The Role
Lead Trial Library's finance function: build FP&A, budgeting, forecasting, AP/AR, financial reporting, and GAAP-compliant processes. Partner with external accountants, prepare investor and board materials, implement controls and dashboards, advise CEO on strategic decisions, align headcount and payroll with financial plans, and support cross-functional operational improvements.
Summary Generated by Built In
Trial Library is an AI-native research platform with a mission to improve healthcare outcomes by expanding access to precision medicine.
About Trial Library
Trial Library is an AI-native enrollment and care navigation platform that accelerates access to precision medicine. In collaboration with biopharmaceutical manufacturers, payers, and health systems, Trial Library enables the delivery of clinical trials as a standard care option - improving patient access, advancing oncology outcomes, and reducing the total cost of care. Backed by leading healthcare venture capital firms, Trial Library’s platform is currently deployed in 840+ clinics and 3,000+ providers nationwide.
The Strategic Finance & Operations Lead will serve as a key advisor and operator within Trial Library’s leadership team. You will blend financial expertise, analytical rigor, and business operations experience to help drive strategic decisions, ensure fiscal discipline, and strengthen organizational efficiency. This role is ideal for someone who enjoys working cross-functionally - bridging finance, operations, and strategy - and thrives in a fast-paced, mission-driven startup environment. As Trial Library’s first dedicated finance hire, you will establish best practices for our internal finance function, building scalable systems, policies, and processes from the ground up. You will oversee financial planning and analysis, manage accounts payable and receivable, support reporting to investors and board of directors, and collaborate closely with HR and our external accounting team to ensure smooth financial and operational processes.
Your Responsibilities
- Lead the budgeting, forecasting, and financial planning process in collaboration with leadership
- Manage and track accounts payable and receivable, ensuring accurate invoicing, timely payments, and reconciliations
- Prepare monthly and quarterly financial reports for internal leadership, and support quarterly reporting to investors, and the Board of Directors
- Partner with our accounting firm to support financial closings, audits, tax filings, and preparation of GAAP-compliant financial statements
- Monitor key business metrics including revenue, margins, cash flow, and operating expenses to inform decision-making
- Oversee implementation and optimization of new internal financial controls, tools, and dashboards for visibility across teams
- Act as a strategic thought partner to the CEO and leadership team, translating financial insights into actionable recommendations
- Develop financial and operational models to assess new business opportunities, pricing strategies, and partnerships
- Prepare board and investor materials, providing clear analyses and updates on financial and operational performance
- Collaborate with HR to align headcount planning, payroll budgeting, and benefits administration with financial goals
- Support process improvement and systems implementation across finance, HR, and operations
- Serve as an internal consultant to optimize business operations, strengthen performance tracking, and ensure data integrity
- Provide financial and strategic analysis to support growth initiatives
- Partner across teams - including Product, Partnerships, and Operations - to ensure alignment between financial performance and strategic objectives
Financial Management and Reporting
Strategic & Operational Leadership
Cross-Functional & Advisory Support
Qualifications
- Education: Bachelor’s degree in Finance, Accounting, Business, or Economics preferred; MBA or management consulting experience preferred
- Experience: 5-8 years in finance, strategy, or business operations, ideally within life sciences, healthcare technology, or venture-backed startups
- Strong background in FP&A, business analysis, and operational finance (budgeting, forecasting, and reporting) required
- Hands-on experience with accounts payable/receivable tracking and financial systems
- Skilled at developing executive-level presentations and financial materials for investors or boards
- Excellent communicator who can synthesize data into clear insights and drive collaborative decision-making
- Proficiency in Excel and Google Sheets; experience with QuickBooks, SalesForce, Monday.com
- Comfortable working independently, managing multiple priorities, and thriving in a fast-paced, early-stage environment
Why Trial Library
- Meaningful impact — helping patients access clinical trials faster through better technology and workflows
- High ownership environment — autonomy to build, test, and influence strategy across the business
- Collaborative team culture — low ego, high trust, and close partnership across functions
- Opportunity for growth — join at an early stage with meaningful exposure to company-building and decision-making
- Competitive compensation package including salary, equity, and benefits based on experience
- Ally is our favorite moniker
- The most inclusive approach is worth the work
- Celebrate measurable improvements in equity outcomes
- Fearless advocates for belonging
- Incentives matter to stakeholders choosing our products
- Taking initiative is actually giving
- We are accountable for the experience of patients and providers
- Empathy and humility are the real dynamic duo
Trial Library, Inc. is an equal opportunity employer committed to building an inclusive workplace. We provide equal employment opportunities to all employees and applicants and prohibit discrimination and harassment of any kind without regard to race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity or expression, national origin, ancestry, age, disability, genetic information, marital status, veteran status, military status, medical condition, family or medical leave status, political affiliation, or any other characteristic protected by applicable federal, state, or local law.
Skills Required
- 5-8 years in finance, strategy, or business operations (ideally in life sciences, health tech, or venture-backed startups)
- Strong background in FP&A, business analysis, and operational finance including budgeting, forecasting, and reporting
- Hands-on experience managing accounts payable and accounts receivable and financial systems
- Experience preparing monthly/quarterly financial reports and investor/board materials
- Partnering with external accounting firms for closings, audits, tax filings, and GAAP-compliant financial statements
- Proficiency in Excel and Google Sheets
- Experience with QuickBooks, Salesforce, and Monday.com
- Excellent communication skills and ability to synthesize data into clear insights
- Comfortable working independently in a fast-paced, early-stage startup and managing multiple priorities
- Bachelor's degree in Finance, Accounting, Business, or Economics
- MBA or management consulting experience
Trial Library Compensation & Benefits Highlights
The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about Trial Library and has not been reviewed or approved by Trial Library.
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Healthcare Strength — Company materials indicate medical, dental, and vision coverage for employees. Feedback suggests core health coverage is a defined part of the package.
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Leave & Time Off Breadth — Public information indicates paid vacation and paid parental leave for full-time employees. Feedback suggests time off and family leave are explicitly included as core benefits.
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Wellbeing & Lifestyle Benefits — A remote-first setup with technology tools and a work-from-home stipend supports home office comfort and productivity. Feedback suggests remote-work support is a notable component of the offering.
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The Company
What We Do
At Trial Library, we believe health equity in cancer care begins with patient and provider empowerment. We recognize inclusive research environments can answer questions that improve health outcomes for all. We are committed to transforming the standard of care by addressing inequities in discovery and access to cancer clinical trials. Trial Library is a software and services company for accelerating equitable recruitment to clinical trials
