Accounting Manager; Clinical

When was the last time you achieved the impossible? If that thought feels overwhelming, you might want to pause here, but if it sparks excitement...read on In 2015, we pioneered a “moneyball for biotech” approach, pooling projects and promising early‑stage research from academia together under one financial umbrella to reduce risk and unleash innovation. This model allows science and small teams of experts to lead the way.

We build bridges to groundbreaking advancements in rare disease and develop life‑changing medicines for patients with unmet needs as fast as humanly possible. Together we define white space, push boundaries, and empower people to solve problems. If you're someone who defies convention, join us and work alongside some of the most respected minds in the industry. Together, we’ll ask why not?

and help reengineer the future of biopharma. At Bridge Bio, we value curiosity and experimentation—including the ethical & thoughtful use of AI to improve clarity, speed, and quality of work.

The Accounting Manager (Clinical) is an integral part of a growing accounting team and plays a critical role in responsible for the R&D related accounting close process primarily focused in clinical accounting. This position will collaborate extensively with CROs, Clinical Operations, Outsourcing and Financial Planning & Analysis (FP&A) to ensure timely and accurate reporting of clinical costs. The candidate will possess a deep understanding of the clinical trial process and proactively identify potential gaps to ensure accuracy and completeness and resolve discrepancies.

Also, this individual will actively be involved in the implementation of new systems and tools that enhances financial reporting and clinical cost tracking, contributing directly to operational excellence and scalability as the company grows.

• Assist in managing the month end and quarter accounting close activities for clinical related R&D accruals.
• Own the preparation and maintenance of monthly clinical tracker, ensuring expenses, prepayments and deposits, and accrual accounts are accurately captured timely.
• Prepare journal entries, account reconciliations and related supporting work papers in accordance with US GAAP and comply with our internal SOX requirements.
• Review the CRO budget tracker and incorporate appropriate estimates provided by CRO into the clinical tracker and ensure alignment with contractual obligations and study progress.
• Analyze contracts are reflected in the proper POs, budgets, and/or work orders to determine the appropriate accounting treatments.
• Ensure invoices are recorded accurately against the appropriate POs, relevant budgets, and/or work orders.
• Prepare R&D Clinical fluctuation analysis and report on R&D clinical spend by subsidiaries, programs, phases as well as any other related account level analysis requested by management.
• Maintain regular communication with Clinical Operations to share financial findings and validate accrual assumptions, ensuring alignment with study progress and operational expectations.
• Participate in regular meetings with CRO and Clinical Operations teams to support a timely and transparent month‑end close process
  • Assist on special projects and/or ad hoc requests, as needed.

This is a hybrid role and requires in‑office collaboration 2‑3x per week in our San Francisco Office.

• BA/BS degree in accounting or finance; CPA or CMA is preferred.
• 7+ years of progressive accounting experience in a publicly traded company with Biotech/Pharma Industry
  • Highly preferred: combination of big 4 experience auditing R&D accounts in Biotech/Pharma clients and/or hands‑on clinical accounting experience in the biotech/pharma industry.
• Proficiency in financial systems including SAP (or similar ERP systems such as Oracle and Netsuite), Coupa, and process advance Microsoft Excel skills (such as pivot tables, VLOOKUPs, XLOOKUPs, INDEX/MATCH, nested formulas).
• Ability to interpret and analyze complex Clinical vendor contracts and apply accounting judgment according to US GAAP.
• Strong attention to detail, organizational skills, and the ability to manage competing…