Clinical Monitoring Associate

Axsome Therapeutics is a biopharmaceutical company leading a new era in the treatment of central nervous system (CNS) conditions. We deliver scientific breakthroughs by identifying critical gaps in care and develop differentiated products with a focus on novel mechanisms of action that enable meaningful advancements in patient outcomes. Our industry-leading neuroscience portfolio includes FDA-approved treatments for major depressive disorder, excessive daytime sleepiness associated with narcolepsy and obstructive sleep apnea, and migraine, and multiple late-stage development programs addressing a broad range of serious neurological and psychiatric conditions that impact over 150 million people in the United States. Together, we are on a mission to solve some of the brain's biggest problems so patients and their loved ones can flourish. For more information, please visit us at and follow us on LinkedIn and X .


About This Role


Axsome Therapeutics is seeking a Clinical Monitoring Associate (CMA). Supporting the study Lead Clinical Research Associate (LCRA), the CMA provides administrative and operational support to assist effective site management and oversight of clinical monitoring for assigned protocols. With guidance from the LCRA, the CMA maintains study documentation and tracking tools and supports study activities from start-up through closeout. The CMA also assists with identifying and escalating quality issues related to monitoring activities and partners with the study team to document and implement action plans to address them.


This role is based at Axsome's HQ in New York City with an on-site requirement of at least three days per week. We are unable to consider candidates who are looking for fully remote roles.

Job Responsibilities and Duties include, but are not limited to, the following:

• Support the LCRA team, in overseeing clinical monitoring operational execution of assigned clinical studies(s).

• Assist the LCRA in compiling and analyzing monitoring metrics and study data, documenting results in the relevant trackers, and verifying monitoring compliance to support adequate oversight of clinical monitoring personnel.

• Provide administrative support and tracking, which may include (but is not limited to) the following:

• Confirm required CRA study training completion documentation.

• Perform eTMF reconciliation activities (as assigned).

• Maintain IP and freezer temperature log trackers.

• File CRA meeting minutes and agendas in the eTMF.

• Document oversight follow-up (e.g., track reasons for delayed report drafts and revisions).

• Verify documents listed as collected in Monitoring Visit Reports (MVRs) are filed in the eTMF.

• Review and maintain study site monitoring visit trackers.

• May assist in the development/revision and/or provide input in the development of clinical trial related documents including but not limited to study tools, monitoring tools, presentations, meeting materials, case report forms, informed consents, timelines, clinical monitoring plans, site reference manuals, pharmacy manuals, laboratory manuals, protocols, and training materials.

• May review clinical monitoring reports to ensure timely completion/finalization and identification of issues.

• May participate in the Study Oversight meeting(s) with the Study team.

• Review time sheets, expense reports and invoices.

• Perform other work-related duties as assigned and under the direction of the Senior Director, Clinical Monitoring or Sr. LCRA.

Requirements / Qualifications

• BA/BS or equivalent degree required, preference for a background in a scientific discipline or related healthcare field.

• Minimum of 1 year of clinical research experience in pharmaceutical, biotechnology, CRO industry.

• 1 year of clinical monitoring and/or Clinical Trial Associate (CTA) experience preferred.

• Excellent judgement, and problem-solving skills.

• Strong organizational, communication, time management and multi-tasking skills.

• Ability to work on site Monday, Tuesday & Thursday. We are unable to consider candidates who are looking for fully remote roles.

Experience, Knowledge and Skills

• Demonstrates core understanding of medical terminology and/or clinical trial activities.

• Knowledge of clinical research operations, including interpretation and implementation of FDA regulations/ICH/GCP guidelines, required.

• Experience in CNS preferred.

• Ability to work on complex and/or multiple projects and exercise critical thinking with minimal supervision.

• Solid interpersonal skills and communication skills (both written and oral).

• Excellent team player, willingness and ability to fill functional gaps in a growing organization.

• Ability to establish priorities, excellent sense of urgency and desire to collaborate (interpersonal, relationship management) with the study team, cross functional team members and external partners/vendors.

• Self-motivated and adaptable to a dynamic environment.

• Computer skills including proficiency in the use of Microsoft Office, CTMS, eTMF and eCRF platforms and organization tools.

• Comfortable multi-tasking in a fast-paced company environment and able to adjust workload based upon changing priorities.

• Willingness to travel up to 20%.

Salary & Benefits

The anticipated salary range for this role is $70,000 - $80,000. We encourage candidates of all levels to apply as there may be flexibility on final job title and responsibilities. The salary offer will be based on a variety of factors, including experience, qualifications, internal equity and location. Axsome offers a competitive employment package that includes an annual bonus, significant equity and a generous benefits package.


Axsome is committed to equal employment opportunity and providing reasonable accommodations to applicants with physical and/or mental disabilities. We value and encourage diversity and solicit applications from all qualified applicants without regard to race, color, gender, sex, age, religion, creed, national origin, sexual orientation, gender identity, ancestry, citizenship, marital status, physical or mental disability, medical condition, veteran status, genetic information, or any other characteristic protected by federal, state, or local law.


Axsome Therapeutics does not accept unsolicited resumes from recruiters or third-party recruitment agencies and will not pay placement fees for unsolicited candidates that are sent to hiring managers, the HR team or other Axsome team members. Only approved vendors who have been explicitly asked to support a specific search will receive access to our Applicant Tracking System to submit candidates for consideration.