CRA I / CRA II – Mumbai Location only at Syneos Health

Job responsibilities
•    Performs site qualification, site initiation, interim monitoring, site management activities and close-out visits (performed on-site or remotely) ensuring regulatory, ICH-GCP and/or Good Pharmacoepidemiology Practice (GPP) and protocol compliance.  Uses judgment and experience to evaluate overall performance of site and site staff and to provide recommendations regarding site-specific actions; immediately communicates/escalates serious issues to the project team and develops action plans.  Maintains a working knowledge of ICH/GCP Guidelines or other applicable guidance, relevant regulations, and company SOPs/processes.
•    Verifies the process of obtaining informed consent has been adequately performed and documented for each subject/patient, as required/appropriate. Demonstrates diligence in protecting the confidentiality of each subject/patient. Assesses factors that might affect subject/patient’s safety and clinical data integrity at an investigator/physician site such as protocol deviation/violations and pharmacovigilance issues.

•    Per the Clinical Monitoring/Site Management Plan (CMP/SMP):  
o    Assesses site processes
o    Conducts Source Document Review of appropriate site source documents and medical records
o    Verifies required clinical data entered in the case report form (CRF) is accurate and complete 
o    Applies query resolution techniques remotely and on site, and provides guidance to site staff as necessary, driving query resolution to closure within agreed timelines 
o    Utilizes available hardware and software to support the effective conduct of the clinical study data review and capture 
o    Verifies site compliance with electronic data capture requirements

•    May perform investigational product (IP) inventory, reconciliation and reviews storage and security. Verifies the IP has been dispensed and administered to subjects/patients according to the protocol. Verifies issues or risks associated with blinded or randomized information related to IP. Applies knowledge of GCP/local regulations and organizational procedures to ensure IP is appropriately (re)labelled, imported and released/returned. 
•    Routinely reviews the Investigator Site File (ISF) for accuracy, timeliness and completeness. Reconciles contents of the ISF with the Trial Master File (TMF). Ensures the investigator/physician site is aware of the requirement of archiving essential documents in accordance with local guidelines and regulations.  
•    Documents activities via confirmation letters, follow-up letters, trip reports, communication logs, and other required project documents as per SOPs and Clinical Monitoring Plan/Site Management Plan.  Supports subject/patient recruitment, retention and awareness strategies.  Enters data into tracking systems as required to track all observations, ongoing status and assigned action items to resolution.
•    For assigned activities, understands project scope, budgets, and timelines; manages site-level activities / communication to ensure project objectives, deliverables and timelines are met.  Must be able to quickly adapt to changing priorities to achieve goals / targets.  
•    May act as primary liaison with study site personnel, or in collaboration with Central Monitoring Associate.  Ensures all assigned sites and project-specific site team members are trained and compliant with applicable requirements.
•    Prepares for and attends Investigator Meetings and/or sponsor face to face meetings.  Participates in global clinical monitoring/project staff meetings (inclusive of Sponsor representation, as applicable) and attends clinical training sessions according to the project specific requirements.       
•    Provides guidance at the site and project level towards audit readiness standards and supports preparation for audit and required follow-up actions.   
•    Maintains a working knowledge of ICH/GCP Guidelines or other applicable guidance, relevant regulations, and company SOPs/processes; completes assigned training as required.

•    For Real World Late Phase, the CRA II will use the business card title of Site Management Associate II.  Additional responsibilities include:
o    Site support throughout the study lifecycle from site identification through close-out
o    Knowledge of local requirements for real world late phase study designs
o    Chart abstraction activities and data collection
o    Collaboration with Sponsor affiliates, medical science liaisons and local country staff
o    The SMA II may be requested to train junior staff
o    Identify and communicate out of scope activities to Lead CRA/Project Manager
o    Proactively suggest potential sites based on local knowledge of treatment patterns, patient advocacy and Health Care Provider (HCP) associations  

Qualifications

What we’re looking for
•    Bachelor’s degree or RN in a related field or equivalent combination of education, training and experience
•    Knowledge of Good Clinical Practice/ICH Guidelines and other applicable regulatory requirements
•    Must demonstrate good computer skills and be able to embrace new technologies
•    Excellent communication, presentation and interpersonal skills
•    Ability to manage required travel of up to 75% on a regular basis

  • Candidates should be comfortable working from office.
  • Minimum 2yrs of onsite monitoring experience.
  • Candidate with Oncology therapeutic area experience preferred.
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