Clinical Research Financial Analyst (Remote)

START Center for Cancer Research • San Antonio, TX

2d • $65,000 - $75,000 • Remote

About The Position

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 Research Financial 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.

Requirements

• 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 clinical research finance or research organizations, preferred.
• Experience with ERP systems (e.g., NetSuite) and CTMS platforms(e.g., OnCore by Advarra) preferred.
• Advanced Microsoft Excel skills (pivot tables, VLOOKUP/XLOOKUP)
• Ability to reconcile and analyze large dataset
• Understanding of clinical research billing compliance, including protocols, budgets, contracts, and regulatory obligations.
• Ability to identify and escalate billing-related compliance risks
• Strong analytical and problem-solving skills with attention to detail.
• Ability to investigate discrepancies and develop practical solutions.
• Capability to analyze trends and variances impacting study financial performance.
• Excellent verbal and written communication skills, with the ability to manage and respond to stakeholder inquiries promptly in a fast-paced environment.
• Strong collaboration skills with cross-functional teams including research operations and finance.
• Strong time management skills with the ability to manage multiple priorities and deadlines.
• Highly organized and detail-oriented in a fast-paced environment.
• Ability to work independently while maintaining accuracy and compliance.

Nice To Haves

• Experience with CRO/Sponsor-Facing Roles
• Multi-site/global study exposure.
• Revenue recognition or accrual accounting experience.

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.
• Exercise independent judgment in interpreting study budgets and contracts to resolve discrepancies and support accurate revenue recognition.
• Identify opportunities to improve billing accuracy, reduce revenue leakage, and enhance financial process efficiency.
• Conduct financial analysis of profitability, trends, and performance drivers; provide insights and recommendations.
• Support month-end close activities, including accruals and variance analysis.
• Assist with ad hoc analyses and project.

Benefits

• 401(k) retirement savings plan with employer match
• Eligibility for an annual performance bonus, based on role and company results
• Generous paid time off and paid holidays
• Comprehensive medical, dental, and vision coverage and optional insurance options
• Company paid life and disability insurance for added financial protection
• Employee Assistance Program (EAP) providing confidential, n o cost support for you and your family from day one
• Flexible FSA and HSA plans to support your financial wellness
• Commitment to a supportive environment that values balance, wellbeing, and flexibility

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Number of Employees: 1-10 employees