The START Center for Cancer Research (“START”) is the world’s largest early phase site network, fully dedicated to oncology clinical research. Throughout our history, START has provided hope to cancer patients in global community practices by offering access to cutting edge trials throughout the US and Europe. Today, with over 1,300 studies completed, and with research facilities in the United States and in Spain, Portugal, and Ireland, START’s mission is to accelerate the development of new anticancer drugs that will improve the quality of life and survival for patients with cancer and lead to its eventual cure. To date, over 43 therapies conducted at START locations have obtained FDA/EMA approval. Incredibly, while Academic Medical Centers (AMCs) conduct 80% of cancer trials, such trials reach only 20% of the patient population – leaving the majority of patients who are treated in community practices and hospitals without access to a clinical trial when their care journey calls for one. START serves the many – by bringing cancer trials to physicians and their patients in community hospitals and practices when hope is needed most.
 
START represents the world’s largest roster of Principal Investigators (PIs) across its eight clinical trial sites. Committed to accelerating passage from trials to treatments, START delivers hope to patients, families, and physicians around the world. As an example, in San Antonio, where START was founded, START treated the first patient ever with Keytruda – the most effective cancer drug in medical history.

 We are seeking an experienced Senior Revenue Accountant to join our finance team within a leading Site Research Organization. This role is responsible for managing and executing the revenue recognition process across complex clinical research contracts, ensuring accuracy, compliance with ASC 606, and timely reporting.

You’ll work closely with the Controller and Chief Accounting officer as well as the Budgets, Clinical Operations, Accounts Receivable and Finance teams to ensure proper accounting treatment for milestone-based, unit-based, and time-and-materials contracts — supporting transparency and financial integrity across all client engagements

This is a remote role. The annual base salary for this role is $90K-$100K+ Bonus. However, base pay may vary 

depending on multiple individualized factors including market location, job-related knowledge, skills, and experience. 

 Essential Responsibilities

• Manage the end-to-end revenue recognition process for clinical research projects, including contract review, milestone tracking, and reconciliation.
• Ensure all revenue is recognized in accordance with ASC 606 and CRO-specific performance obligations.
• Collaborate with Budgets Team and Operations to monitor study progress and confirm revenue triggers (e.g., milestones achieved, patient visits, deliverables).
• Review and interpret client contracts, change orders, and amendments to determine appropriate accounting treatment.
• Prepare and review journal entries, account reconciliations, and revenue schedules during monthly and quarterly close cycles.
• Partner with FP&A to align revenue forecasts with actual performance and project timelines.
• Support the development and enhancement of revenue recognition policies, internal controls, and process documentation.
• Assist in the implementation and optimization of ERP and project accounting systems (e.g., NetSuite, Deltek, or similar).
• Respond to internal and external audit requests and assist in maintaining SOX compliance.
• Drive continuous improvement in revenue reporting accuracy, system automation, and data integrity.

 Education & Experience

• Bachelor’s degree in Accounting, Finance, or related field; CPA or CPA candidate preferred.
• 5+ years of accounting experience, including at least 2 years in revenue recognition or project accounting.
• Prior experience in a Contract Research Organization, life sciences, or project-based services environment strongly preferred.
• Deep understanding of ASC 606 and multi-element arrangements (milestone, time-based, and unit-based revenue).
• Strong proficiency in Excel and experience with ERP systems (NetSuite, Deltek, SAP, or similar).
• Excellent analytical, organizational, and communication skills with high attention to detail.
• Ability to work cross-functionally and manage multiple priorities in a dynamic, fast-paced environment.

Preferred Qualifications

• Experience in clinical trial accounting, CRO project billing, or sponsor contract management.
• Exposure to SOX compliance, audit support, and system implementations.
• Familiarity with biotech/pharma sponsor contracting models and project lifecycle tracking.

 Best-in-Class Benefits and Perks

We value our employees’ time and efforts. Our commitment to your success is enhanced by a competitive compensation, depending on experience, and an extensive benefits package including:

• Comprehensive health coverage: Medical, dental, and vision insurance options provided
• Robust retirement planning: 401(k) plan available with employer matching
• Financial security: Company-paid life and disability insurance for added protection
• Flexible financial options: Health savings and flexible spending accounts offered
• Well-being and work-life balance: Paid time off, flexible schedule, and remote work choices provided
• Plus, we work to maintain the best environment for our employees, where people can learn and grow with the company. We strive to provide a collaborative, creative environment where everyone feels encouraged to contribute to our processes, decisions, planning, and culture.

More about The START Center for Cancer Research

Deeply rooted in community oncology centers globally, The START Center for Cancer Research provides access to specialized preclinical and early-phase clinical trials of novel anti-cancer agents. START clinical trial sites have conducted more than a thousand early-phase clinical trials, including for 43 therapies that were approved by the FDA. START represents the world’s largest roster of Principal Investigators (PIs) across its eight clinical trial sites. Committed to accelerating passage from trials to treatments, START delivers hope to patients, families, and physicians around the world. Learn more at STARTresearch.com.

 Ready to be part of a team changing the future of cancer treatment?

Join us in our mission to conquer cancer, one clinical trial at a time. Your expertise and dedication can help us bring hope and healing to patients worldwide. Please submit your application online.

 We are an equal opportunity employer that welcomes and encourages diversity in the workplace. We do not discriminate on the basis of race, color, religion, marital status, age, national origin, ancestry, physical or mental disability, medical condition, pregnancy, genetic information, gender, sexual orientation, gender identity or expression, veteran status, or any other status protected under federal, state, or local law.