Fortrea is looking for an experienced clinical operations professional to join our team as Site Navigator II (remote), with a strong focus on clinical trial start‑up activities and in-house CRA responsibilities. This role is ideal for someone with solid start‑up expertise who is ready to take ownership of key processes within a global CRO environment. Key Responsibilities Manage site identification, feasibility, and full start‑up activities, including site outreach, feasibility questionnaires, and confidentiality agreements Lead and coordinate Ethics Committee and Regulatory Authority submissions, including initial submissions and amendments Drive and track essential regulatory documents to ensure timely and compliant site activation Act as primary point of contact for investigative sites during start‑up and early study phases Independently manage site contract and budget negotiations in collaboration with internal stakeholders Perform remote Pre‑Study Visits and support Site Initiation Visit preparation Conduct in‑house CRA activities such as document review, CRF review, data validation, and remote monitoring tasks Ensure TMF completeness and inspection readiness Collaborate closely with CRAs, project teams, and cross‑functional stakeholders to meet study timelines Qualifications University degree (life sciences preferred) Minimum 2 years of experience in Start‑Up Strong hands-on experience in clinical trial start‑up is essential Proven experience with EC/RA submissions and regulatory documentation Solid experience in contract and budget negotiations Good knowledge of ICH/GCP and clinical trial processes Strong organizational skills, attention to detail, and proactive communication Ability to manage multiple priorities independently in a structured way Learn more about our EEO & Accommodations request here .