The Lead, Business Operations will act as the operating partner for Payward Services (PWS), owning partner launch readiness, the business operating cadence (planning, reviews, metrics), automation of manual work using AI/integrations, and strategic cross-functional projects. The role requires 4+ years in BizOps/RevOps/Strategy or similar, experience building and maintaining end-to-end processes, comfort with data, and strong cross-audience communication. Domain experience in payments, card programs, or crypto infrastructure is a plus.

Responsible for translating clinical trial protocols, SoAs and study documents into accurate, negotiation-ready global and site-level budget templates; mapping procedures to visits and payment milestones; performing detailed QC and version control; and reviewing, drafting, negotiating and tracking site and vendor contracts (CTAs, MSAs, NDAs). Works with Clinical Operations and SCM/study teams to align budgets and contracts with study timelines and supports standardization and continuous improvement of budget and contracting processes.

Responsible for translating clinical trial protocols and study documents into accurate, negotiation-ready global and site budget templates, performing detailed QC, maintaining budget version control, and updating budgets for protocol amendments. Secondary responsibility for reviewing, drafting, negotiating, and tracking site and vendor contracts (CTAs, confidentiality agreements, etc.). Requires 5+ years clinical research experience in CRO/pharmaceutical/biotech settings and demonstrated hands-on experience developing investigator/site budget templates; oncology experience preferred.

Precision for Medicine seeks a Site Contracts and Budget Manager to develop global and site-level clinical trial budget templates, translate protocols/SoAs into detailed costs, perform budget QC, and review/draft/negotiate site and vendor contracts. Role is remote (can be based in Poland, Slovakia, Serbia, Romania, or Hungary) and requires at least 5 years of relevant clinical research experience and hands-on experience developing investigator/site budgets for sponsor- or CRO-managed studies. Candidates must be legally authorized to work in the country of employment without employer sponsorship.

The role focuses on translating clinical trial protocols into accurate, negotiation-ready global and site budget templates, performing detailed QC, maintaining version control, and supporting standardization and automation. Secondary responsibilities include reviewing, drafting, negotiating, and tracking site contracts and related agreements. Position can be fully remote from Poland, Slovakia, Serbia, Romania, or Hungary and requires at least 5 years of relevant clinical research experience in CRO/pharma/biotech environments.

Parexel is recruiting a Senior Regulatory Affairs Manager/Consultant with 10+ years' experience and strong CMC expertise to write CMC sections, develop variations strategies (EU/ICH), coordinate CMC activities, liaise with affiliates and manufacturing sites, lead projects, manage client relationships, and support proposal preparation. Fluency in English is required; experience with regulatory agencies (EMA, FDA, MHRA) and vaccines/biological processes is required.

Parexel seeks a Manager, Central Monitoring to lead centralized monitoring for global and complex clinical trials. The role involves developing Central Monitoring Plans and QRACT, analyzing KRIs/KPIs and operational data, presenting findings to study teams, overseeing CRO execution, and contributing to process improvements. Position is remote for Poland/Spain/Serbia and requires travel up to 25%.

Parexel seeks a home-based, sponsor-dedicated Precision Medicine Operations Lead / SKDL Programming Lead in Poland to support sample management, biosample logistics, specialty laboratory databases, and programming for supplies and laboratory operations. Responsibilities include study team support, operational planning for biosamples, data transfer/specifications, LIMS and kit inventory oversight, and development of tools/dashboards. Requires minimum 6 years clinical research experience, fluency in English, and strong technical skills (Python/R/MATLAB/SQL, APIs, Linux/Unix), plus experience with clinical trial operational data (EDC, lab/vendor datasets).

Lead design and configuration of SAP PS solutions for logistics/supply chain projects on S/4HANA. Responsibilities include running workshops with German-speaking clients, configuring project structures, cost planning, billing and project accounting, managing implementations from design through go-live, and supporting pre-sales and RFP activities. Requires 5+ years of SAP PS consulting experience.

The Site Contracts Manager will support the European team remotely (eligible from Poland, Slovakia, Serbia, Romania or Hungary) by drafting, reviewing, negotiating and tracking clinical study agreements, site contracts, vendor agreements and related documents; collaborating with clinical operations and stakeholders to meet study timelines; maintaining contract files and metrics; and helping design contracting policies and procedures. Minimum requirements include a 4-year degree and at least 5 years relevant CRO/healthcare contract experience.

