Remote Source

    Leader of Clinical Monitoring (Digital & AI Transformation Focus)

    USA - Remote
    Full-Time
    Mid (3-6 yrs)
    Legal & Compliance
    Leadership
    Posted on May 15, 2026

    Medable's mission is to get effective therapies to patients faster. We provide an end-to-end, agentic clinical trial platform with a flexible suite of tools that allows patients, healthcare providers, clinical research organizations and pharmaceutical sponsors to work together as a team in clinical trials. Our solutions enable more efficient clinical research, more effective healthcare delivery, and more accurate precision and predictive medicine. Our target audiences are patients, providers, principal investigators, and innovators who work in healthcare and life sciences.

    Our vision is to accelerate the path to human discovery and medical cures. We are passionate about driving innovation and empowering consumers. We are proactive, collaborative, self-motivated learners, committed, bold and tenacious. We are dedicated to making this world a healthier place.

    1. Responsibilities

    Strategic Leadership & Transformation

    Define and implement a global clinical monitoring strategy fully leveraging agentic

    platform solutions, aligned with 1:1:1 goals and regulatory requirements.

    Build a global team of highly skilled CRA’s and lead the transition from traditional

    monitoring to agentic powered monitoring models, including the redefinition of roles,

    responsibilities, operating framework and accountabilities.

    Champion the integration of AI-driven tools and digital agents to modernize monitoring

    workflows.

    Establish a long-term roadmap for scalable, agentic clinical monitoring operations

    delivering maximised ROI and scale.

    AI & Digital Enablement

    Build and deploy an agent powered monitoring workforce to optimise monitoring

    outcomes and service delivery.

    Leveraging our production agents, deliver end to end monitoring services optimised for

    autonomous activity with human-in-the-loop services

    Ensure ethical, GxP compliant, and trustworthy use of AI in clinical operations publishing

    evidence and key success criteria as well as iterative embedding of learnings and best

    practices.

    Operational Excellence & Productivity

    Optimize monitoring resource allocation using data-driven approaches to deliver target

    margins, revenue and SLA’s.

    Realise enhanced CRA (Clinical Research Associate) productivity through optimised

    automation and agentic workforce augmentation.

    Standardize processes globally while allowing flexibility for regional regulatory

    differences.

    Develop KPIs and dashboards to track efficiency, quality, and cycle times.

    Quality & Compliance

    Ensure all monitoring activities comply with GCP, GxP, global regulatory guidelines,

    developing and adapting operating SOPs and a quality framework

    Implement AI-powered quality surveillance to proactively identify and mitigate risks.

    Maintain audit readiness and support regulatory inspections.

    Drive continuous improvement initiatives based on quality metrics and insights.

    Global Team Leadership

    Lead and develop a high-performing global team of new era clinical monitoring

    professionals.

    Build capabilities in digital literacy, data interpretation, and AI collaboration.

    Foster a culture of innovation, accountability, and continuous learning.

    Collaborate cross-functionally with Clinical Operations, Data Management, Biostatistics,

    and IT.

    Stakeholder Engagement

    Serve as a key interface with executive leadership on clinical operations performance

    and innovation.

    Inspirate and collaborate with external partners, Sponsors, CROs, and sites to scale

    digital adoption.

    Represent the organization in industry forums on AI in clinical trials.

    Other duties as assigned.

    2. Experience

    15+ years of experience in clinical operations, including significant leadership in

    monitoring, or a combination of education and experience.

    Proven experience implementing risk-based monitoring and centralized monitoring

    models and change management leading to adoption and ROI.

    Demonstrated exposure to digital transformation or AI-driven initiatives in clinical trials.

    3. Skills

    Deep understanding of GCP, regulatory requirements, and clinical trial processes.

    Strong knowledge of AI technologies in clinical research.

    Strategic thinking with the ability to translate vision into execution.

    Data-driven decision-making and analytical mindset.

    Exceptional leadership, communication, and stakeholder management skills.

    Business function leadership to create and execute a profitable business model with

    accountability for revenue and gross margin achievement.

    Change management expertise in global, matrixed organizations.

    4. Education, Certifications, Licenses

    Advanced degree in Life Sciences, Medicine, Pharmacy, or related field.

    5. Travel Requirements

    As required.

    At Medable, we believe that our team of Medaballers is our greatest asset. That is why we are committed to your personal and professional well-being. Our rewards are more than just benefits - they demonstrate our commitment to providing an inclusive, healthy and rewarding experience for all our team members.

    Flexible Work

    • Remote from the start, we believe in a flexible employee experience

    Compensation

    • Competitive base salaries

    • Annual performance-based bonus

    • Stock options for employees, aligning personal achievements to Medable's success

    Health and Wellness

    • Comprehensive medical, dental, and vision insurance coverage

    • Carrot Fertility Program

    • Health Saving Accounts (HSA) and Flexible Spending Accounts (FSA)

    • Wellness program (Mental, Physical and Financial) 

    Recognition

    • Peer-to-peer recognition program, celebrating achievements and milestones

    Community Involvement

    • Volunteer time off to support causes you care about

    Medable is committed to providing reasonable accommodations for qualified individuals with disabilities in our job application procedures. If you need assistance or would like to request an accommodation due to a disability, please contact us at hr@medable.com.

    Apply for this position

    Company:  Medable

    Provides an end-to-end global cloud platform for decentralized clinical trials connecting patients to therapies faster.
    ✅ Remote-First Company
    501-1000 employees
    Healthcare & Life Sciences
    HQ: United States