[All remote jobs](https://jobicy.com/jobs.md)[![Alimentiv logo](https://jobicy.com/data/server-nyc0409/galaxy/mercury/2025/06/d11f5845-221.png)](https://jobicy.com/company/alimentiv.md)[Alimentiv](https://jobicy.com/company/alimentiv.md) # Manager, Monitoring & Site Management (Canada) AI Summary This clinical-operations leadership role manages the day-to-day delivery of a Clinical Monitoring function within a gastrointestinal-focused CRO. The manager leads Clinical Operations Leads and contractor resources, balancing staffing, performance management, training, quality, and project priorities. Responsibilities include strengthening site-monitoring strategies, resolving sponsor and site issues, ensuring ICH-GCP and regulatory compliance, and improving operational processes. The role requires established clinical research and CRA-management experience, strong stakeholder communication, and the ability to lead distributed teams across time zones. It is a senior healthcare operations position with substantial accountability for compliant global trial delivery.[Apply for this job](#job-application)[View company](https://jobicy.com/company/alimentiv.md)ShareRemote from[Canada](https://jobicy.com/job-region/canada.md)SalaryCAD 99,500–166k / yrDepartment[Healthcare & Medical](https://jobicy.com/categories/healthcare.md)EmploymentFull TimeExperienceSeniorPublished6 Nov 2026Apply before6 Dec 2026Listing views53Application actions4Application toolkit ## Make your next move. Prepare your resume, explore your fit, and draft a cover letter for this opportunity. Opportunity details ## About this role. Alimentiv is a global CRO with a singular focus: advancing therapies for patients with gastrointestinal diseases. GI is our WHY and for more than 30 years that purpose has driven our scientific rigour, operational excellence, and deep therapeutic expertise, including supporting more than 70% of IBD compounds in development. We operate as a private, profit-with-purpose company, channeling our commercial success back into scientific research, technology, and our people. With approximately 700 people across multiple countries and three service lines, we are growing deliberately, and the capability of our leaders and our organization is central to how we get there. If you want to do meaningful work, build something real, and invest back in research that changes lives — we want to meet you! ### Job Overview The Manager, Monitoring & Site Management is responsible for the day-to-day leadership and delivery of the Clinical Monitoring function, with responsibility for Clinical Operations Leads and associated contractor resources. This role oversees resource planning, staff development and performance, clinical monitoring quality, regulatory compliance, process improvement and operational delivery. Working closely with project teams, sponsors and internal stakeholders, the Manager provides clinical monitoring expertise throughout the project lifecycle and ensures services are delivered to a high standard, on time and in accordance with regulatory requirements, industry best practices and organizational objectives. ### Key Responsibilities * Lead the day-to-day delivery of the Clinical Monitoring function, ensuring high-quality, timely and compliant services across assigned projects. * Manage and develop Clinical Operations Leads, including resource planning, work allocation, training and development, employee engagement and performance management. * Ensure appropriate staffing levels across projects, balancing operational requirements, team capacity and project priorities. * Partner with clinical monitoring and project leadership to develop and oversee project-specific strategies and processes relating to site selection, monitoring, ICH-GCP compliance and global project delivery. * Provide oversight and support for the identification, escalation and resolution of site, sponsor and clinical monitoring issues. * Drive the development and continuous improvement of policies, procedures, tools and processes supporting Clinical Monitoring activities. * Partner with internal stakeholders, sponsors and research sites to identify opportunities for improvement and support the implementation of new technologies and processes. * Identify, engage and manage independent contractor resources, including recruitment, contract support, training, cost monitoring, compliance and performance management. * Ensure Clinical Monitoring activities comply with applicable regulations, ICH-GCP, organizational procedures and industry best practices. * Provide Clinical Monitoring expertise to project teams and Business Development throughout the project lifecycle, from the bidding process through project delivery and reporting to sponsors. ### Skills & Qualifications * College diploma or university degree in a relevant