Clinical Research Budget Analyst (Remote)

START Center for Cancer Research
San Antonio, TX

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 hiring a motivated Clinical Research Budget Analyst.

This is a remote role. The annual base salary for this role is $75,000 - $85,000. However, base pay may vary depending on multiple individualized factors including market location, job-related knowledge, skills, and experience.

Essential Responsibilities
  • Provide effective development, implementation, and maintenance of START financial guidelines to secure appropriate billing and compliance
  • Review and interpret clinical trial protocols, proposed budgets, and supporting documents to accurately capture all clinical trial financial activity
  • Utilize coding knowledge for budgeting as needed (CPT, HCPCS)
  • Responsible for the budget development and negotiation of medium-complexity rated initial studies and amendments, perform coverage analysis, and negotiate contract payment terms, and assist with contract execution in a proactive and timely manner
  • Work closely with clinical team and staff to confirm understanding of clinical research protocol, identify standard of care/ or routine care and research related activities
  • Prepare budget and contract proposals for Quality Control (QC) review prior to presenting documents for negotiation with industry sponsors or clinical research organizations (CRO’s)
  • Assist in special projects as assigned by management and perform other related duties as requested
  • Works independently with general supervision and requests guidance from leadership as needed
  • May provide general orientation to newer staff along with suggestions for orientation
  • Builds and maintains relationships with internal departments and colleagues and customers
  • Uses creative thinking to improve processes, solve complex problems, make decisions based on analysis and assist in reengineering processes to adapt to changing organizational unit needs
  • Uses clear, concise and professional communication skills to correspond with groups, individuals and leaders
  • Seeks opportunities for professional growth and inquires for additional projects from leadership
  • Focuses efforts on fulfilling expectations by seeking insight into customer needs and developing solutions that provide value
  • Makes availability to assist leadership or teammates in critical periods

Required Education and Experience:

  • Bachelor’s degree in financial or business administration field (Accounting, Finance, Business Administration, or similar field) or equivalent experience and/or training
  • Minimum of three years of budget experience, preferably in a healthcare or clinical research setting (Oncology experience preferred) or equal level of education and experience
  • Clinical Trial Management System (CTMS) experience
  • Preferred coding knowledge (CPT, HCPCS)
  • Intermediate to Advanced MS Office Excel and other MS Office programs
  • Experienced in Adobe, Docusign, Filemaker and other technical platforms
  • Comprehensive critical thinking skills; and attention to detail
  • Strong interpersonal skills with peers; and excellent communication skills
  • Ability using organizational skills to multitask
  • Manage multiple competing demands and prioritize in a fast-paced environment
  • Work effectively as a member of a team and independently on projects as assigned
  • Self-motivated, self-directed, and ability to multitask and prioritize and execute tasks


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 provided
  • Robust retirement planning: 401(k) plan available with employer matching
  • Financial security: 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.
Posted 2025-11-21

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