This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Senior Study Start-Up Manager based in the United States. This is a senior clinical operations role responsible for driving study start-up activities from site identification through activation and ongoing submissions.You will help ensure clinical trials launch efficiently, on schedule, and in compliance with ICH/GCP, applicable regulations, and internal procedures.The role spans the Americas, providing opportunities to influence processes across the U.S., Canada, and Latin America.You will serve as a key subject-matter resource for study teams while improving workflows, metrics, tools, and operational practices.The position combines hands-on study start-up expertise with leadership, mentoring, resource planning, and cross-functional collaboration.You will work closely with clinical and external partners to resolve issues, reduce cycle times, and improve trial execution.This opportunity is well suited to an organized, proactive clinical research professional who enjoys influencing teams and building scalable operational solutions.