ICON Strategic Solutions is seeking a Start Up Lead based in Madrid, home-based, to drive country-level trial start-up activities in a sponsor-dedicated model. You will own budgets, negotiate CTRAs, oversee country submissions, and coordinate with IRB/Regulatory authorities to ensure Site Ready deployments. The role requires 5-7 years in clinical research and finance, strong regulatory expertise, and ability to influence diverse stakeholders while traveling up to 25%.