Syneos Health® is a leading fully-integrated life sciences services organization built to accelerate customer success. We partner with innovators at every point across the drug development and commercialization continuum, helping them navigate complexity, anticipate change and accelerate progress.
Our Clinical Solutions team members act with a drug development mindset, applying their years of experience and deep expertise to truly understand customer needs and represent those in the solutions we shape.
Whether you join us in a Functional Service Provider partnership or a Full-Service environment, you’ll collaborate with passionate problem solvers, innovating as a team to help our customers achieve their goals. We are agile and driven to deliver – for one another, our customers, and, most importantly, for those in need.
Discover what your 25,000 future colleagues already know:
Why Syneos Health
• We are passionate about developing our people, through career development and progression; supportive and engaged line management; technical and therapeutic area training; peer recognition and total rewards program.
• We are committed to building an inclusive culture – where you can authentically be yourself. Central to this is our purpose – Driven to Deliver – which captures the passion of our colleagues to show up each day and shape solutions that have the ability to dramatically impact someone’s life.
• We are continuously building the company we all want to work for and our customers want to work with. Why? Because we know that when we bring together smart colleagues from across the world, we can shape the future of healthcare, driving impact for customers and defining the pace of patient progress.
Job Responsibilities
Location: Remote (U.S.)
We are seeking an experienced RTSM/eCOA Manager to join a sponsor-dedicated clinical development team supporting a diverse portfolio of clinical trials. This fully remote role will provide end-to-end leadership for Randomization and Trial Supply Management (RTSM/IRT) and eCOA systems, serving as the primary subject matter expert and operational lead across study teams, Clinical Operations, and external vendors.
The successful candidate will bring deep RTSM/IRT expertise, hands-on system build experience, strong User Acceptance Testing (UAT) leadership, and a passion for driving quality, compliance, and continuous improvement in a regulated clinical research environment.
Key ResponsibilitiesRTSM/IRT/eCOA Management- Lead the design, development, configuration, implementation, and lifecycle management of RTSM/IRT and eCOA systems.
- Partner with Clinical Operations and cross-functional study teams to gather requirements and ensure alignment on scope, timelines, and deliverables.
- Serve as the primary RTSM subject matter expert throughout the study lifecycle.
- Develop and maintain User Requirement Specifications (URS), system design documentation, and related study documentation.
- Oversee vendor deliverables and ensure quality, accuracy, and timely execution.
- Lead User Acceptance Testing (UAT) activities, including test strategy, script execution, defect management, and documentation review.
- Ensure completion, review, approval, and filing of validation and testing documentation in accordance with quality standards.
- Investigate and resolve system issues, defects, and deviations in partnership with vendors and internal stakeholders.
- Manage change controls and emergency system updates.
- Ensure RTSM systems, processes, and documentation comply with SOPs, GxP requirements, and applicable regulations.
- Support inspection readiness and audit preparedness activities.
- Act as the primary liaison between study teams, RTSM/eCOA vendors, and internal functional groups.
- Manage vendor relationships, performance, timelines, risks, and issue escalation.
- Facilitate communication and alignment across Clinical Operations, Quality, Data Management, and other stakeholders.
- Develop and implement standardized RTSM processes and best practices.
- Document end-to-end workflows and associated procedural guidance.
- Identify process gaps and drive continuous improvement initiatives.
- Manage RTSM user access requests, modifications, removals, and periodic access reviews.
- Develop role-based RTSM training curricula and materials.
- Ensure training programs align with system functionality, operational processes, and regulatory expectations.
- Bachelor's degree (BA/BS) required.
- Minimum of 5 years of clinical trial operations experience within a pharmaceutical, biotechnology, or CRO environment.
- Minimum of 2-3 years of direct RTSM/IRT experience, including management of system builds and study updates.
- Strong knowledge of RTSM/IRT (IVRS/IWRS) and eCOA platforms.
- Proven experience leading User Acceptance Testing (UAT) and validation activities.
- Hands-on experience working with RTSM/IRT/eCOA vendors and managing vendor deliverables.
- Project management experience supporting complex, cross-functional clinical studies or programs.
- Experience with testing, validation, and issue-tracking tools.
- Strong problem-solving and root-cause analysis skills.
- Excellent communication, stakeholder management, negotiation, and organizational abilities.
- Ability to work independently in a fast-paced, matrixed environment.
- Experience operating at a Project Manager II level within a CRO or sponsor organization (e.g., Syneos PM II equivalent).
- Experience supporting multiple global studies simultaneously.
- Knowledge of FDA, ICH-GCP, and GxP regulations.
- Fully remote opportunity.
- Dedicated support of a leading sponsor organization.
- High visibility role with cross-functional collaboration.
- Opportunity to influence RTSM strategy, processes, and operational excellence across a growing clinical portfolio.
Compensation: $121,000 - $127,000 annually, based on experience and qualifications.
At Syneos Health, we believe in providing an environment and culture in which Our People can thrive, develop and advance. We reward and recognize our people by providing valuable benefits and a quality-of-life balance. The benefits for this position may include a company car or car allowance, Health benefits to include Medical, Dental and Vision, Company match 401k, eligibility to participate in Employee Stock Purchase Plan, Eligibility to earn commissions/bonus based on company and individual performance, and flexible paid time off (PTO) and sick time. Because certain states and municipalities have regulated paid sick time requirements, eligibility for paid sick time may vary depending on where you work. Syneos complies with all applicable federal, state, and municipal paid sick time requirements.
Salary Range:
$95,000.00 - $175,700.00The base salary range represents the anticipated low and high of the Syneos Health range for this position. Actual salary will vary based on various factors such as the candidate’s qualifications, skills, competencies, and proficiency for the role.
Get to know Syneos Health
Over the past 5 years, we have worked with 94% of all Novel FDA Approved Drugs, 95% of EMA Authorized Products and over 200 Studies across 73,000 Sites and 675,000+ Trial patients.
No matter what your role is, you’ll take the initiative and challenge the status quo with us in a highly competitive and ever-changing environment. Learn more about Syneos Health.
http://www.syneoshealth.com
Additional Information
Tasks, duties, and responsibilities as listed in this job description are not exhaustive. The Company, at its sole discretion and with no prior notice, may assign other tasks, duties, and job responsibilities. Equivalent experience, skills, and/or education will also be considered so qualifications of incumbents may differ from those listed in the Job Description. The Company, at its sole discretion, will determine what constitutes as equivalent to the qualifications described above. Further, nothing contained herein should be construed to create an employment contract. Occasionally, required skills/experiences for jobs are expressed in brief terms. Any language contained herein is intended to fully comply with all obligations imposed by the legislation of each country in which it operates, including the implementation of the EU Equality Directive, in relation to the recruitment and employment of its employees. The Company is committed to compliance with the Americans with Disabilities Act, including the provision of reasonable accommodations, when appropriate, to assist employees or applicants to perform the essential functions of the job.
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