Study Cash Accountant

What We Do:Care Access is a unique, multi-specialty network of research sites which operates as one connected team of physician investigators, nurse coordinators, and operations managers. Our goal is to engage every healthcare professional in clinical research and to make clinical trials a care option for every patient. By removing this bottleneck, Care Access is helping accelerate the approval and delivery of critical and life-saving therapies. Who We Are:We care. Our people are the engines behind our mission: to revolutionize access to clinical trials for the benefit of patients everywhere. We care for one another, find new ideas to accelerate medicine, and seed a long-term impact for generations. Position Overview:The Study Cash Accountant is a key member of the Clinical Finance team, responsible for overseeing financial transactions tied to clinical studies and supporting operational accounting processes. This role is primarily focused on managing study-related cash activities, including invoicing, sponsor payments, and reconciliations. The remaining responsibilities include supporting the creation of sales orders or projects in the financial system, assisting with broader reconciliation efforts, and contributing to the integrity of financial reporting. What You'll Be Working On (Duties include but not limited to):Primary Duties & Essential Functions:Monitor, reconcile and manage all incoming sponsor payments Prepare, issue, and track accurate invoices in accordance with study contracts. Assist with the creation, configuration, and updates of study project records Complete account reconciliations and journal entries; support month-end close Study Cash Flow Management:Oversee end-to-end management of sponsor cash flows, including payment tracking, verification, and reconciliation with study agreements Ensure all incoming sponsor payments are properly allocated to the correct studies, milestones, and deliverables Proactively monitor outstanding receivables and follow up on overdue sponsor payments, escalating issues when necessaryMaintain accurate audit trails and financial documentation for study cash activity in accordance with internal controls and external audit requirementsInvoicing & Billing Support:Generate and submit timely, contractually compliant invoices to study sponsors.Reconcile invoice data against contract terms, payment schedules, and recorded sponsor fundingTrack invoice aging and support the collections process in collaboration with the Accounts Receivable teamProject & Sales Order Assistance:Support the creation, setup, and maintenance of study-related sales orders or project records within the financial system (e.g., NetSuite) Monitor project lifecycle activity and assist in updating records for scope changes or amendmentsFinancial Reconciliation & Reporting:Perform monthly and quarterly reconciliations of cash, revenue, and study-related general ledger accounts as directed Assist with the preparation of financial reports related to study performance, sponsor funding, and receivables statusOther Responsibilities: Assist in preparing documentation and responding to external audit records Identify and recommend process enhancements or system optimization to improve efficiency Coordinate with Clinical Project Managers to monitor milestone progress and ensure timely billing Provide analytical and operational support for special initiatives, reporting requests or one-time financial data reviews as directed Scope of Role:Autonomy of Role: ​Work is performed under general supervision​ Direct Reports: ​No​ Physical & Travel Requirements:This role requires 100% of work to be performed in a remote office environment and requires the ability to use keyboards and other computer equipmentThis is a remote position with less than 10% travel requirements. Occasional planned travel may be required as part of the roleWhat You Bring (Knowledge, Skills, & Abilities):Familiarity with Clinical Trial FinanceUnderstands milestone-based billing, sponsor payment schedules, and contract structures Supports alignment of financial processes with operational timelines in clinical studies Proficiency in Financial Systems and ToolsUtilizes ERP platforms such as NetSuite, Oracle, or SAP for sales order/project management Leverages Excel for reconciliation, reporting, and data analysis tasks (pivot tables, LOOKUPS, formulas)Strong Reconciliation and Analysis SkillsIdentifies and resolves discrepancies between expected and actual sponsor payments Performs month-end reconciliations to maintain ledger and reporting integrity Ability to Manage Billing and ReceivablesPrepares and submits compliant invoices aligned with contract termsTracks aged receivables and collaborates with sponsors to resolve overdue paymentsClear and Effective CommunicationCoordinates with internal teams and external sponsors to address financial inquiries Documents key actions and decisions to maintain transparency and audit readinessCollaboration Across DepartmentsWorks closely with Clinical Operations, Contracts, and FP&A to support accurate financial reportingProvides finance input during study setup, amendments, and close-out processesAttention to Detail and AccuracyEnsures precision in data entry, coding, and documentation for all transactionsReviews financial data thoroughly to reduce errors and support decision-makingAdaptability in a Dynamic EnvironmentAdjust priorities and workflows to support evolving study needs and operational changesEmbraces new systems, policies, and processes with a proactive learning mindsetCommitment to Integrity and ConfidentialityHandles sensitive sponsor and financial data in accordance with internal control policiesUpholds professional and ethical standards in all financial dealingsEducation:Bachelor's degree in Accounting, Finance, Business Administration, or a related discipline, preferred. Experience:2–4 years of accounting or financial operations experience, ideally in the clinical research, pharmaceutical, or healthcare sectorFamiliarity with sponsor invoicing, accounts receivable, and project-based revenue recognition is preferredExperience using ERP systems (e.g., NetSuite, SAP, Oracle) and/or clinical trial management systems is a plusDiversity & InclusionWe serve patients and researchers from diverse cultures and communities around the world. We are stronger and better when we build a team representing the people we aim to support. We maintain an inclusive culture where people from a broad range of backgrounds feel valued and respected as they contribute to our mission. We value diversity and believe that unique contributions drive our success. At Care Access, every day, we are advancing medical breakthroughs. We’re uniting standard patient care with cutting-edge treatments and research. Our work brings life-changing therapies to those in need and paves the way for newer and greater treatments to reach the world. We’re proud to advance these breakthroughs and work with the big players while engaging with the physicians and caring for patients. We are an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law. Care Access is unable to sponsor work visas at this time.Originally posted on Himalayas

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