Central Risk Manager (RBQM & Central Monitoring) - Remote: United States or Canada

Syneos Health Careers$95K — $175K *
US-AnywhereRemote in North Carolina, US
Pharmaceuticals & Biotech
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree, RN, or equivalent clinical research experience
  • Significant experience within clinical research or CRO environments
  • Deep expertise in Risk-Based Quality Management (RBQM) methodologies
  • Strong experience with Risk-Based Monitoring (RBM) strategies
  • Experience with Central Monitoring methodologies and operational execution
  • Demonstrated ability to conduct study-level risk assessments
  • Excellent verbal and written communication skills

Responsibilities

  • Assess and review study protocols to identify critical risks and quality considerations
  • Lead risk assessments across cross-functional teams
  • Develop and refine RBM and RBQM strategies
  • Draft Risk Assessment Categorization Tools and associated documentation
  • Identify and oversee risk mitigation plans throughout study execution
  • Utilize analytics platforms for risk identification and oversight
  • Communicate monitoring strategies and recommendations to stakeholders

Benefits

  • Company car or allowance
  • Comprehensive health benefits including Medical, Dental, and Vision
  • 401(k) company match
  • Opportunity to participate in Employee Stock Purchase Plan
  • Eligibility for performance-based commissions or bonuses
  • Flexible paid time off and sick time allowance
Full Job Description
Description
Central Risk Manager (RBQM & Central Monitoring) - Remote: United States or Canada

Job Responsibilities

Central Risk Manager (RBQM & Central Monitoring)

Remote - United States or Canada

Are you an RBQM and Centralized Monitoring expert who thrives at the intersection of clinical quality, risk management, data analytics, and RBM strategy designs?

This is a highly visible opportunity for an experienced Central Risk Manager to serve as a subject matter expert in Risk-Based Quality Management (RBQM), Risk-Based Monitoring (RBM), and Central Monitoring across complex global clinical trials.

We're looking for a strategic thinker who can assess study protocols, identify critical risks, develop monitoring strategies, and confidently influence both internal stakeholders and sponsors. This is not a role focused solely on execution - it is a consultative subject matter expert position requiring strong business acumen, exceptional communication skills, and the ability to provide recommendations as a trusted expert.

The ideal candidate brings deep RBQM and Central Monitoring expertise, strong analytical capabilities, and the confidence to navigate complex discussions involving study quality, monitoring approaches, resource allocation, and budget considerations.

This is a remote opportunity open to candidates located in either the United States or Canada.

WHAT MAKES THIS OPPORTUNITY DIFFERENT

  • Serve as a recognized RBQM and Centralized Monitoring subject matter expert across global clinical programs
  • Influence study quality strategy from protocol review through study execution
  • Partner directly with sponsors and senior stakeholders to develop and execute monitoring approaches
  • Shape risk-based monitoring strategies that impact study quality, efficiency, resource utilization, and patient safety
  • Operate in a highly consultative role with significant visibility and organizational influence
  • Leverage advanced analytics and centralized monitoring methodologies to drive proactive risk identification and mitigation
  • Collaborate with experienced cross-functional clinical research professionals
  • Work at the forefront of evolving RBQM methodologies, technology platforms, data analytics, and emerging innovations within clinical research
  • Opportunity to mentor colleagues and help drive continuous improvement across programs and teams


WHAT YOU WILL OWN

Risk-Based Quality Management & Monitoring Strategy
  • Review study protocols to identify critical data, processes, risks, and quality considerations
  • Lead and facilitate protocol execution risk assessments across cross-functional teams
  • Develop and refine Risk-Based Monitoring (RBM) and Risk-Based Quality Management (RBQM) strategies
  • Draft and support Risk Assessment Categorization Tools (RACTs) and associated risk management documentation
  • Identify risk mitigation plans and ensure appropriate oversight throughout study execution


Analytics & Data-Driven Decision Making
  • Utilize centralized monitoring technologies and analytics platforms to support risk identification and oversight
  • Leverage data-driven insights to guide monitoring strategy decisions
  • Ensure monitoring approaches remain aligned with evolving study risks and operational realities
  • Recommend strategic adjustments to monitoring activities, resource allocation, and oversight plans when necessary
  • Evaluate centralized statistical monitoring outputs and recommend appropriate actions
  • Support adoption of innovative technologies and emerging approaches to risk management


Sponsor & Stakeholder Partnership
  • Present monitoring strategies, risk assessments, and recommendations to internal stakeholders and sponsors
  • Clearly communicate complex risk concepts to diverse audiences
  • Present recommendations with confidence while managing questions, challenges, and competing viewpoints
  • Build credibility as a trusted advisor capable of influencing strategic decisions
  • Facilitate collaborative discussions focused on quality, compliance, efficiency, and patient safety


Cross-Functional Leadership & Oversight
  • Collaborate with Clinical Operations, Data Management, Medical Monitoring, Safety, Quality, and other functional teams
  • Provide guidance and mentorship regarding RBQM methodologies and monitoring strategies
  • Ensure consistency across studies, programs, therapeutic areas, and sponsor engagements
  • Escalate risks appropriately and proactively when quality, timeline, budget, or delivery concerns arise
  • Support business development activities including strategy discussions, proposal development, and budget input as needed


