Clinical Operations Senior Manager
Kiniksa Pharmaceuticals International
Lexington, MA · $170k–$190k a year · Posted October 23, 2026
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Where Lexington, MA ranks
Where Lexington, MA placed in our monthly rankings, month by month. Each month stays online at its own address.
November 2026
- #2Best cities for entry-level jobs that want AI skills in the Northeast19% · of 48
- #2Best cities for entry-level jobs that want AI skills in New England19% · of 20
- #3Best all-round cities for mid-career professionals in New England65 / 100 · of 11
- #4Best cities for pay after cost of living in New England$162k · of 11
- #4Best cities for pay after cost of living in Massachusetts$162k · of 9
- #4Best cities for software and engineering jobs in New England114 openings · of 24
Rankings about operations jobs
- Best cities for operations jobs #1 New York (1,429 openings)
- Best cities for operations pay after cost of living #1 Reston ($177k)
- Most requested AI skills in operations jobs #1 AI tools in daily work (2.5%)
- AI tools named most often in operations jobs #1 Claude (0.28%)
- Employers with the most operations jobs #1 Amazon (1,480 roles)
How AI is used in this kind of work
AI use among medical and health services managers is little observed so far. Measured exposure for medical and health services managers: 7% (little observed).
Share of this job’s tasks that AI is already used for at work, from real usage. It is not a forecast of job loss, and a low number means no use seen yet. Source: Anthropic Economic Index.
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About the job
Kiniksa Pharmaceuticals is a commercial‑stage biopharmaceutical company developing and commercializing novel therapies for diseases with unmet need, with a focus on cardiovascular indications. With deep expertise in immunology and inflammation, Kiniksa is advancing a growing portfolio of approved and investigational medicines, anchored by its lead product, ARCALYST®, the first and only FDA‑approved therapy for recurrent pericarditis. Grounded in rigorous science and bold innovation, the company fosters a highly collaborative, patient‑first culture led by accomplished life sciences leaders. At Kiniksa, talented individuals are trusted and empowered to make a real impact—shaping the future of medicine while improving the lives of patients who need it most.
This is an exciting time to join Kiniksa as the company continues on a strong growth trajectory. You will join a dynamic Clinical Operations team working in a fast-paced, highly collaborative environment, with the opportunity to help shape how we deliver high-quality clinical programs and contribute to the future success of the organization.
The Senior Manager, Clinical Operations provides / supports the operational leadership and strategic oversight of the planning, conduct, and delivery of global clinical trials. This role partners cross-functionally and with external service providers to ensure studies are executed in accordance with quality, timeline, budget, and regulatory expectations .
This role is based in our Lexington, MA office and requires employees to be onsite five days per week.
Responsibilities ( including, but not limited to ):
Provide operational oversight and leadership for assigned clinical development activities.
Partner with cross-functional stakeholders to support effective study planning, execution, and decision-making.
Drive proactive identification, assessment, and escalation of operational risks and issues.
Oversee vendors to ensure quality delivery and performance against study objectives.
Support development, maintenance, and execution of study operational plans and associated deliverables.
Ensure implementation of protocol amendments, study changes, and operational processes in alignment with program objectives.
Maintain inspection readiness and support compliance with GCP, regulatory requirements, and company procedures.
Communicate study and program status, risks, and key metrics to stakeholders and senior management.
Contribute to continuous improvement initiatives that enhance clinical trial execution and operational effectiveness.
Standout Skills:
Strong knowledge of ICH-GCP and international clinical trial regulations.
Understanding of clinical trial planning, execution, risk management, and vendor oversight.
Ability to operate well in complex matrix environment and vendor setup and lead without authority.
Strong organizational, communication, and stakeholder management skills.
Ability to manage multiple priorities in a dynamic and ambiguous environment.
Demonstrated problem-solving and decision-making abilities.
Technical understanding of clinical trial systems and integrations.
Qualifications and Experience:
Bachelor's degree in a scientific, healthcare, or related field required.
Advanced degree preferred.
7+ years of clinical operations experience within a biotechnology, pharmaceutical, or CRO environment.
Experience supporting and/or leading global Phase 1, 2, and/or 3 clinical trials.
Demonstrated experience managing CROs and external vendors.
Experience working within cross-functional clinical development teams.
Proficient with Microsoft Office and clinical systems (eTMF, CTMS, IRT, EDC).
Compensation decisions are based on objective criteria including role responsibilities, experience/qualifications, internal equity, geographic location, and external market benchmarks.
Pay Range $170,000 — $190,000 USD
Kiniksa is an Equal Opportunity employer and will consider you without regard to your race, color, religion, sex, sexual orientation, gender identity, transgender status, age, genetics, national origin, protected veteran status, or disability status, or any other legally protected category. We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation.
Kiniksa does not accept unsolicited resumes from staffing agencies or search firms. Any resumes submitted without a signed agreement will be considered property of Kiniksa, and no fees will be paid.