eGenesis is seeking a Senior Clinical Research Associate with 4+ years of experience monitoring complex clinical trials in pharmaceutical, biotechnology, and CRO environments. Demonstrated experience in independently managing investigative sites and conducting site qualification, initiation, routine monitoring (on-site and remote), and closeout visits, while ensuring compliance with ICH-GCP, regulatory requirements, and study protocols. Proven ability to oversee site performance, maintain data integrity through source data verification and CRF review, and ensure timely documentation in eTMF, CTMS, and EDC systems. Skilled in supporting site start-up, training investigators and site staff, and providing operational guidance to academic medical centers and sites with limited IND experience. The ideal person for this role is experienced in identifying operational risks, implementing mitigation strategies, and managing high volume clinical data to maintain patient safety and data quality and study compliance. You will work under the guidance of the Lead CRA or Clinical Operations leadership to execute monitoring strategies and ensure consistent oversight of assigned sites. We are looking for a collaborative team member who works closely with investigative sites and cross-functional teams to support enrollment, resolve operational challenges and maintain inspection readiness.