Eleanor Houston is a clinical operations leader specializing in Sponsor Monitoring Oversight, risk based quality management, and CRO governance. She has extensive experience designing and operationalizing oversight frameworks aligned with ICH GCP R3, with a focus on data driven decision making, fit for purpose monitoring strategies, and effective Sponsor-CRO partnerships. Eleanor currently leads Monitoring Oversight functions across complex clinical programs and is known for translating regulatory expectations into practical, scalable operating models. She is a frequent contributor to industry discussions on modern oversight, quality metrics, and inspection readiness.