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.
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.
Trial Library San Francisco, California, USA Office
San Francisco, California, United States
Similar Jobs
.jpeg)
Artificial Intelligence • Hardware • Information Technology • Machine Learning
The Armed Executive Protection Agent is responsible for providing protective services to high-profile clients, conducting threat assessments, and ensuring client safety in various environments.
Top Skills:
AedCprFirst AidTactical Communications
Artificial Intelligence • Hardware • Information Technology • Machine Learning
Design and build advanced verification environments using UVM/SystemVerilog and GenAI/agentic tools to improve verification efficiency and quality. Develop test plans, drive coverage closure, and verify SoC and CPU emulation platforms using ASIC simulation tools and scripting to achieve signoff and schedule left-shift.
Top Skills:
Agentic McpAsic Simulation ToolsC++Cpu EmulationGenaiScriptingSocSystemcSystemverilogUvm
Artificial Intelligence • Hardware • Information Technology • Machine Learning
Provide commercial legal advice to Business Units and Sales, draft and negotiate complex domestic and international commercial agreements, support new product initiatives, collaborate with cross-functional teams on operational and compliance matters, manage quality and warranty issues, and deliver legal training to internal partners and leadership.
What you need to know about the San Francisco Tech Scene
San Francisco and the surrounding Bay Area attracts more startup funding than any other region in the world. Home to Stanford University and UC Berkeley, leading VC firms and several of the world’s most valuable companies, the Bay Area is the place to go for anyone looking to make it big in the tech industry. That said, San Francisco has a lot to offer beyond technology thanks to a thriving art and music scene, excellent food and a short drive to several of the country’s most beautiful recreational areas.
Key Facts About San Francisco Tech
- Number of Tech Workers: 365,500; 13.9% of overall workforce (2024 CompTIA survey)
- Major Tech Employers: Google, Apple, Salesforce, Meta
- Key Industries: Artificial intelligence, cloud computing, fintech, consumer technology, software
- Funding Landscape: $50.5 billion in venture capital funding in 2024 (Pitchbook)
- Notable Investors: Sequoia Capital, Andreessen Horowitz, Bessemer Venture Partners, Greylock Partners, Khosla Ventures, Kleiner Perkins
- Research Centers and Universities: Stanford University; University of California, Berkeley; University of San Francisco; Santa Clara University; Ames Research Center; Center for AI Safety; California Institute for Regenerative Medicine
