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Associate Director, Clinical Oversight

Kailera · Waltham, Massachusetts · Posted Jul 7, 2026

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At Kailera, we are bold, authentic and committed to our mission of developing therapies that give people the power to transform their lives and elevate their overall health. Rooted in an entrepreneurial spirit and a team-oriented culture, we are working together to advance Kailera’s mission to advance novel therapies for obesity and related conditions.

We are passionate about creating an inclusive workplace that promotes collaboration, integrity, and excellence. As we expand, we seek the most talented individuals with diverse backgrounds, cultures, perspectives, and experiences to join our team.

What You’ll Do:

The Associate Director, Clinical Oversight (ADCO) provides strategic leadership and operational direction for Clinical Monitoring Oversight across Kailera’s clinical development programs. This role is accountable for designing and executing a comprehensive oversight framework that ensures high-quality trial execution, regulatory compliance, and inspection readiness globally.

The ADCO serves as a senior leader and key partner to Clinical Operations, Quality, and external vendors, driving oversight strategy, performance management, and continuous improvement across studies and programs. This individual represents Kailera in oversight activities and plays a critical role in scaling processes, strengthening vendor governance, and advancing operational excellence.

Required location: Waltham, MA (hub-based, onsite 3-4 days per week)

Responsibilities:

Define and lead the Clinical Monitoring Oversight strategy across studies, including development and oversight of Clinical Monitoring Oversight SOPs and templates, Clinical Oversight Monitoring plans, ensuring alignment with corporate goals, regulatory expectations, and evolving risk-based monitoring approaches

Establish and continuously improve oversight SOPs, standards, tools, and governance models

Provide executive oversight of clinical service providers (SPs), ensuring performance, quality, and compliance expectations are met

Evaluates and provides recommendations to the study team on Oversight Service Provider activities to ensure the appropriate scope of work, oversight, and training of clinical oversight CRAs to achieve study milestones within agreed upon timelines, budget, and quality

Oversee the planning and execution of clinical oversight visits and ensure consistent application of risk-based approaches

Provides oversight on service provider execution of clinical trial activities in accordance with Kailera SOPs, ICH Guidelines, and Good Clinical Practice (GCP)

Develops key performance indicators (KPIs) and evaluates service provider operational data against KPIs to proactively identify risks and drive data-informed decisions

Collaborates with the Clinical Oversight team, Clinical Quality Management, and Clinical Study Team to implement corrective actions and monitor progress through resolution

Facilitate resolution of region specific and site management related challenges

Acts on behalf of Business Operations on cross-functional project teams; interacts with internal and external groups

Assist with creation and delivery of department initiatives, improvement plans and/or training

Lead, mentor, and develop a high-performing global team of Clinical Oversight professionals

Establish clear performance expectations and foster a culture of accountability, collaboration, and continuous improvement in accordance with applicable SOPs, regulations, GCP, Key Performance Indicators (KPIs), and study-specific requirements

Ensure robust oversight of data integrity, subject safety, and protocol compliance at investigator sites

Lead and contribute to inspection readiness activities, audits, and regulatory interactions as needed

Conduct periodic quality visits for Oversight CRAs, as needed

Ensure the oversight CRAs are reviewing and ensuring data integrity, accuracy, and completeness at the clinical study sites

Review contracts and approve vendor invoices

Qualifications:

10+ years of clinical trial experience with significant leadership experience in clinical oversight, monitoring, or operations

Demonstrated expertise with Phase I–III clinical trials, risk-based monitoring, and CRA Management

Proficient in oversight tools and systems (CTMS, eTMF, dashboards, Microsoft Office)

Strong experience with Vendor oversight, KPI tracking, and issue management

Proven ability to lead and develop high-performing teams in a complex, fast-paced environment

Excellent organizational, analytical, and interpersonal skills; able to work independently and in teams

Strong strategic thinking, problem-solving, and decision-making capabilities

Excellent communication, influencing, and stakeholder management skills

Proficiency with clinical systems (CTMS, eTMF, dashboards, Microsoft Office)

Ability to travel as needed

Education:

Bachelor’s degree in a scientific or healthcare-related field

Salary Range

$159,000 $195,000 USD

For Full Time Roles: This ra…

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