Medical Monitoring Manager - Oncology

Translational Research in Oncology

$150K — $200K *
Pharmaceuticals & Biotech
8 - 10 years of experience
Job Overview by Ladders

Qualifications

  • MD required; oncology specialization preferred
  • 8-10+ years of experience in clinical research
  • Experience as a Medical Monitor in Phase I-III oncology trials
  • Strong background in safety review and decision-making in oncology
  • Demonstrated people management and leadership skills
  • Ability to manage multiple studies simultaneously
  • Understanding of clinical trial design and regulatory frameworks (ICH-GCP, FDA, EMA)
  • Fluent in English; Spanish is a plus
  • CRO experience strongly preferred; Pharma experience considered

Responsibilities

  • Lead and develop the Medical Monitoring Unit with oversight of Medical Monitors
  • Ensure high-quality monitoring across all oncology trials
  • Provide expert guidance on protocol interpretation and safety assessments
  • Serve as a senior medical contact for sponsors and stakeholders
  • Drive standardization and best practices within the team
  • Manage study resource allocation and prioritize a complex portfolio
  • Contribute to planning and budgeting across studies
  • Support hiring, coaching, and retention of medical staff

Benefits

  • Opportunity to lead a critical oncology function
  • High-impact role with visibility across leadership
  • Diverse and meaningful oncology portfolio exposure
  • Role combines medical expertise, leadership, and strategic influence
  • Annual compensation review and growth opportunities
  • 3 weeks vacation with a paid December closure
  • 10 days personal/sick time
  • 1 paid volunteer day per year
  • Comprehensive healthcare plan, premiums covered by TRIO
  • Up to 5% matching 401(k)
  • Flexible working hours for work-life balance
  • Monthly internet stipend for remote work
  • Remote work arrangements with home office allowance
  • Short-term international work opportunities
  • Employee family assistance program
  • Recognition and referral bonus programs
Full Job Description
We are seeking an experienced physician leader to head our Medical Monitoring Unit, ensuring the medical and scientific integrity of oncology clinical trials across Phase I-III studies. This is a role that goes beyond individual study oversight, requiring the ability to manage people, complexity, and competing priorities within a dynamic and growing portfolio.

The ideal candidate brings deep oncology and medical monitoring expertise, combined with strong managerial capability, sound judgment, and the ability to navigate fast-moving, data-rich, and often ambiguous environments. They will balance scientific rigor with operational practicality, communicate effectively across stakeholders, and lead with a high level of ownership, credibility, and strategic perspective.

Reporting directly to the Vice President, Medical Affairs, this position offers a remote or hybrid work model, depending on the candidate's location and preference.

Key Responsibilities
  • Lead, manage, and further develop the Medical Monitoring Unit, including direct oversight of multiple Medical Monitors
  • Ensure consistent, high-quality medical monitoring across oncology trials from Phase I through Phase III
  • Provide expert medical guidance on protocol interpretation, safety events, eligibility, and benefit-risk assessment
  • Act as a senior medical point of contact for sponsors, investigators, and internal stakeholders
  • Drive consistency, quality standards, and best practices across studies and across the team
  • Manage resource allocation and priorities across a complex and evolving study portfolio
  • Contribute to study and portfolio-level planning, including alignment with budgets and cross-functional collaboration
  • Support hiring, coaching, and retention of high-performing medical staff
  • Partner closely with cross-functional teams including Clinical Operations, Drug Safety, Medical Writing, and Regulatory
Qualifications
  • Medical Doctor (MD) required; oncology specialization strongly preferred
  • 8 - 10+ years of experience in clinical research
  • Proven experience as a Medical Monitor in oncology clinical trials (Phase I-III)
  • Strong background in safety review and medical decision-making in active oncology studies
  • Demonstrated experience in people management and team leadership
  • Experience managing multiple studies or programs simultaneously
  • Strong understanding of clinical trial design and regulatory frameworks (ICH-GCP, FDA, EMA)
  • Fluent English required; Spanish is a plus
  • CRO experience strongly preferred; Pharma experience will also be considered

What TRIO Can Offer You
  • Opportunity to lead a critical function within an oncology-focused organization
  • High-impact role with visibility across senior leadership
  • Exposure to a diverse and scientifically meaningful oncology portfolio
  • A role combining medical depth, leadership responsibility, and strategic influence
  • Annual compensation review with opportunities for professional growth
  • 3 weeks of vacation plus paid December Holiday Closure
  • 10 days paid personal/sick time
  • 1 paid volunteer day / year
  • A top tier, comprehensive Health / Medical plan for you and your family - Monthly premiums paid for by TRIO
  • Up to 5% matching 401(k) Program
  • Flexible working hours to promote work-life balance
  • Monthly Internet Allowance to support working from home
  • Remote work arrangements anywhere across the USA and receive a one-time home office allowance
  • Out-of-country Work: Employees can request to work internationally for a short period of time each year
  • Employee Family Assistance Program to support you and your family during difficult times
  • Employee Recognition Program to reward long-term employees
  • Employee Referral Bonus Program
Pay Range: $150,000 to $200,000 USD - Salary to be influenced (or determined) by the education, experience, location, knowledge, skills, abilities of the applicant, internal equity, and alignment with market data.

If you are interested, please submit your resume in English. We thank all candidates for their interest; only those selected for an interview will be contacted.

Prior to applying please review TRIO's Applicant Information Notice

To support efficiency, TRIO may use limited AI tools during the candidate review process. All hiring decisions are made by people, not AI.

To ensure fairness and an accurate understanding of your skills, we ask that candidates refrain from using AI tools or AI-generated responses during interviews or assessments. We want the opportunity to get to know you and your experience.

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