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Controller - Clinical Research

Remote - United States

Paradigm is rebuilding the clinical research ecosystem by enabling equitable access to trials for all patients. Our platform enhances trial efficiency and reduces the barriers to participation for healthcare providers. Incubated by ARCH Venture Partners and backed by leading healthcare and life sciences investors, Paradigm’s seamless infrastructure implemented at healthcare provider organizations, will bring potentially life-saving therapies to patients faster.

Our team hails from a broad range of disciplines and is committed to the company’s mission to create equitable access to clinical trials for any patient, anywhere. Join us, and bring your expertise, passion, creativity, and drive as we work together to realize this mission.

Please Note:  Only candidates with experience working in life sciences, clinical research or healthtech organizations will be considered for this role

We are seeking a highly experienced and technically proficient financial Controller to lead and execute our financial operations. This position requires a hands-on leader who can manage the strategic and tactical aspects of the accounting function, comfortably handling day-to-day entries while driving the monthly close and ensuring technical compliance.  The ideal candidate will have prior experience within the clinical research ecosystem (Contract Research Organization (CRO), biotech, pharmaceutical, or clinical imaging company, etc) and be knowledgeable of regulations and standards governing the industry.


What you’ll do:

Financial Operations & Technical Accounting

  • Direct and execute all accounting functions, including the general ledger, accounts payable, accounts receivable, and payroll.
  • Lead and execute the monthly, quarterly, and annual financial closing processes, ensuring timely and accurate preparation of financial statements in accordance with GAAP.
  • Lead the technical accounting function for revenue recognition (ASC 606), establishing policies, reviewing complex contracts, and ensuring compliance.
  • Serve as the lead technical accounting expert, researching and documenting complex accounting issues specific to the clinical research and life sciences industries.

Tax, Audit, and Compliance Management

  • Oversee all domestic and international tax matters, including income, sales, use, VAT, and withholding taxes, managing external tax advisors as needed.
  • Coordinate and manage the annual external financial audit, acting as the primary point of contact and ensuring efficient completion.
  • Lead and manage engagements with accounting consultants for specialized projects (e.g., system implementations, technical accounting white papers).
  • Develop and maintain robust internal controls to safeguard company assets and ensure the integrity of financial data.

Planning and Leadership

  • Support cash flow, budgeting, forecasting, and financial analysis.
  • Partner with leadership to provide financial insights and support strategic decision-making.
  • Oversee the continuous improvement of accounting systems and processes to drive efficiency and scalability.

Who you are:

  • 10+ years of increasing responsibility in finance and accounting, specifically within the clinical research industry (CRO, Biotech, Pharma, Clinical Imaging, etc.).
  • Certified Public Accountant (CPA) designation is required.
  • Working knowledge of ASC 606 (Revenue from Contracts with Customers) and its complex application within clinical trial contracts is mandatory.
  • Proven experience managing relationships and engagements with external audit firms and accounting consultancies on technical and operational matters.
  • Demonstrated experience managing domestic and international tax compliance and reporting for a global organization.
  • Demonstrated ability to be an extremely hands-on professional, comfortable owning the monthly closing process from start to finish.
  • Deep, technical knowledge of US Generally Accepted Accounting Principles (GAAP) and a strong background preparing for and managing external audits.

Education & Skills

  • Bachelor's degree in Accounting or Finance is required; Master's degree is a plus.
  • Expert-level proficiency within NetSuite will be helpful, but not mandatory.
  • Exceptional analytical, problem-solving, and organizational skills.
  • Excellent communication skills, with the ability to clearly articulate complex financial information to all stakeholders.

The base compensation range is $176,000- $220,000 USD per year. Actual salaries will vary based on candidates' qualifications, skills, and location.

What You’ll Receive:
Paradigm Health offers a comprehensive Total Rewards package to support your well-being and success, including:
  • Competitive health, dental, and vision insurance
  • Mental health support for you and your family through Spring Health
  • Equity package
  • Unlimited paid time off (PTO)
  • 16 weeks of paid parental leave
  • Flexible work options – remote and hybrid arrangements
  • Company-paid life insurance
  • Company-paid short-term and long-term disability coverage
  • One Medical membership
  • 401(k) plan with company match

At Paradigm, we are committed to providing equal employment opportunities to all qualified individuals. We encourage and welcome candidates from all backgrounds and perspectives to apply for our open positions. We are interested in all qualified individuals and  ensure that all employment decisions are based on job-related factors such as skills, experience, and qualifications.

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