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[Remote] Controller/Sr. Accountant - Clinical Research

Remote, USA Full-time Posted 2026-06-17

Note: The job is a remote job and is open to candidates in USA. Paradigm is rebuilding the clinical research ecosystem by enabling equitable access to trials for all patients. They are seeking a highly experienced financial Controller to lead and execute their financial operations, managing both strategic and tactical aspects of accounting while ensuring compliance with regulations.

Responsibilities

  • 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.
  • 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.
  • 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.

Skills

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

Benefits

  • 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

Company Overview

  • Paradigm Health is rebuilding the clinical research ecosystem by creating a platform that enables equitable access to trials for all patients, while enhancing trial efficiency and reducing the barriers to participation for healthcare providers. It was founded in 2021, and is headquartered in New York, New York, USA, with a workforce of 51-200 employees. Its website is https://www.paradigm.inc.

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