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 "Hope Through Access”to  cutting edge trials throughout the United States and Europe.  
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 seeking a Clinical Research Budget Analyst to p rovide effective development, implementation, and maintenance of START financial guidelines to secure appropriate billing and compliance. The annual base salary for this remote role is $65,000 - $80,000. However, base pay may vary depending on multiple individualized factors including market location, job-related knowledge, skills, and experience.

Essential Responsibilities:

  • Review and interpret clinical trial protocols, proposed budgets, and supporting documents to accurately capture all clinical trial financial activit y.

  • Utilize coding knowledge for budgeting as needed (CPT, HCPCS) .

  • D evelop and negotiat e budgets 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 assigned by management and perform other related duties as requested .

  • Other duties may be assigned at any time.

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 or equal level of education and experience .

  • Clinical Trial Management System (CTMS) experience .

  • Intermediate to Advanced MS Office Excel and other MS Office programs .

  • Experience in Adobe, DocuSign , FileMaker and other technical platforms .

  • Comprehensive critical thinking skills , and attention to detail .

  • Strong interpersonal skills with peers , and excellent communication skill

Preferred Education and Experience:

  • Experience in a healthcare or clinical research setting .

  • Oncology experience .

  • C oding knowledge (CPT, HCPCS) .

Physical & Travel  Requirements :  

  • Approximately 80% of time is spent sitting.

  • Very fast-paced and ever-changing healthcare environment.

  • Demanding deadlines and time frames .

  • Frequent use of computer , keyboard , and mouse .


Best-in-Class Benefits and Perks
We value the time, talent, and dedication our employees bring to START. Our commitment to your well-being and growth is reflected in a competitive compensation package—based on experience—along with comprehensive benefits designed to support you both personally and professionally: 

  • 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 p aid 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 

  • We’re committed to fostering a collaborative, creative workplace where every team member is encouraged to contribute. At START,  you’ll join a team that values continuous learning, professional growth, shared ideas, and a culture built on inclusivity and innovation. 


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.  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 2026-04-03

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