Lead on-site monitoring visits from qualification through close-out. Perform source data review/verification and query resolution. Evaluate site performance, compliance, enrollment trends, and data quality. Identify and escalate issues, deviations, and risks. Build collaborative site relationships and provide training. Craft and refine SOPs, WIs, and operational tools. Identify operational gaps and champion process improvements. Oversee IRB submissions and maintain TMF. Support operational activities like feasibility, regulatory submissions, and IP logistics. Contribute to study planning, risk management, and audit readiness.