Head of Clinical & Registry Programs

Join Parachute

$120K — $150K *
Healthcare
8 - 10 years of experience
Job Overview by Ladders

Qualifications

  • 8+ years in RWE, registry programs or phase 4 experience
  • Experience in designing and building a registry from scratch
  • Comfortable with observational data collection and governance
  • Knowledge of ICH E6(R3) GCP, HIPAA, and regulatory standards
  • Experience successfully obtaining IRB waivers of consent
  • Hands-on usage of EDC/registry platforms like REDCap or Medidata
  • Proven experience negotiating site participation agreements and BAAs/DUAs
  • Direct experience with FDA audits or inspections

Responsibilities

  • Lead development of a multi-site observational registry from inception to enrollment.
  • Author registry protocols and all necessary regulatory documents.
  • Develop consent and privacy strategies while defending choices to the IRB.
  • Engage and negotiate with a central IRB for study approvals.
  • Implement a site-activation playbook to ensure readiness for study launch.
  • Select and configure registry data platforms and manage data workflows.
  • Achieve first subject enrollment within 6-9 months of project initiation.

Benefits

  • Full-time, in-house position with opportunities for growth
  • Engagement in groundbreaking observational studies
  • Collaboration with medical directors and steering committees
  • Direct impact on the establishment of clinical infrastructure
  • Access to innovative data collection methodologies
Full Job Description
Head of Clinical & Registry Programs

Department: Specialty Programs

Employment Type: Full Time

Location: Austin, TX

Description

We're building the clinical operations and real-world evidence function that turns that network into a recruitment and biospecimen engine. This starts with observational studies and registries in high-growth, blood-based diagnostic areas such as multi-cancer early detection (MCED) and blood-based Alzheimer's and neurodegenerative testing, and scaling toward interventional research over time. You'll build that capability from the ground up.

We're hiring our first Head of Clinical & Registry Programs to design, launch, and advise on building a multi-site observational registry . This is an in-house, sponsor-side role: you will be the program, not manage a CRO that runs it for you.

You will own the registry from blank page to enrollment: registry design and protocol authoring, central IRB strategy (Advarra/WCG), and internal cross-functional partnership to bring it to life. This is fundamentally about standing up the infrastructure to systematically collect and govern observational data - not running an interventional experiment.

Key Responsibilities
  • Lead end-to-end registry design and author the registry protocol, charter, informed consent / authorization language, regulatory packets, data dictionary, etc. in partnership with the medical director and steering committee.
  • Lead consent and privacy strategy: full consent vs. HIPAA waiver vs. limited data set + DUA. Defend the choice to the IRB and to internal legal/privacy.
  • Select and engage the central IRB (Advarra or WCG); negotiate the Master Services Agreement and reliance framework.
  • Build and execute the site-activation playbook: feasibility, qualification, site participation agreements, BAAs/DUAs, regulatory packets, training.
  • Select and configure the EDC/registry platform (REDCap, Castor, Medidata RWS, or equivalent); spec CRFs, edit checks, and query workflows.
  • Stand up the eTMF (Veeva Vault, Florence, or structured equivalent) to DIA TMF Reference Model standards.
  • Get to First Subject In within 6-9 months of start.


Skills, Knowledge and Expertise

Required
  • 8+ years in RWE and/or registry programs and/or phase 4 experience
  • Has designed and built at least one registry from the ground up - registry design, protocol authoring, and the regulatory/start-up documentation to set it up - whether in an industry/sponsor-side or academic/research setting. Led at least one multi-site observational registry or post-marketing study from protocol through enrollment or has deep experience in phase 4 trials
  • Comfortable operating in a data-collection paradigm (observational registries) as distinct from running an interventional experiment - you understand the design, governance, and quality demands specific to systematically collecting longitudinal real-world data.
  • Working command of ICH E6(R3) GCP, 45 CFR 46 (Common Rule), HIPAA Privacy/Security, and 21 CFR Part 11.
  • Has authored or successfully defended an IRB waiver of consent / waiver of HIPAA authorization.
  • Direct working experience with Advarra and/or WCG as central IRB.
  • Hands-on with at least one EDC/registry platform (REDCap, Castor, Medidata Rave RWS, OpenClinica, Veeva CDMS).
  • Has built and negotiated site participation agreements and BAAs/DUAs at scale (10+ sites).
  • Has been through at least one FDA BIMO inspection or rigorous sponsor audit.
  • Has significant and direct experience interacting with FDA CBER

Strongly Preferred
  • Academic or research-institution registry experience (e.g., investigator-initiated or epidemiologic registries), in addition to or alongside industry experience.
  • Blood, transfusion medicine, hematology, or apheresis exposure.
  • Working knowledge of AABB standards, donor eligibility (21 CFR 630), and blood establishment regulations.
  • Experience interacting with FDA, and CBER in particular.
  • Start-up or small-company operating experience.
  • Familiarity with state privacy law overlays (CCPA/CPRA, WA MHMD, TX HB 300).

Nice to Have
  • CCRP, CCRA, RAC, or CIP certification.
  • Experience with payer/HEOR-driven registries.
  • Exposure to eConsent platforms (DocuSign Life Sciences, Medidata Patient Cloud, Castor eConsent).

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