Manager, Clinical Trial Finance and FP&A

Description

This role is a key hire within the Finance and Accounting team, offering meaningful exposure across clinical finance, FP&A, and strategic decision support. The position is well-suited for a candidate eager to build deep clinical finance expertise and grow into future leadership responsibilities as the company scales toward public-company readiness.

This is an individual contributor role initially, with the potential to build and lead a small FP&A sub-team as the organization expands.

Key Responsibilities

Clinical Trial Finance & Accruals

• Own the end-to-end clinical trial accrual process, including methodology design, monthly accrual calculations, true-ups, and variance analysis.
• Ensure accurate and timely integration of CRO, EDC, and other clinical data into financial accruals, forecasts, and management reporting.
• Develop and document accrual methodologies, assumptions, and controls to support audit readiness and internal control expectations.
• Serve as the primary finance partner to Clinical Operations and external vendors, ensuring alignment between trial progress, financial assumptions, and spend visibility.
• Lead the implementation, configuration, and continuous improvement of the Clinical Trial Management System (CTMS) in partnership with Clinical Operations and IT.

Collaboration Agreements & Revenue Recognition Support

• Provide financial support for collaboration agreements, including maintaining cost-to-cost inputs and related estimates used for ASC 606 revenue recognition.
• Track reimbursable and shared costs, support forecast updates and assist with audit and valuation-related data requests.
• Partner with Accounting and Legal to ensure financial reporting aligns with contractual and compliance requirements.

Financial Planning & Analysis, Budgeting, and Forecasting

• Support budgeting, forecasting, and variance analysis for R&D, clinical programs, and collaboration-related activities.
• Maintain and enhance financial models and analytical tools supporting decision-making by Finance and executive leadership.
• Translate complex financial and operational data into actionable insights that shape R&D investment decisions, trial pacing, and cash runway optimization.
• Gain increasing exposure to executive-level FP&A discussions and strategic planning as the company grows.

Requirements

• Bachelor’s degree in Finance, Accounting, or related field; advanced degree a plus.
• Minimum 5+ years of relevant experience in FP&A, accounting, or finance within biotech, life sciences, or a related industry.
• Clinical trial accounting or clinical trial finance experience required, including accruals, forecasting, and trial-level analysis.
• Experience supporting collaboration agreements and ASC 606 revenue recognition preferred.
• Experience implementing or integrating CTMS tools (e.g., Condor, Auxilius, or similar) strongly preferred.
• Strong analytical, modeling, and communication skills, with ability to partner cross-functionally with Clinical Operations, Legal, and R&D.
• CPA and/or Big 4 public accounting experience a plus.
• Business partnership mindset with proven ability to operate effectively in a dynamic, fast-paced environment.
• Comfort with scaling processes and driving toward pre-IPO operational rigor.

This is an opportunity to build foundational clinical finance and FP&A capabilities within a growing biotech, contributing directly to operational excellence, capital efficiency, and future public-company success.

Salary Description: 

$124k - $146k