# Senior Manager / Associate Director, Clinical Operations at Alto Neuroscience

- Company: Alto Neuroscience
- What the company does: About Alto Neuroscience, Inc. At Alto Neuroscience, you will play a pivotal role in advancing precision psychiatry and improving how mental health disorders are treated. Join us in building the next generation of personalized neuroscience-based therapeutics. Backed by Stanford.
- Company website: https://altoneuroscience.com
- Type: Startups
- Level: Principal and up
- Location: Mountain View, CA
- Work setup: On-site
- Pay: $170K to $185K base salary per year (USD)
- Posted: 2026-09-18
- Apply by: 2026-11-02
- Apply: https://ats.rippling.com/alto-neuroscience-inc/jobs/94df9483-5a4e-4482-b9c4-0b841361e15d
- Page: https://www.1752.vc/careers/jobs/alto-neuroscience-senior-manager-associate-director-clinical-operations/

## About the role

The Senior Manager/Associate Director, Clinical Operations provides line management and functional oversight for a team of clinical trial staff spanning Clinical Trial Associate (CTA), Clinical Research Associate (CRA), Clinical Trial Manager (CTM), and Clinical Project Manager (CPM) levels. Trials are run in-house rather than outsourced to a CRO, so this role and its team hold direct, hands-on responsibility for site management, monitoring, and trial execution rather than oversight of a CRO's delivery.

## What they're looking for

- 10+ years of hands-on clinical trial experience across multiple Clinical Operations roles, including CTA, CRA, CTM, and/or CPM experience
- 3+ years of direct people management experience
- Direct experience with site monitoring, site management, and clinical trial execution in an in-house operating model
- Strong working knowledge of ICH-GCP, FDA/EMA regulations, and the clinical trial lifecycle
- Demonstrated experience managing and developing Clinical Operations staff across varying levels of seniority
- Strong organizational, communication, and problem-solving skills, with the ability to manage competing priorities across multiple studies

Tags: Business Operations