Senior Start Up & Regulatory Specialist (remote, Turkey) responsible for preparing clinical trial application dossiers, coordinating CA/EC/IRB submissions, driving site activation readiness, managing TMF and IMP release requirements, and supporting feasibility, contracts and budget negotiations. Role requires 5+ years regulatory or start-up experience in a CRO or pharmaceutical/biotech environment and fluency in English and Turkish.

Responsible for bridging business, clinical and technology teams to gather requirements, support system implementation (including testing/UAT), develop documentation/SOPs, and drive adoption of AI-enabled solutions (including Microsoft Copilot and AI agents). Requires a bachelor's degree (or equivalent) and at least 8 years' relevant experience, with expertise in clinical trial systems (CTMS, EDC, eTMF, RTMS), change management, stakeholder engagement, and system configuration/integration.

Precision for Medicine is hiring a Clinical Research Associate II based in Madrid or Barcelona (remote). The role involves site monitoring and management to ensure studies comply with protocol, SOPs, ICH-GCP and applicable regulations, with domestic travel ~50-60%. Requires a 4-year degree (or equivalent), a minimum of 2 years' CRA experience, oncology monitoring experience, and fluency in English and the local language (Spanish).

Remote role based in Hungary overseeing general ledger accounting across multiple legal entities, treasury and accounts payable functions, balance sheet reconciliations, consolidated budgets/forecasts, audit and statutory reporting, and integration of acquisitions. Requires significant US GAAP knowledge (including ASC 606), experience managing multiple legal entities within EMEA, and at least 12 years' relevant experience.

Remote role based in Poland. Owns general ledger processes for P&L and balance sheet accounts, treasury and accounts payable functions, balance sheet reconciliations, consolidated SGA budgeting and forecasting, audit preparation and statutory reporting, integration of acquisitions, monitoring and implementing US GAAP standards (including ASC 606), and leading/training accounting staff. Requires minimum 12 years' relevant experience and a bachelor's degree in accounting or finance (CPA preferred).

Precision for Medicine is seeking an Associate Director, Accounting (remote, Serbia) to own general ledger processes across multiple legal entities and business units, oversee treasury and accounts payable, perform complex reconciliations and audit preparation, finalize consolidated SGA budgets/forecasts, monitor US GAAP/ASC 606 matters, and ensure statutory reporting compliance. The role includes team training/mentoring, establishing internal controls, vendor and contract review, and supporting integrations and system implementations. Minimum qualifications: bachelor’s degree in accounting/finance (CPA preferred) and at least 12 years of relevant experience.

Responsible for oversight of clinical safety and pharmacovigilance activities (SAE/SUSAR intake to regulatory reporting), development of safety plans and SOPs, QC and training, audit/inspection support, and serving as subject matter expert and project manager for safety initiatives. Requires a BA/BS, 10+ years clinical safety experience and 5+ years PV experience; hands-on experience with global safety databases, MedDRA, WHODrug, and relevant regulations.

Provide cross-functional operational support to clinical study teams: maintain project timelines, manage CTMS records and study trackers, coordinate meetings and training, manage user/system access, prepare study binders and materials, assist with safety/report distributions and communications. Requires a bachelor’s degree and minimum 2 years relevant experience; professional-level English.

Lead programming and operational activities for clinical studies from study start to post-database lock, including database builds in Rave and Veeva, validation, system administration, vendor coordination, training, forecasting and SOP maintenance. Requires minimum 8 years' experience, strong OOP skills (C#, C++, VBS), CDISC knowledge and professional English; oncology experience preferred.

Lead programming and operational study teams to design, build, test, validate and support clinical databases and related applications (EDC: Rave, Veeva). Requires minimum 8 years' experience, strong knowledge of CDISC standards (CDASH/SDTM/ADaM), proficiency with multiple CDMS, experience in oncology preferred, object-oriented programming (C#, C++, VBScript), SOPs, validation documentation, project forecasting and stakeholder communication.

