Regional Director of Operations

About the role

The Regional Director of Operations will own the regional P&L and execute against budgeted revenue, margin, and EBITDA targets with full accountability for financial performance. This role will drive strategic and tactical decisions to optimize regional profitability, working collaboratively with Site Directors to achieve financial objectives.

Responsibilities

• 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
• 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
• Partner 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
• 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
• 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
• 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
• Collaborate 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

Requirements

• 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
• Able to think independently and influence when appropriate

Benefits

• 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
• A generous PTO plan covering vacation, sick, personal days and 8 paid holidays

Flourish Research is an equal employment opportunity employer