Trial Library
Strategic Finance & Operations Lead
2021 Fillmore St, San Francisco, CA 94115-2708
Hybrid · Full-time
First seen by offpeak October 4, 2026
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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
- Financial Management and Reporting
- 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 Strategic & Operational Leadership
- 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 Cross-Functional & Advisory Support
- 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
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
Our Core Values
- 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