Clinical Accountant
Systimmune • Redmond, Washington • Full Time
Posted on Thu, Jun 18, 2026
The Clinical Accountant is responsible for managing the financial aspects of clinical trials, including preparing invoices approval package, tracking trial costs, and ensuring compliance with internal controls and regulatory requirements. This role works closely with clinical operations, project management, and external vendors to support accurate invoice processing for clinical studies.
This position is full-time onsite in Redmond, WA. We will be moving to our new office in Bothell, WA fall 2026. Bilingual is Chinese/Mandarin is required.
Responsibilities
Prepare invoice approval package:
- Track actual invoice vs. contract / SOW / budget spending for each clinical invoice.
- Prepare invoice approval package for signatures.
- Reconcile investigator site invoices invoiceable procedure and reimbursements.
- Ensure timely and accurate approval packages are sent to AP for payment processing.
- Monitor visit completion to trigger payments.
Financial Reporting & Analysis:
- Prepare monthly trial cost reports and variance analyses.
- Support quarterly and year-end financial closing processes.
- Maintain trial-level tracking tools to monitor spending and commitments.
Cross-Functional Collaboration:
- Work closely with Clinical Operations, Site Contract Manager, Accounting, Procurement, and Project Managers.
- Provide finance input throughout clinical study.
- Support systems implementation or improvements (e.g., CTMS, ERP, eTMF, EDC).
Qualifications
- Bachelor’s degree in finance, Accounting, or a related field.
- 2+ years of progressive experience in accounting.
- Experience with CRO vendor cost tracking is a plus.
- Strong communication skills with the ability to present complex financial concepts to non-financial stakeholders.
- Bilingual in English and Chinese is required.
Compensation and Benefits:
The expected base salary range for this position is $60,000 - $90,000 annually. Actual compensation will be based on a variety of factors, including but not limited to a candidate’s level qualifications, experience, and skills.
While most offers typically fall within the low to mid-point of the range, we may extend an offer toward the higher end for exceptional candidates whose background and expertise exceeds the requirements of the role.
SystImmune is a leading and well-funded biotech company with a bright future. We offer an opportunity for you to learn and grow while making significant contributions to the company’s success. SystImmune offers a comprehensive benefits package including: 100% paid employee premiums for medical/dental/vision, also STD, LTD, a 401(k) plan with a 50% company match of up to 3% and a vesting schedule of only 5 years, 15 PTO days per year, sick leave, plus 11 paid holidays and MORE.
We offer an opportunity for you to learn and grow while making significant contributions to the company’s success.
SystImmune is an Equal Opportunity Employer. We welcome diverse talent and encourage all qualified applicants to apply.