About EGenesis
eGenesis is a clinical-stage biotechnology company developing human-compatible engineered organs to address the severe global organ shortage. The Company’s proprietary genome engineering platform enables extensive, multiplex gene edits to remove key biological barriers, add protective human transgenes, and inactivate endogenous retroviruses. EGEN-2784, a genetically engineered porcine kidney, is the Company’s lead program and is currently being evaluated in a multi-patient Expanded Access study at MGH. eGenesis is headquartered in Cambridge, MA.

The Lead Clinical Research Associate is responsible for leading site monitoring activities and providing oversight to CRAs for assigned clinical trials. The Lead CRA works closely with Clinical Operations leadership and cross-functional teams to ensure that studies are conducted according to protocol, ICH-GCP guidelines, regulatory requirements, and company SOPs.

Primary Responsibilities

Provide operational leadership and guidance to internal CRAs and oversight of external (CRO/vendor) CRAs to support study execution and ensure consistent monitoring practices, protocol compliance, and high-quality study execution across sites
Serve as the primary point of contact for monitoring strategy alignment, issue escalation, identification and mitigation of site risks and operational challenges
Author the Clinical Monitoring Plan (CMP) and develop study-specific monitoring tools, trackers, and guidance to support standardized monitoring practices and CRA oversight
Review monitoring outputs and conduct oversight monitoring activities to ensure site compliance, data quality and adherence to the study protocols and plans
Develop and deliver training materials and guidance for CRAs and study site personnel to support protocol compliance, monitoring consistency and effective study execution
Track study startup activities, activation timelines, and site/study performance metrics; analyze trends to proactively identify risks and implement mitigation strategies to prevent or reduce operational impact
Monitor site enrollment performance to identify potential operational challenges and implement mitigation strategies to maintain recruitment targets
Investigate protocol deviations, monitoring findings, and site compliance issues, perform root cause analysis, and implement appropriate corrective and preventive actions (CAPA) in collaboration with the study team
Ensure compliance with ICH-GCP, federal regulations, monitoring plans, and internal SOPs
Maintain regulatory inspection readiness across study sites
Ensure timely reporting and follow-up of safety events in collaboration with the study team

Qualifications

Bachelor’s degree in life sciences, nursing, or related field required; advanced degree preferred
5+ years of clinical monitoring experience in the pharmaceutical, biotechnology, or CRO industry, including experience directly conducting and overseeing all monitoring visit types (e.g., site qualification, site initiation, routine monitoring, oversight monitoring and close-out visits). Across the full study lifecycle
Demonstrated ability to perform monitoring activities as a site CRA and provide operational guidance to CRAs in a Lead CRA or equivalent role
Experience monitoring complex clinical trials, involving critically ill or high-acuity patient populations (e.g., gene/cell therapy or transplant)
Experience working with academic centers and/or investigator sites that have limited experience with industry-sponsored clinical trials
Experience supporting clinical systems development and testing, including CRF/EDC User Acceptance Testing (UAT) and/or IRT/RTSM UAT
Hands-on experience using CTMS to manage monitoring activities, track site performance, with working knowledge of eTMF and electronic data capture (EDC) systems
Strong knowledge of ICH-GCP guidelines, regulatory requirements and clinical trial operations
Strong organizational, communication, and problem-solving skills
Team oriented and flexible with ability to respond effectively to shifting priorities
High attention to detail and commitment to quality
Ability to travel as required to conduct on-site monitoring/oversight visits

Base pay range for this job is $131,200-$196,800.

We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.

eGenesis

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Lead Clinical Research Associate