Clinical Trials Fiscal Program Manager

Fred Hutch Cancer Center; Seattle (WA); On-site; USD 90,000 - 130,000; Full time

Job summary

Fred Hutchinson Cancer Center in Seattle is seeking a Clinical Trial Fiscal Program Manager to oversee budgets across clinical trial portfolios. The role partners with study teams, sponsors and regulatory bodies to ensure accurate, sustainable budgets and compliant billing practices.

The position emphasizes hands-on startup work, quality control, and the development of SOPs and training to improve financial processes across the trial lifecycle.

Qualifications

• Experience in budgeting for clinical trials.
• Strong financial analysis skills.
• Ability to manage multiple budgets and sponsor requirements.

Responsibilities

• Build and negotiate clinical trial budgets with study teams and sponsors.
• Provide expert support for protocol interpretation with financial impact.
• Lead quality checks of calendar and billing grids in CTMS.
• Ensure budgets align with study contracts and regulatory requirements.
• Coordinate with CTMS, billing compliance and informatics teams on system design issues.

Skills

Budget negotiation

Financial analysis

Clinical trial budgeting

Budget reconciliation

Tools

CTMS

Financial systems

Job description

Overview

Fred Hutchinson Cancer Center is an independent, nonprofit organization providing adult cancer treatment and groundbreaking research focused on cancer and infectious diseases. Based in Seattle, Fred Hutch is the only National Cancer Institute-designated cancer center in Washington.

With a track record of global leadership in bone marrow transplantation, HIV/AIDS prevention, immunotherapy and COVID-19 vaccines, Fred Hutch has earned a reputation as one of the world's leading cancer, infectious disease and biomedical research centers. Fred Hutch operates eight clinical care sites that provide medical oncology, infusion, radiation, proton therapy and related services, and network affiliations with hospitals in five states. Together, our fully integrated research and clinical care teams seek to discover new cures to the world's deadliest diseases and make life beyond cancer a reality.

At Fred Hutch we value collaboration, compassion, determination, excellence, innovation, integrity and respect. Our mission is directly tied to the humanity, dignity and inherent value of each employee, patient, community member and supporter. Our commitment to learning across our differences and similarities make us stronger. We seek employees who bring different and innovative ways of seeing the world and solving problems.

The Clinical Trial Fiscal Program Manager prepares, negotiates, administers, and maintains study budgets in accordance with the study protocol and works with the clinical trial implementation and research teams to coordinate all research related financial activities associated with clinical trial protocols. Assures accuracy of study budgets and contracts and reconciles study expenditures throughout protocol lifecycle ensuring that studies are financially sustainable. Establishes and maintains professional relationship with study sponsors and regulatory agencies. Accountable for all financial aspects of an assigned portfolio of clinical trials ensuring appropriate management of all trial budgets throughout the lifetime of the study. The role also leads quality-control, standardization, and staff-development activities for clinical trial calendar review, billing grid review, and . This role is responsible for performing hands on startup work and maintaining comprehensive SOPs, Work Instructions, Job Aids, At‑Elbow training, and targeted training based on quality trends. The Manager establishes clear quality standards; conducts risk‑based and routine QC reviews; identifies deficiencies and financial or billing risks; develops corrective action plans; and converts recurring findings into standardized tools, guidance, and training.

Responsibilities

• Build and negotiate clinical trial budgets, including industry and investigator‑initiated trial (IIT) budgets. Working closely with the study PI, create accurate estimates of the cost of proposed IITs to secure pharmaceutical trial funding.
• Provide subject‑matter support for complex protocol interpretation, high‑risk studies, difficult sponsor negotiations, novel treatment modalities, and amendments with material financial impact
• Lead quality‑control review of clinical trial calendars built in the clinical trial management system (CTMS), including visit structure, procedure timing, conditional events, cycles, optional procedures, etc.
• Develop and maintain calendar‑review checklists, standardized naming conventions, etc.
• Partner with CTMS, research operations, billing compliance, and informatics teams to address system design issues.
• Verify that billing‑grid determinations are supported by the protocol, study design, informed consent form, sponsor obligations, clinical trial agreement, applicable coverage requirements, and institutional policy.
• Conduct comprehensive quality reviews of industry‑sponsored clinical trial budgets before submission, negotiation, finalization, and amendment execution.
• Confirm that the budget captures all protocol‑required activities and institutional resource needs.
• Validate that budget line items align with the approved calendar and billing grid.
• Assess budget assumptions for completeness, internal consistency, cost recovery, financial sustainability, sponsor payment timing, and adequacy of reimbursement for required institutional work.
• Ensure financial terms are consistent with the clinical trial agreement, payment schedule, invoicing triggers, payment milestones, pass‑through treatment, and sponsor/CRO requirements.
• Identify missing budget items, inadequate payment terms, unsupported assumptions, financial concessions, or study‑specific risks requiring
• Ensure all clinical trial legal contracts conform to the Informed Consent Documents and ensure that payment terms are favorable to the Institution.
• Assess study budgets for downstream post‑award im