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Alto Neuroscience is seeking an Associate Director, Clinical Operations to lead a hands-on team responsible for site management, monitoring, and trial execution in an in-house model. You will develop staff, plan workloads, and ensure quality and regulatory adherence across trials.
Location options include Mountain View, CA or remote in the US. The role requires extensive clinical operations experience and strong leadership capabilities in a growing biotech environment.
About Alto Neuroscience, Inc.At Alto Neuroscience, you will play a pivotal role in advancing precision psychiatry and improving how mental health disorders are treated. Join us in building the next generation of personalized neuroscience-based therapeutics.
The Associate Director, Clinical Operations provides line management and functional oversight for a team of clinical trial staff spanning Clinical Trial Associate (CTA), Clinical Research Associate (CRA), Clinical Trial Manager (CTM), and Clinical Project Manager (CPM) levels. Trials are run in-house rather than outsourced to a CRO, so this role and its team hold direct, hands‑on responsibility for site management, monitoring, and trial execution rather than oversight of a CRO's delivery. This role is responsible for staff development, workload/resource allocation across assigned studies or programs, and ensuring consistent quality and process adherence across the team, while individual contributors retain day-to-day accountability for their assigned trials.
Mountain View, CA or Remote (US)
$170,000 - $185,000*depending on qualifications and experience level
Travel required (approximately 25–30%)
Directly manages, coaches, and develops Clinical Operations staff across CTA, CRA, CTM, and CPM levels, including performance management, goal setting, career development, and workload allocation.
Bachelor's degree in life sciences, nursing, or related field (advanced degree a plus)
Required to sit for prolonged periods of time. Ability to travel domestically and internationally.
Alto Neuroscience is an equal‑opportunity employer that does not discriminate on the basis of sex, age, race, color, religion, marital status, sexual orientation, gender identity, pregnancy, disability, or any other characteristic protected by law. We offer a welcoming and inclusive environment in service to one another, our products, the diverse consumers we represent, and the communities we call home. We do all of this with kindness, empathy and respect for each other. The above is intended to describe the general content of and requirements for the performance of this job. It should not be construed as an exhaustive statement of duties, responsibilities or physical requirements.