field, preferably Health Sciences or Life Sciences; SoCRA and/or ACRP certification/designation is considered an asset. * Minimum 4–6 years of relevant clinical research/clinical monitoring experience with substantial ongoing training. * Demonstrated experience managing CRA or Clinical Monitoring staff, including performance management, resource planning and staff development. * Proven ability to train, mentor and support colleagues in both one-to-one and team settings. * Strong knowledge of ICH-GCP, applicable clinical research regulations and guidelines, and clinical monitoring best practices. * Demonstrated leadership skills with the ability to engage, develop and support high-performing teams. * Strong stakeholder management skills and a collaborative, customer-focused and solution-oriented approach. * Strong verbal and written communication skills, with the ability to work effectively with internal teams, sponsors and external partners. * Excellent organisational and prioritisation skills, with the ability to manage multiple responsibilities and deadlines in a dynamic environment. * Ability to work effectively in a remote, global environment and collaborate across functions, geographies and time zones. ### What We Offer In addition, as an Alimentiv Employee, you’re also eligible for the following programs: * Education Reimbursement program for full-time employees * Monthly Cell Phone and Remote Work Allowance (dependent on role eligibility) * One time office setup allowance (can be used to purchase a scanner/printer, extra monitor, office furniture, etc.) * Working while visiting program – up to 4 weeks per year! * Flexible Summer Hours Program from May – September * Employee referral incentive – we know great people know other great people, and we think that warrants recognition! * Full-time employees also become beneficiaries of the Alimentiv Trust after one year of employment, and permanent members after 5 years of employment * Optional formal mentorship program (Alimentorship); country/region annual social events in person; leadership development programs for people leaders in accordance with your seniority; social committee and several other optional initiatives designed to support you in feeling like part of the Alimentiv team! Additional benefits may be available depending on the country of employment and are subject to local policies and eligibility. ### Our Services * End-to-end GI clinical trial services, from protocol design through submission support * Central medical imaging management and endoscopic reading * Precision medicine and biomarker solutions * Real-world evidence and clinical consulting * Histopathology and lab services through AcelaBio ### How to Apply To apply for this position, please submit your resume through the Alimentiv Careers Portal or via LinkedIn’s Easy Apply. Resumes must be submitted in English. ### Equal Opportunity and Accessibility Alimentiv is committed to building a diverse, inclusive and respectful workplace. We are an equal opportunity employer and consider all qualified applicants for employment without regard to race, colour, ethnicity, national origin, religion or belief, sex, gender identity or expression, sexual orientation, age, marital or family status, disability, or any other characteristic protected by applicable law. Accommodations are available upon request for persons with disabilities throughout the recruitment and selection process. Requests can be directed to [recruitment@alimentiv.com](mailto:recruitment@alimentiv.com). ### Compensation ### Additional Information Stay Alert to Recruitment Scams Alimentiv is aware of a continued increase in phishing scams, which use various methods of attack via email, text, voice and social media, including individuals posing as our recruiters and contacting candidates with fraudulent opportunities. Our hiring process always includes direct engagement with a recruiter or hiring manager, and we will never ask for sensitive personal information early in the process. Official communication will only come from company email addresses containing “@alimentiv.com”. If you are contacted about an open job at Alimentiv, please verify the domain of the sender’s email address and confirm that you are being asked to apply on this website. If something doesn’t feel right, we encourage you to verify before responding. If you believe you have been the victim of a phishing scam, please contact your local government cyber authority to report it. Show more [Apply now >](https://jobicy.com/jobs/159324-manager-monitoring-site-management-canada.md) * ![Upload CV](data:image/svg+xml;base64,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) ### Upload your resume now To unlock remote work opportunities and be discovered by global employers. This job listing has been manually