About this role
VP of Medical Monitoring
Piper Companies is seeking a VP of Medical Monitoring to lead a global medical monitoring organization for a leading clinical research and drug development company. The VP of Medical Monitoring will provide strategic, operational, and people leadership across a large international team of Medical Monitors while driving excellence in medical oversight, resource planning, and organizational growth.
Responsibilities of the VP of Medical Monitoring:
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Lead and develop the global Medical Monitoring organization across multiple therapeutic areas.
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Manage a large international team of Medical Monitors, including significant personnel based throughout APAC.
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Provide strategic leadership and oversight for medical monitoring activities across clinical development programs.
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Own departmental budgeting, forecasting, and P&L responsibilities.
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Drive operational excellence through workforce planning, performance management, and resource allocation.
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Partner with executive leadership to support business growth initiatives and organizational strategy.
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Establish and maintain standards to ensure quality, consistency, and compliance across all medical monitoring activities.
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Mentor and develop senior leaders within the medical monitoring function.
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Collaborate with clinical operations, medical affairs, and executive stakeholders to optimize study execution and patient safety oversight.
Qualifications of the VP of Medical Monitoring:
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MD strongly preferred.
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CRO experience highly preferred.
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Extensive leadership experience within Medical Monitoring, Medical Affairs, Clinical Development, or Medical Services organizations.
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Previous experience managing large global teams across multiple regions.
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Experience within both CRO and biotechnology/pharmaceutical environments preferred.
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Oncology experience preferred but not required.
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Demonstrated success managing departmental budgets and P&L responsibilities.
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Executive-level leadership experience, including organizational strategy and business planning.
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Strong understanding of clinical trial operations, regulatory requirements, and medical oversight processes.
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Proven ability to build, scale, and lead high-performing global organizations.
Compensation for the VP of Medical Monitoring includes:
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Salary range: $350,000 - $399,000 plus target bonus
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Comprehensive benefits package including medical, dental, vision, 401(k), and PTO
This job opens for applications on 11/11/2026. Applications for this job will be accepted for at least 30 days from the posting date.