Provides strategic and operational leadership for end-to-end study start-up and activation activities across the CTSI Clinical Research Centers portfolio, including protocol intake, feasibility review, operational assessments, budget development, regulatory coordination, and activation readiness. Collaborates with investigators, departmental leadership, OSR units, contracts, sponsored programs, billing compliance, IRB, finance offices, and institutional service providers to ensure alignment across contractual, operational, financial, and regulatory timelines.