reviewed by the Jobicy Trust & Safety Team for compliance with our posting guidelines, including verification of the company's legitimacy, accuracy of job details, clarity of remote work policy, and absence of misleading or fraudulent content. ## Role DNA A quick view of the complexity, pace, ownership and collaboration implied by the job description. ### Job Complexity 5/5EasyHard ### Pace & Pressure 5/5RelaxedFast-paced ### Autonomy Level 4/5GuidedFull ownership ### Communication Load 5/5IndependentCollaborative AI insightThe role combines people leadership, capacity planning, sponsor-facing issue resolution, and regulatory accountability across multiple clinical projects. Success requires sound judgment in a high-stakes, deadline-driven global research environment. ## Salary analysis Estimated compensation compared with the broader CA market for similar roles. Estimated job median (per year)Market rateC$132,750CA market range (per year)C$110k–C$175k0C$192.50k AI insightThe employer discloses an annual base-pay range of CAD 99,500–166,000, with a midpoint of CAD 132,750. The estimated Canadian annual market range for a clinical monitoring operations manager is CAD 110,000–175,000; actual compensation may vary by experience, certification, scope of people leadership, and province. ## Core skills Skills and capabilities most closely associated with this opportunity. [Clinical operations](https://jobicy.com/jobs?search_keywords=Clinical%20operations.md)[Clinical monitoring](https://jobicy.com/jobs?search_keywords=Clinical%20monitoring.md)[Site management](https://jobicy.com/jobs?search_keywords=Site%20management.md)[ICH-GCP compliance](https://jobicy.com/jobs?search_keywords=ICH-GCP%20compliance.md)[Clinical research regulations](https://jobicy.com/jobs?search_keywords=Clinical%20research%20regulations.md)[CRA leadership](https://jobicy.com/jobs?search_keywords=CRA%20leadership.md)[Resource planning](https://jobicy.com/jobs?search_keywords=Resource%20planning.md)[Performance management](https://jobicy.com/jobs?search_keywords=Performance%20management.md)[Staff development](https://jobicy.com/jobs?search_keywords=Staff%20development.md)[Sponsor management](https://jobicy.com/jobs?search_keywords=Sponsor%20management.md)[Project delivery](https://jobicy.com/jobs?search_keywords=Project%20delivery.md)[Process improvement](https://jobicy.com/jobs?search_keywords=Process%20improvement.md)[Stakeholder management](https://jobicy.com/jobs?search_keywords=Stakeholder%20management.md)[Clinical trial management](https://jobicy.com/jobs?search_keywords=Clinical%20trial%20management.md) Sample interview questionsHow have you balanced CRA capacity and project staffing needs across several studies?I use a forward-looking capacity plan that combines study milestones, monitoring visit forecasts, complexity, travel requirements, and individual workload. I review the plan regularly with project leaders, rebalance assignments early, and use qualified contingent resources when internal capacity cannot safely meet delivery needs. How do you ensure that clinical monitoring activities remain compliant with ICH-GCP and local regulations? I establish clear SOP-aligned monitoring expectations, provide ongoing training, review quality and compliance metrics, and investigate trends promptly. When issues arise, I document root causes, implement corrective and preventive actions, and verify that actions are effective. Describe how you would manage an underperforming Clinical Operations Lead or CRA manager. I would first clarify expectations using objective performance evidence and listen to the individual’s perspective. I would then agree on a documented improvement plan with targeted coaching, practical milestones, regular follow-ups, and appropriate escalation through HR processes if sustained improvement does not occur. How would you respond to a sponsor escalation involving repeated site monitoring issues? I would assess the facts quickly, identify immediate patient-safety, data-quality, and timeline risks, and align the project team on ownership and actions. I would communicate transparently with the sponsor, provide a time-bound remediation plan, and track progress until the issue is resolved and preventive measures are in place. What approach do you take to improving a clinical monitoring process? I start with process data and feedback from monitors, sites, project teams, and sponsors to identify the highest-impact pain points. I define a compliant future-state workflow, pilot changes where appropriate, train affected teams, measure adoption and outcomes, and refine the process based on evidence. Next step ## Apply now. Follow the employer’s application method and review Jobicy’s safety guidance before sharing personal information. 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