At Emerald Clinical Trials , we are a global, full-service Contract Research Organization (CRO) with a rich heritage in the Asia-Pacific region. We are dedicated to advancing clinical research through scientific expertise and operational excellence, supporting biopharmaceutical, medical device, and diagnostic customers across all trial phases, from registration to post-marketing.

Our therapeutic expertise spans renal , cardiometabolic , and oncology - areas where we make a significant impact on improving global health.

At the heart of our success is our ability to combine global reach with local knowledge. Our on-the-ground teams work closely with local communities, building trust and ensuring diverse, representative patient recruitment. By prioritizing people, we deliver better engagement, more accurate data, and faster results - bringing therapies to patients in need.

About The Role
We are seeking an experienced Manager, Study Start Up to lead and scale our centralised study start-up function across the globe. This is a critical leadership role responsible for delivering efficient, high-quality start-up activities across multiple clinical trials while driving strategic improvements and operational excellence.

As the centralised start-up team continues to grow, this role will provide dedicated leadership, ensuring strong line management, clear strategy, and consistent best practices across all start-up activities. You will play a key role in supporting business development efforts, contributing to proposals, and ensuring that start-up capabilities align with client expectations and organisational growth objectives.

This position is instrumental in improving operational efficiency, enabling billable teams to remain focused on study execution, and ultimately enhancing client satisfaction and delivery performance.

Your Responsibilities

Provide line management and leadership to the global start-up team, including coaching,



development, and performance management

Define and implement the overall start-up strategy, ensuring alignment with global objectives and regional needs

Oversee end-to-end study start-up activities, including country/site feasibility, submissions, ethic approvals, and activation timelines

Drive process optimisation and best practices to increase efficiency, consistency, and quality across all start-up deliverables

Collaborate with Business Development and Proposals teams to support bid defenses, feasibility input, and strategic study planning

Act as a key stakeholder in client engagement, ensuring start-up expectations are clearly defined and met

Monitor and report on start-up KPIs, timelines, and risks, implementing mitigation strategies as needed

Partner cross-functionally with Clinical Operations, Regulatory Affairs, Project Management, and external vendors

Support business growth initiatives by ensuring scalable and high-performing start-up operations

Ensure compliance with ICH-GCP, regulatory requirements, and company SOPs

Champion a culture of continuous improvement, collaboration, and accountability

About You
To be successful in this role, you will have:

Degree in a science, healthcare, or related discipline

Extensive experience in clinical trial start-up within a CRO or pharmaceutical environment

Proven leadership experience, including line management of remote and global teams

Strong understanding of European clinical trial regulations and start-up processes





Experience contributing to proposals, feasibility assessments, and business development activities

Demonstrated ability to drive strategic initiatives and process improvements

Excellent communication and stakeholder management skills, with the ability to influence at all levels

Strong organisational and problem‑solving capabilities in a fast‑paced environment

Proficiency with clinical systems and Microsoft Office tools

Willingness to travel up to 10%

Why Join Us?
At our core, Emerald Clinical Trials is committed to transforming clinical research by putting people first - both patients and our employees. By joining our team, you’ll be part of a global network of passionate professionals working together to deliver better research and outcomes for millions worldwide.

Here’s What Makes Us Stand Out

Purpose‑Driven Work: Contribute to clinical trials that genuinely improve lives, with a focus on therapies in renal, cardiometabolic, and oncology.

Global Reach, Local Expertise: Our teams connect with local communities, building trust and meaningful engagement for every trial.

Collaboration and Innovation: Work in a culture that values diverse perspectives and creative solutions to solve global health challenges.

What We Offer

Competitive Compensation: A tailored salary and benefits package reflecting your experience and expertise

Flexibility: Hybrid or remote working options depending on your location

Career Growth: Access to global development opportunities and exposure to leading scientific experts

Employee Wellbeing: Programs designed to support work‑life balance, recognition, and team connection

Global Opportunities: Work on international studies with diverse clients and teams

We are an equal‑opportunity employer and encourage applications from all qualified candidates.

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📌 Manager, Study Start Up (Roma)
🏢 Altro
📍 Roma