal guardrails and is not an open-ended financial commitment.
Use Migrate Mate to find sponsorship-open roles
Most job postings don't advertise visa sponsorship directly. Migrate Mate filters specifically for employers willing to sponsor, so you're not wasting applications on companies that won't engage with international candidates at the offer stage.
Clinical Trial Manager jobs are hiring across the US. Find yours.
Find Clinical Trial Manager JobsFrequently Asked Questions
Do Clinical Trial Manager roles typically qualify for H-1B sponsorship?
Yes. CTM positions qualify as specialty occupations under the H-1B because they require at minimum a bachelor's degree in a specific field such as life sciences, pharmacy, or nursing. USCIS has consistently approved H-1B petitions for this title, particularly when the job description includes protocol oversight, site management, and clinical data responsibilities tied to a relevant degree.
What degree do I need for an employer to sponsor my visa as a CTM?
A bachelor's degree in life sciences, nursing, pharmacy, public health, or a closely related field is the baseline. Many employers and USCIS adjudicators look for degrees in biology, biochemistry, or clinical research specifically. A degree in a loosely related field may require a credential evaluation or supporting documentation to establish the degree-to-job connection required for specialty occupation approval.
Are Australian Clinical Trial Managers eligible for the E-3 visa?
Yes. Australian citizens with a qualifying degree and a U.S. employer willing to file a Labor Condition Application can apply for the E-3 visa, which has no annual lottery. CTM roles meet the specialty occupation standard the E-3 requires. The E-3 is issued in two-year increments and can be renewed indefinitely, making it a stable long-term option for Australians working in clinical operations.
How competitive is it to get H-1B sponsorship as a Clinical Trial Manager?
CTMs with three or more years of CRA or site management experience and a relevant life sciences degree are competitive candidates for sponsorship. CROs and mid-to-large pharma companies sponsor H-1B workers regularly for this role. The main constraint is the annual H-1B lottery, not employer willingness. Australians can sidestep the lottery entirely with the E-3 visa. Browse open roles on Migrate Mate to see which employers are actively sponsoring.
Can I transfer my H-1B to a new CTM employer mid-study?
Yes. H-1B portability allows you to change employers once your new employer files a transfer petition, even before it's approved, as long as your current H-1B was properly approved and you've maintained valid status. For CTMs mid-trial, timing matters since your name may be on regulatory documents. Coordinate with both employers and an immigration attorney before making the move.
What is the prevailing wage requirement for sponsored Clinical Trial Manager jobs?
U.S. employers sponsoring a visa must pay at least the prevailing wage, which is what workers in the same role, area, and experience level typically earn. The Department of Labor sets this rate to make sure companies aren't hiring foreign workers simply because they'd accept lower pay than a U.S. worker. It varies by job title, location, and experience. You can look up current prevailing wage rates for any occupation and location using the OFLC Wage Search page.
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