Coordinates investigator/ site feasibility and identification process, as well as study startup.* Monitors project timelines and patient enrollment, implements respective corrective and preventive measures.* Reviews monitoring visit reports for all visit types and ensures reporting compliance of the Monitors in the region.* Manages Monitors in the query resolution process, including Central Monitoring observations.* Coordinates safety information flow and protocol/process deviation reporting.* Performs clinical supplies management with vendors on a country and regional level.* Ensures study-specific and corporate tracking systems are updated in a timely manner.* Acts as the main communication line between Monitor, Site Management Associate, Regional Project Lead, and/ Project Manager.* Coordinates planning of supervised monitoring visits and conducts the visits. * Manages the project team in site contracting and payments.* Leads project team calls on a country level as well as provides status updates and reports to Regional Lead/ Project Manager.* Ensures ongoing evaluation of data integrity and compliance at a country/regional level.* Conducts site audit preparation visits, may participate in site audits, and coordinates resolution of site audit findings on a country/regional level.* Oversees project team in CAPA development and implementation.* Coordinates project team in process deviations review, management and reporting.* Conducts initial training and authorization monitoring visits for Monitors and acts as a mentor for newly promoted Lead CRAs.* Provides project-specific training and prepares training materials for the project team under supervision of a Project Manager and Regional Project Lead.* Delivers trainings and presentations at Investigator Meetings.* Prepares, conducts and reports site selection, initiation, routine monitoring and closeout visits.* Ensures that subject recruitment targets and project timelines are properly defined, communicated, recorded, and met at site level.* Ensures accurate and timely information flow with trial sites on Adverse Events and protocol/process deviations.* Supervises source data verification and follows up on data queries at site level in the country/region; reviews and manages study risks on a site level.* Ensures proper handling, use, accountability, reconciliation, and return of all Investigational Product(s) and clinical study supplies on a country/region level.* Reviews essential study documents and supervises reconciliation of study Investigator Site File (ISF) / TMF at site level and country/region level.* Ensures data integrity and compliance at a site level.* Supervises Site Management Associates in the flow of documents and laboratory supplies between the site and the Central/ Regional Lab/ Central Reviewer.* Conducts project-specific training of site Investigators.* Supports preparation of draft regulatory and ethics committee submission packages.