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 "Hope Through Access” to cutting edge trials throughout the United States and Europe.

The Clinical Trial Finance Analyst manages financial oversight for a portfolio of clinical research studies of varying complexity including multi-site and global trials. This role supports the financial oversight of clinical research studies by ensuring accurate billing, account reconciliations, patient visit validation, and vendor expense processing. This role collaborates with cross‑functional teams to maintain data accuracy, support month‑end close activities, and drive continuous improvement across clinical finance processes.

This is a remote role. The annual base salary for this role is $65,000 - $75,000. However, base pay may vary depending on multiple individualized factors including market location, job-related knowledge, skills, and experience.  In addition, employees in this role may be eligible for an annual bonus of up to 10% of base earnings.

Essential Responsibilities:

· Prepare, review, and approve (within delegated authority) monthly clinical trial invoices for domestic and international study sites.

· Review and approve within delegated authority vendor invoices and study‑related expenses for accuracy, contractual compliance, and documentation; ensure timely processing and billing alignment.

· Maintain detail study-level reconciliations to ensure all patient visits, procedures, and expenses are accurately priced and billed.

· Partner with domestic or international Accounts Receivable teams to ensure sponsor payments are applied accurately and timely.

· Collaborate with study budget, contracting, and research teams to research, analyze, and resolve billing discrepancies.

· Perform financial close-out activities, including final reconciliations and sponsor invoicing.

· Utilize NetSuite and CTMS platforms to manage financial workflows and maintain data integrity.

· Conduct financial analysis of profitability, trends, and performance drivers; provide insights and recommendations.

· Support month-end close activities, including accruals and variance analysis.

· Other duties may be assigned at any time.

Required Education & Experience:

· Bachelor’s degree in accounting, Finance, or a related field.

· Minimum of 3+ years of experience in financial analysis or clinical research finance experience.

· Experience with ERP systems (e.g., NetSuite) and CTMS platforms(e.g., OnCore by Advarra).

· Advanced Microsoft Excel skills (pivot tables, VLOOKUP/XLOOKUP).

· Ability to reconcile and analyze large datasets.

· Understanding of clinical research billing compliance, including protocols, budgets, contracts, and regulatory obligations.

· Ability to identify and escalate billing‑related compliance risks.

· Highly organized and detail-oriented in a fast-paced environment.

Preferred Education and Experience:

· Experience with CRO/Sponsor-Facing roles.

· Experience with clinical research finance or research organizations.

· Multi-site/global study exposure.

· Revenue recognition or accrual accounting experience.

Physical & Travel Requirements:

· Sitting: Must be able to sit for extended periods of time.

· Prolonged use of computer, keyboard, and mouse.

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:

More about The START Center for Cancer Research

START clinical trial sites have conducted more than 1,000 early-phase clinical trials, including dozens of therapies that were approved by the FDA or EMA. START represents the world’s largest roster of early-phase principal investigators across its Network of clinical trial sites. Committed to accelerating passage from trials to treatments, START delivers hope to patients, families, and physicians around the world via our mission of “Hope Through Access”. As an example, in San Antonio, where START was founded, START treated the first patient ever with Keytruda – one of the most effective cancer drugs in medical history.  

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.