Sr. Revenue Accountant - San Antonio, TX

The START Center for Cancer Research ("START") is the world’s largest early phase site network, fully dedicated to oncology clinical research. Throughout our history, START has provided hope to cancer patients in global community practices by offering access to cutting edge trials throughout the US and Europe. Today, with over 1,300 studies completed, and with research facilities in the United States and in Spain, Portugal, and Ireland, START’s mission is to accelerate the development of new anticancer drugs that will improve the quality of life and survival for patients with cancer and lead to its eventual cure.

To date, over 43 therapies conducted at START locations have obtained FDA/EMA approval. Incredibly, while Academic Medical Centers (AMCs) conduct 80% of cancer trials, such trials reach only 20% of the patient population – leaving the majority of patients who are treated in community practices and hospitals without access to a clinical trial when their care journey calls for one.

START serves the many – by bringing cancer trials to physicians and their patients in community hospitals and practices when hope is needed most.

START represents the world’s largest roster of Principal Investigators (PIs) across its eight clinical trial sites. Committed to accelerating passage from trials to treatments, START delivers hope to patients, families, and physicians around the world. As an example, in San Antonio, where START was founded, START treated the first patient ever with Keytruda – the most effective cancer drug in medical history.

We are seeking an experienced Senior Revenue Accountant to join our finance team within a leading Site Research Organization. This role is responsible for managing and executing the revenue recognition process across complex clinical research contracts, ensuring accuracy, compliance with ASC 606, and timely reporting.

You’ll work closely with the Controller and Chief Accounting officer as well as the Budgets, Clinical Operations, Accounts Receivable and Finance teams to ensure proper accounting treatment for milestone-based, unit-based, and time-and-materials contracts – supporting transparency and financial integrity across all client engagements.

This is a remote role. The annual base salary for this role is $90K-$100K+ Bonus. However, base pay may vary depending on multiple individualized factors including market location, job-related knowledge, skills, and experience.

• Manage the end-to-end revenue recognition process for clinical research projects, including contract review, milestone tracking, and reconciliation.
• Ensure all revenue is recognized in accordance with ASC 606 and CRO-specific performance obligations.
• Collaborate with Budgets Team and Operations to monitor study progress and confirm revenue triggers (e.g., milestones achieved, patient visits, deliverables).
• Review and interpret client contracts, change orders, and amendments to determine appropriate accounting treatment.
• Prepare and review journal entries, account reconciliations, and revenue schedules during monthly and quarterly close cycles.
• Partner with FP&A to align revenue forecasts with actual performance and project timelines.
• Support the development and enhancement of revenue recognition policies, internal controls, and process documentation.
• Assist in the implementation and optimization of ERP and project accounting systems (e.g., Net Suite, Deltek, or similar).
• Respond to internal and external audit requests and assist in maintaining SOX compliance.
• Drive continuous improvement in revenue reporting accuracy, system automation, and data integrity.

• Bachelor’s degree in Accounting, Finance, or related field; CPA or CPA candidate preferred.
• 5+ years of accounting experience, including at least 2 years in revenue recognition or project accounting.
• Prior experience in a Contract Research Organization, life sciences, or project-based services environment strongly preferred.
• Deep understanding of ASC 606 and multi-element arrangements (milestone, time-based, and unit-based revenue).
• Strong proficiency in Excel and experience with ERP systems (Net Suite,…