Regional Director of Operations

Flourish Research

Regional Director of Operations for Flourish Research overseeing clinical trial operations in the West Region. Managing P&L and operational strategy across sites to drive profitability and performance.

Posted 7/27/2026full-timeRemote • California • 🇺🇸 United StatesLead💰 $150,000 - $180,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates extensive experience in clinical research leadership, financial performance management, and operational strategy execution. Proficient in budget development, variance analysis, and compliance with GCP, FDA regulations, and ICH guidelines.

Highest-signal resume keywords

Clinical Research LeadershipFinancial Performance ManagementBudget DevelopmentProcess ImprovementStandard Operating Procedures

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Clinical Research MethodsBudgetingVariance AnalysisOperational MetricsData Quality ManagementRisk AssessmentNegotiationConflict ManagementPerformance ManagementStaffing Models

Soft Skills

LeadershipCollaborationCommunicationProblem SolvingFlexibility

Tools & Technologies

Office365

Industry Keywords

GCPFDA RegulationsICH GuidelinesClinical Trial AgreementsSite LeadershipOperational SynergiesQuality Control ProcessesTalent DevelopmentEngagement ChampionCapacity Planning

Tech Stack

Tools & technologies

Google Cloud Platform

About the role

Key responsibilities & impact

Own the regional P&L and execute against budgeted revenue, margin, and EBITDA targets with full accountability for financial performance
Drive strategic and tactical decisions to optimize regional profitability, working collaboratively with Site Directors to achieve financial objectives
Responsible for regional operational and financial metrics including budget development, monthly reporting, variance analysis, and continuous improvement initiatives
Effectively utilize financial levers to manage regional operational budgets, including fixed and variable costs, capital expenditure requests, and resource allocation
Analyze operational volume and labor staffing models across sites to determine optimal staffing requirements and efficiency opportunities
Understand clinical trial agreement budgets to identify renegotiation opportunities, prioritize Tier 1 studies (high patient volume or high per patient randomized value), and ensure appropriate protocol selection aligned with regional capabilities and strategic value
Bridge clinical operations with accounting, finance, and commercial teams to ensure alignment on financial objectives and study economics
Maintain accurate backlog forecasting and pipeline visibility to support regional revenue projections and capacity planning
Oversee bottom of funnel (BOF) conversion metrics, working with Site Directors and commercial teams to improve win rates and optimize study activation timelines
Implement plans and processes to maintain and improve productivity and profitability across all regional sites
Identify and execute operational synergies and best practice sharing across sites within the region
Develop and execute regional operational strategy in alignment with corporate objectives and the Flourish Approach
Become deeply knowledgeable about the history, operations, competitive positioning, and market dynamics of each site and the regional footprint
Provide input on regional expansion opportunities including site acquisitions, de novos, and capability enhancements
Support commercial team in feasibility assessments and strategic sponsor relationship development
Collaborate with Medical Advisory Board on regional therapeutic area strategy and KOL engagement
Partner with growth team on integration planning and execution for new site acquisitions within the region
Recruit, develop, mentor, and retain high-performing Site Directors and site-level leadership teams
Lead, coach, and engage a team of Site Directors to execute against clinical and operational strategy with clear performance expectations
Drive performance management and coaching/development objectives across the regional leadership team
Serve as the change, culture, and engagement champion for the region, partnering with HR on People and Culture initiatives
Work with the training team to develop a robust pipeline of effective leadership at the site and regional level
Utilize routines and best practices to assess performance, provide recognition, and deliver performance coaching when gaps are identified
Direct regional recruiting strategy to fulfill talent needs for short, mid, and long-term success
Foster collaboration and knowledge sharing across sites to build regional operational capabilities
Provide oversight and hold Site Directors accountable for execution of all clinical trial activities in compliance with GCP, FDA regulations, ICH guidelines, HIPAA laws, and sponsor protocols
Drive standardization of operations, systems, and processes across all regional sites to ensure consistency, efficiency, and operational excellence
Ensure Site Directors maintain structured SOPs, policies, and procedures in partnership with Quality and Risk teams
Monitor site-level performance on enrollment, retention, data quality, protocol compliance, and sponsor satisfaction metrics
Ensure continuous high-level involvement by Principal Investigators through Site Director coaching and investigator engagement
Ensure data integrity and timely submission of quality data to sponsors through effective oversight of site quality control processes
Ensure the safety of study participants through appropriate training and oversight in collaboration with Medical Advisory Board
Hold Flourish shared services functions accountable to deliver against agreed-upon service level targets, including Human Resources, Feasibility, Budgets and Contracts, Quality, Training, Information Technology, and Finance
Serve as the regional voice in corporate strategy discussions and planning processes
Escalate issues and advocate for regional needs with executive leadership and shared services teams
Partner with Quality leadership to drive regional quality metrics and audit readiness
Collaborate with IT and training teams to ensure effective adoption of systems and processes
Work with commercial team to communicate regional capacity, capabilities, and competitive positioning
Represent Flourish Research in a professional and courteous manner (verbal, written and in appearance) when interacting with all staff, clients, and vendors.
Additional duties as assigned by management.

Requirements

What you’ll need

Education: Bachelor’s degree preferred or commensurate experience.
Experience: 10+ years required in clinical research, 5+ years in site leadership roles (Site Director, or RDO).
Exceptional knowledge of clinical research methods.
Strong management and leadership skills.
Demonstrated ability to collaborate and align with operations.
Excellent oral and written communication skills.
Excellent computer skills to include Office365 products.
Experience in writing and reviewing Standard Operating Procedures.
Strong problem solving, risk assessment and impact analysis abilities.
Demonstrated experience in process improvement.
Strong negotiation and conflict management skills.
Flexible and able to multi-task and prioritize competing demands.
Ability to think independently and influence when appropriate.

Benefits

Comp & perks

Health, dental, and vision insurance plans
401(k) with a 100% employer match on the first 4% of employee contributions
Tuition reimbursement
Parental leave
Employee referral program
Employee assistance program
Life insurance
Disability insurance
Generous PTO plan covering vacation, sick, personal days and 8 paid holidays