WHO YOU ARE

Required Qualifications
  • Bachelor's degree, RN, or equivalent combination of education, training, and clinical research experience
  • Significant experience within clinical research, CRO, biotechnology, or pharmaceutical environments
  • Deep expertise in Risk-Based Quality Management (RBQM) methodologies
  • Strong experience with Risk-Based Monitoring (RBM) strategies and implementation
  • Central Monitoring experience or exposure, including methodologies, technologies, and operational execution
  • Demonstrated experience conducting study-level risk assessments and developing monitoring strategies
  • Strong understanding of ICH-GCP and applicable regulatory requirements
  • Excellent verbal and written communication skills with strong English proficiency
  • Proven ability to present complex concepts clearly and persuasively
  • Strong stakeholder management, negotiation, and influencing capabilities
  • Exceptional critical thinking, analytical, and problem-solving skills
  • Ability to work independently within fast-paced, evolving environments


Preferred Backgrounds

Strong preference will be given to candidates who have operated in strategic or leadership-level roles such as:
  • Risk Manager
  • RBQM Lead
  • Clinical Trial Manager (CTM)
  • Central Monitoring Lead
  • Project Lead / Clinical Project Manager
  • Data Management Lead
  • Central Monitoring professional with significant strategic ownership


TECHNICAL EXPERTISE

Ideal candidates will have familiarity with:

Central Monitoring & Analytics Platforms

Examples include:
  • CluePoints
  • Spotfire
  • Tableau
  • Power BI
  • Other centralized monitoring and analytics technologies


While expertise in every platform is not required, candidates should understand:
  • How these tools support RBQM and centralized monitoring
  • Risk identification methodologies
  • Data review workflows
  • Analytics-driven decision making


Data Analytics & Visualization

Knowledge of:
  • Data visualization techniques
  • Trend analysis
  • Outlier detection
  • Data integrity assessment
  • Statistical monitoring concepts
  • Risk signal detection methodologies


Additional Technical Expertise
  • Advanced Microsoft Excel skills, including pivot tables, filtering, sorting, and data analysis
  • Understanding of quality risk management principles
  • Familiarity with RACT tools and risk assessment frameworks
  • Interest in emerging technologies, AI, and innovation within clinical research


SUCCESS IN THIS ROLE

The strongest candidates will be:
  • Strategic thinkers who can balance quality, risk, budget, and operational realities
  • Confident communicators who can influence without direct authority
  • Self-motivated professionals who thrive with autonomy
  • Critical thinkers who challenge assumptions and identify better solutions
  • Adaptable leaders comfortable navigating ambiguity and change
  • Collaborative team players who support colleagues and contribute positively to team culture
  • Curious professionals who embrace innovation and continuous learning


TEAM CULTURE

This is a highly collaborative, fast-paced team that values partnership, transparency, accountability, and continuous improvement. Team members are expected to communicate openly, support one another, share knowledge, and work together to solve complex challenges.

While strong technical expertise is essential, success in this role also requires a positive attitude, adaptability, and a willingness to share a one-team mentality. The team values professionals who are collaborative, proactive, and committed to both personal growth and collective success. Strong relationships, teamwork, and mutual respect are considered just as important as subject matter expertise.

If you're looking for an opportunity to influence study quality strategy, drive risk-based monitoring excellence, partner directly with sponsors, and serve as a trusted RBQM leader within a fast-paced global clinical research environment, this is the kind of role that elevates careers.

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 - $175,700.00

The 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.

Summary
The Central Risk Manager (CRM ) serves as the subject matter expert for protocol execution risk management, risk-based monitoring (RBM) strategy and centralized monitoring within the project team. The CRM is accountable for drafting the initial RBM strategy, working with the cross-functional teams to assess protocol execution risks and adapt the cross-functional RBM strategy.

About Syneos Health Careers

Syneos Health Careers

Joining Syneos Health presents an unparalleled opportunity to become part of a global team of professionals dedicated to biopharmaceutical solutions. At Syneos Health, job opportunities abound, offering a gateway to enhancing career paths in a company celebrated for its commitment to therapeutic and operational excellence.

Work That Matters

Syneos Health is at the forefront of healthcare innovation, collaborating on projects that integrate smart technology and human ingenuity to improve patient outcomes. This dynamic company is actively seeking professionals who are eager to drive progress in the biopharmaceutical field through diverse job opportunities ranging from scientific roles to operational positions.

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Syneos Health offers a variety of positions that cater to a range of skills and experiences, from entry-level to senior leadership roles. Employment at Syneos Health means contributing to a culture that values diversity and inclusion, ensuring every team member’s voice is heard and valued.

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For those starting their career, Syneos Health provides robust internship programs designed to foster professional growth and build essential industry skills. Interns at Syneos Health gain hands-on experience, beneficial for future employment opportunities within the company or the broader healthcare industry.

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Syneos Health is committed to the professional development of its employees, offering leadership training and career growth opportunities that encourage innovation and leadership skills. Employees are supported through comprehensive benefits, diversity training, and initiatives that promote personal and professional growth.

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