Precision for Medicine seeks a Site Contracts Manager to support Clinical Operations by drafting, reviewing, negotiating and tracking CTAs, MSAs, vendor agreements and site budgets. The role requires a minimum of 5 years' CRO/healthcare experience, experience leading study team interactions, and can be performed remotely from Poland, Slovakia, Serbia, Romania or Hungary; candidates must be legally authorized to work without employer sponsorship.

Lead and manage global/regional oncology clinical trials (full lifecycle) within a CRO environment. Accountable for project delivery, cross-functional oversight, client liaison, budgeting, timelines, proposal activities and regulatory/compliance (GCP/ICH). Requires a life sciences degree (or equivalent), at least 4 years full-service project management experience in clinical trials, oncology experience, and proficiency with CTMS/eTMF/EDC/IXRS and MS Office/MS Project.

Lead the technical vision and roadmap for CI/CD and release infrastructure, identify and remediate pipeline bottlenecks and supply chain risks, design scalable release gates, direct multi-quarter cross-org engineering projects, serve as incident commander for high-severity release or supply chain incidents, and mentor engineers. Hands-on experience with Buildkite/GitHub Actions, GitOps/ArgoCD, and Kubernetes is required.

Responsible for developing patient-focused, risk-informed feasibility and operational strategies for clinical trial proposals. Collaborates with RFP teams and stakeholders to produce data-driven country, site and enrolment recommendations, prepare compelling proposal text and presentations, and support pre-award feasibility activities and innovative pilots. Requires strong clinical/CRO experience, analytical skills, stakeholder communication and leadership within assigned therapy areas.

Senior Pricing and Market Access Consultant role requiring a minimum of 6 years' experience (including at least 3 years project management) to lead development of pricing and market access materials (eg, global value dossiers, HTA submissions), manage client relationships and mentor project teams. Locations listed include Spain, Poland, Italy, Romania and the United Kingdom (remote and office-based options).

Precision For Medicine is hiring a Start Up Specialist to prepare and submit clinical trial application dossiers, interact with Competent Authorities and Ethics Committees, maintain project plans/trackers and support site activation (including IMP release, essential documents, ICF customization and translations). Role requires fluency in Hungarian and English and experience in site start-up or regulatory/start-up roles within a CRO or pharma/biotech. Candidates located in Hungary, Poland, Serbia, Slovakia or Romania are eligible; employer will not sponsor work visas.

Precision for Medicine seeks an experienced Clinical Trial Manager to lead clinical aspects of multinational oncology trials, oversee CRAs, manage site selection/start-up/enrolment/monitoring/data cleaning/close-out, and ensure GCP/ICH-compliant delivery. Candidates must be able to work remotely from Hungary, Poland, Romania, Serbia or Slovakia, communicate effectively in English, be available for domestic and international travel, and not require employer visa sponsorship.

Experienced Clinical Trial Manager to manage clinical elements of trials across multiple countries within a CRO, with focus on oncology and precision medicine. Responsibilities include site selection and start-up, enrolment management, monitoring planning and execution, data cleaning, close-out, mentoring CRAs, and ensuring regulatory/GCP compliance. Requires strong CRO/pharma clinical lead experience and effective English communication.

Precision for Medicine seeks a Clinical Trial Manager to lead clinical aspects of multi-country oncology studies, managing site selection, start-up, enrollment, monitoring, data cleaning and close-out. The role requires experience in CRO/pharma clinical lead roles, knowledge of ICH-GCP, familiarity with CTMS/eTMF/EDC/IXRS tools, and the ability to travel domestically and internationally.

Precision for Medicine seeks an experienced Clinical Trial Manager to manage clinical elements of multi-country oncology trials (site selection, start-up, monitoring, enrolment, data cleaning, close-out), lead CRAs, maintain regulatory documentation, and ensure timeline adherence and quality. Requires demonstrated multi-country clinical lead experience in a CRO/Pharma/Biotech, working knowledge of ICH-GCP, English proficiency, and availability for domestic/international travel. Experience with CAR-T and radiopharmaceuticals is a strong plus.