Full-time permanent remote position (Europe/Serbia) to manage programming aspects of clinical databases from study start through post-database lock. Role includes building/supporting clinical databases, developing and validating programs, system administration, producing validation documents, leading operational teams, project forecasting, and delivering trainings; experience with CDISC standards and object-oriented programming required.

The Principal Database Programmer manages programming aspects of clinical databases from study start through post-database lock for assigned projects. Responsibilities include building and supporting clinical databases, developing and validating programs, system administration, troubleshooting, preparing validation documents, participating in vendor selection and EDC demos/trainings, providing operational leadership and training, project forecasting and resource planning. Requires minimum 8 years' experience, strong Rave and Veeva experience, familiarity with CDISC standards (CDASH/SDTM/ADaM), proficiency in OOP languages (e.g., C#, C++ , VBS) and professional English. Oncology experience preferred.

Lead operational study and programming teams to develop, test, validate and maintain clinical databases and related applications per regulatory and SOP requirements. Requires minimum 8 years' experience, strong experience with Rave and Veeva, familiarity with CDISC standards (CDASH/SDTM/ADaM), object-oriented programming (C#/C++/VBS), and experience in oncology (autoimmune a plus). Role includes project forecasting, training, vendor/client communication and occasional travel.

The Regulatory Manager advises on regulatory strategy, compiles and reviews submissions to Regulatory Authorities and Ethics Committees (including IND/CTA, annual reports, amendments, scientific advice, orphan and pediatric filings), supports regulatory intelligence and quality initiatives, and may lead project teams. Requires a bachelor's degree (or equivalent) and 5+ years of relevant regulatory affairs experience; availability for domestic and international travel.

Responsible for preparing, negotiating and tracking CDAs, CTAs, CTA-A amendments, vendor contracts and site budgets; coordinating with clinical operations teams, sites and sponsors; maintaining contract files and databases; and updating stakeholders on negotiation and execution status. Requires a bachelor’s degree or equivalent experience and at least 3 years of relevant contract experience in clinical research or similar industry.

Responsible for preparing, negotiating and tracking various agreements (CDAs, CTAs, CTA-Amendments), vendor contracts and site budgets; coordinates with clinical operations, sites, sponsors and internal stakeholders, maintains contract files/databases, and updates study teams on negotiation status. Requires a bachelor’s degree or equivalent and a minimum of 3 years relevant contract experience in clinical research or related industries.

Remote (Canada) senior finance role focused on portfolio and project financial health for Clinical Solutions. Responsibilities include forecasting, budget and margin analysis, variance and earned value analysis, monitoring change order impacts, developing trial operations KPIs, building Excel and Power BI dashboards, and presenting insights to senior leaders. Requires ~5+ years' relevant experience, strong Excel and Power BI skills, and experience with clinical trial or CRO finance.

Remote US-based Director, Project Management (Oncology). Requires a minimum of 10 years' clinical research experience with extensive project and people management experience. Responsibilities include oversight of global clinical programs, resource and budget management, risk and change management, KPI reporting, participation in business development (proposals/bid defense), and ensuring compliance with GCP/ICH and SOPs. Travel domestically and internationally is required. Salary range disclosed: $162,000–$243,000 USD/year.

Director-level role leading the Site Start-up (SSU) function to ensure delivery of SSU activities globally/regionally (Informed Consent review, regulatory/IRB/CA submissions, site contracts and budgets). Requires 12+ years in clinical research, expert knowledge of GCP/ICH, leadership experience, and fluency in English. Remote opportunities listed for Australia, China, Singapore, South Korea and Taiwan.

Owns Precision's global R&D tax credit and innovation incentive programs, developing filing strategies, managing compliance and audits, and coordinating with Finance, Tax, Operations, Clinical Development, Data Sciences and country teams. Leads analytics, KPI/reporting development, financial modeling, process improvement and global expansion initiatives. Requires a bachelor's degree, 7+ years relevant experience (R&D tax credits, incentives, finance, analytics or consulting) and advanced Excel/PowerPoint skills; Power BI and advanced qualifications are preferred.