Job Purpose
We are looking for a Senior Manager Clinical Development Onco to:

Provide comprehensive medical and scientific leadership to the design, set-up, execution and conduct of planned and ongoing clinical trials, from protocol development to study closure and Regulatory submission.

Support program and portfolio goals; may participate in the preparation of the Clinical Development Plans, based on the strategy agreed with the cross-functional Team.

Ensure that development strategies, trial designs, and execution plans are scientifically sound, operationally practical, and compliant with GCP standards and Regulatory expectations.

Act as clinical/medical contact for HAs, IRBs, ECs for any aspect related to the implementation and conduct of clinical trials.

Establish and maintain excellent partnership with the medical/scientific community and Key Opinion Leaders, as well as with Patient Associations.

Collaborate effectively with Clinical Pharmacology, Clinical Operations and Biostatistics to inform protocol design, amendments, and Regulatory interactions.

Provide medical/clinical support to the Business Development Team.

Key Responsibilities

Act as the medical expert to ensure that clinical trial designs, endpoints, and assessments are fit-for-purpose in rare disease settings, scientifically rigorous, and operationally feasible.

Lead the clinical components of key clinical trial documents, including clinical trial protocols and amendments, Investigator's Brochures and updates, Informed Consent Forms, Medical Monitoring Plans, Safety Monitoring Plans, and statistical analysis plans.

Act as Medical Monitor to ensure continuous evaluation of clinical and safety data; provide medical support to investigators and CROs.

Maintain end-to-end medical oversight of trial execution in close partnership with internal functions and external stakeholders.

Ensure that the necessary regulatory, safety and data evaluation requirements are met in conjunction with the Regulatory and Pharmacovigilance Departments.





Act as primary contact for any study related medical/clinical questions and manage the preparation of responses to requests of Regulatory Authorities.

Provide scientific leadership during engagement with external experts and stakeholders, including investigators, key opinion leaders, advisory boards, and patient advocacy groups.

Contribute to Regulatory interactions, including preparation of clinical sections and participation to meetings as a medical expert.

May contribute to the preparation and the execution of clinical development plans in line with Company strategies and objectives.

Support Business Development and Licensing activities.

Maintain close relationship/provide clinical and medical support to Clinical Operation Team to ensure smooth and effective study setup and management.

Support Clinical Operations to identify high quality investigators and study sites for the conduct of clinical studies.

In cooperation with the Safety Leads, ensure that any important safety issues are discussed and handled with appropriate departments.

Work closely with Biostatistics/Data Management team to ensure Data Analysis and interpretation of data.

Collaborate with Clinical Pharmacology to interpret and contextualize pharmacokinetic and pharmacodynamic data.

Support preparation and finalistion of clinical study reports.

Support preparation of study related communication plans/ publications

Establish and maintain excellent professional relationships between the company and Key Opinion Leaders (KOL) and the broader medico-scientific community.





Support discussions related to potential investigator-initiated trials and relevance to Company portfolio and objectives.

Required Education

Medical Doctor Degree

Board Certification in Oncology/Haematology/Immunology will be considered a plus

Required Skills and Experience

At least 3 yrs clinical experience (trial experience desirable)

At least 5 yrs in the pharmaceutical/biotech industry

At least 3 yrs in a clinical development role, with direct medical monitor responsibility for clinical trials

Experience with Regulatory interactions and submissions

Experience within onco-haematology/immunology therapeutic areas and with rare diseases

Technical Competencies

Knowledge of clinical trial methodology, including trial set-up and conduct, protocol development, medical monitoring, review and interpretation of clinical data

Sound knowledge of GCP

Knowledge of Regulatory frameworks

Familiarity with fundamental clinical pharmacology and pharmacokinetic principles as applied to Oncology drug development (e.g., dose selection, exposure–safety relationships, and interpretation of PK outputs)

Ability to critically evaluate external assets and contribute to scientific and clinical due diligence for business development and portfolio expansion activities

Ability to interpret and communicate complex clinical and scientific data

Advanced communication skills with ability to interact with internal and external stakeholders

Ability to manage multiple tasks and respond to rapidly changing priorities

Required Behaviours and Competencies

Strong medical and scientific leadership, with the ability to influence and align diverse stakeholders

Strategic thinking combined with a hands‑on, accountable approach to program delivery

High level of scientific integrity, decision‑making rigour, and attention to detail

Collaborative mindset with the ability to operate effectively in a global matrix organization

Required Languages

Fluency in spoken and written English

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📌 Senior Manager Clinical Development Onco (Milano)
🏢 Altro
📍 Milano