The CRA II performs independent on site and remote monitoring across assigned sites and studies within diagnostic clinical programs. This role manages site relationships with a high degree of autonomy, conducts rigorous source data verification (SDV) and source data review (SDR), and drives timely resolution of findings, queries, and protocol deviations. The CRA II is a dependable operational contributor who proactively identifies risks and escalates issues with appropriate recommendations, while maintaining inspection ready documentation.
Reports to: Sr. Manager, Clinical Site Operations
What You Will Do
Site Management and Monitoring
- Execute on-site and remote monitoring visits for assigned sites in accordance with the Clinical Monitoring Plan, ICH-GCP guidelines, and applicable regulations
- Conduct source data verification to confirm CRF data is accurate, complete, and consistent with source documents and the study protocol
- Manage day-to-day site relationships, driving enrollment momentum, query resolution, and overall site performance
- Proactively identify and document site-level risks, protocol deviations, and data trends, escalating issues to Clinical Trial Managers with recommended corrective actions
- Prepare and submit timely, high-quality monitoring visit reports that provide clear visibility into site health and compliance status
Regulatory and Document Management
- Oversee the collection, review, and maintenance of essential regulatory and study documents to ensure ongoing inspection readiness
- Evaluate and maintain investigator site files and the Trial Master File per sponsor SOPs and the TMF reference model, proactively resolving document gaps
- Support study start-up activities including site qualification, initiation visits, and regulatory document collection
- Contribute to study close-out activities including final monitoring visits, query resolution, and site-level documentation completion
Safety and Compliance
- Monitor subject safety throughout the study including timely review and assessment of adverse events and serious adverse events, escalating safety signals promptly per sponsor and regulatory requirements
- Develop, track, and confirm implementation of corrective and preventive action plans with sites following identification of protocol deviations or compliance issues, verifying effectiveness at subsequent monitoring contacts
Training and Mentorship
- Facilitate and support site staff training on protocol requirements, eClinical systems, and study-specific procedures at initiation and on an ongoing basis
- Mentor junior CRAs on monitoring standards, documentation practices, and site management techniques to support consistent execution across the team
Cross-functional Collaboration
- Collaborate with Clinical Trial Managers and cross-functional partners to provide site-level input into study planning, risk management, and operational decision-making
What You Bring
Required
- Bachelor's degree in a life sciences or health-related field or equivalent combination of education and experience
- 3 or more years of clinical monitoring experience including independent on-site and remote monitoring across multi-site studies
- Experience monitoring studies for diagnostics, IVD, or regulated medical device products with familiarity with FDA device regulatory pathways strongly valued
- Strong working knowledge of ICH-GCP E6(R2) guidelines, FDA regulations including 21 CFR Parts 11, 50, 54, 56, 312, and 812, and applicable local requirements governing clinical research
- Familiarity with risk-based monitoring frameworks and central monitoring methodologies
- Demonstrated ability to manage a site portfolio independently including enrollment tracking, query management, protocol deviation documentation, and escalation
- Proficiency with EDC systems including iMediNet, Medidata Rave, Oracle InForm, and Veeva Vault EDC, as well as CTMS and eTMF platforms including Veeva Vault TMF and Complion
- Proficiency in Microsoft Office Suite and Google Workspace
- Strong written and verbal communication skills with the ability to author clear monitoring visit reports and professional site correspondence
- Excellent organizational and time management skills with the ability to manage a high-volume site portfolio and meet deadlines
- Ability to exercise sound judgment and work independently in ambiguous or high-pressure situations
- Ability to travel up to 80% of the time including on short notice
- Valid driver's license required
Preferred
- ACRP or SoCRA certification
- Experience monitoring in infectious disease, microbiology, or molecular diagnostics studies
- Experience mentoring or training junior CRAs on monitoring practices and documentation standards
- Familiarity with laboratory-developed test and CLIA regulatory framework