Senior Clinical Trials Budget Analyst

Responsibilities

• Develop, build, and finalize clinical trial budgets for industry-sponsored studies (oncology and non-oncology) in collaboration with AMC and health system stakeholders.
• Perform detailed Medicare Coverage Analyses (MCA) to accurately distinguish routine care vs. research-related costs in compliance with CMS guidelines.
• Configure and maintain study calendars, budgets, and billing grids within OnCore, ensuring alignment with protocol requirements and institutional billing practices.
• Support clinical trial start-up by ensuring accurate budget setup, billing designation, and downstream readiness for compliant invoicing and revenue capture.
• Lead or support budget negotiations with sponsors and CROs, advocating for fair market value and full cost recovery for AMCs and health systems.
• Partner closely with investigators, study coordinators, finance, and revenue cycle teams to validate assumptions and resolve budget or billing discrepancies.
• Conduct ongoing budget tracking, reconciliation, and variance analysis to ensure financial accuracy throughout the study lifecycle.
• Identify and address billing compliance risks, ensuring adherence to CMS, FDA, NIH, and institutional policies.
• Assist in audit readiness activities, including documentation review, compliance checks, and issue resolution.
• Standardize and improve budgeting and coverage analysis workflows, templates, and tools to enhance efficiency and consistency across client engagements.
• Serve as a subject matter expert for clinical trial budgeting, billing compliance, and OnCore functionality within AMC and health system environments.
• Provide hands-on support across multiple client engagements, managing competing priorities while maintaining high-quality deliverables.

Required Skills

• Bachelor’s degree is required (Accounting, Finance, Business Administration, or related field is preferred).
• 3 to 5+ years of hands-on experience in clinical trial budgeting within Academic Medical Centers or health systems.
• Strong expertise in Medicare Coverage Analysis and clinical trial billing compliance.
• Required experience using OnCore for calendar build, budgeting, and billing grid configuration.
• Proven experience negotiating budgets with sponsors and CROs.
• Strong analytical skills, attention to detail, and proficiency in Microsoft Excel.
• Effective communication skills with the ability to collaborate across clinical, financial, and administrative teams.
• Ability to manage multiple studies and deadlines in a fast-paced, client-facing environment.
• Willingness to travel domestically (up to 10%).

Preferred Skills

• Consulting experience is a plus.
• Experience with clinical trial financial lifecycle management, including invoicing and reconciliation.
• Knowledge of research billing workflows within AMCs and integrated health systems.
• Familiarity with clinical trial management systems (CTMS) and financial reporting tools.