Ledger Run

Operations

• Configure and maintain global, country-specific, and site-specific budgets and associated payee information within ClinRun
• Review and interpret CTAs, budgets, protocols, amendments, and payment terms and translate requirements into accurate budget configuration
• Manage an assigned workload and complete budget configuration and maintenance activities within established quality and turnaround-time expectations
• Provide day-to-day guidance to Clinical Budget Specialists and help coordinate workload, priorities, and deadlines across the team
• Serve as a first point of escalation for complex budget questions and configuration issues
• Perform quality-control reviews and help ensure consistent, accurate budget configuration across the team
• Coach and train team members and support onboarding of new Specialists
• Partner with Payment Operations and other internal teams to resolve budget-related issues that could impact site payments
• Identify recurring errors, process gaps, and opportunities to reduce rework and improve quality
• Help develop and maintain clear, repeatable processes and work instructions
• Identify opportunities to simplify, standardize, and automate work, including appropriate use of AI-enabled tools such as Claude
• Promote accountability, knowledge sharing, and continuous improvement across the team
• Drive and monitor team metrics for reporting to Leadership

Study Startup Lead, Clinical Budget Operations

Associate

• Oversee global Investigator payments for assigned studies
• Manage client relationships and meet client commitments
• Collaborate with internal and external stakeholders
• Supervise and manage daily operations and workloads, including reviewing site payments, conducting client meetings, and overseeing study funds management
• Interact and collaborate with clients and internal stakeholders to enhance experience, address queries, and resolve issues
• Oversee and manage clinical-trial payment activities to ensure timely and accurate processing in accordance with agreements, IRB, and/or ethics committee requirements
• Review and manage funding requests for clinical trials
• Perform primary QC of visit and invoiceable payment data
• Perform quarterly reconciliation reviews of payment data during the clinical trial and closeout
• Manage project escalations, identify root causes, and resolve issues to clients’ satisfaction
• Perform other duties as required and assigned by the designated team lead

Associate Project Lead

• Daily triage, prioritization, and coordination of customer support tickets within Zendesk
• Troubleshoot customer-reported issues and coordinate timely resolution across internal teams
• Ensure tickets are categorized, routed, prioritized, and resolved within SLA expectations
• Monitor ticket queues, backlog, and aging tickets for timely follow-up and resolution
• Communicate with customers regarding issue status, timelines, and resolution progress
• Escalate complex product defects, integration issues, and service-impacting incidents to Product and Engineering
• Identify recurring support issues and recommend operational or product improvements
• Facilitate cross-functional communication during customer-impacting issues
• Participate in root cause analysis and post-incident reviews
• Improve incident response workflows, escalation procedures, and communication processes
• Maintain visibility into customer-impacting bugs, outages, and operational risks
• Improve support efficiency, operational scalability, and customer experience
• Maintain support documentation, workflows, and standard operating procedures
• Support implementation and optimization of support tools, integrations, and operational processes
• Create and maintain internal troubleshooting documentation
• Contribute to customer-facing knowledge base content and self-service resources
• Identify documentation gaps based on recurring customer issues and support trends
• Liaise between Support, Customer Success, Services, Product, and Engineering
• Translate customer pain points and operational challenges into actionable recommendations
• Partner with Product and Engineering to prioritize customer-impacting issues

Team Lead, Clinical Budget Operations

• Create a culture of distributed technical ownership and decision-making
• Drive the use of Architecture Decision Records (ADRs) for significant decisions
• Ensure decisions consider tradeoffs, risks, and existing architectural precedent
• Encourage engineers to lead technical design, providing guidance and challenge
• Drive engineering best practices across design, development, testing, security, observability, performance, and reliability
• Keep technical debt and architectural risk visible and actively managed
• Contribute directly to complex, high-risk, or strategically important work
• Participate in technical design and code reviews
• Pair with engineers on difficult problems and provide technical leadership during production incidents
• Directly manage, mentor, and develop engineers
• Set expectations around quality, ownership, and performance
• Provide feedback and career development
• Participate in hiring, onboarding, and performance management
• Partner with Product to turn priorities into technically sound plans
• Ensure complex work receives appropriate technical discovery and design before development
• Surface technical risks, dependencies, and complexity early
• Balance delivery with technical debt, reliability, and long-term platform health
• Own the engineering execution and technical outcomes of the team

Study Startup Associate

Full-stack Engineer

• Create a culture of distributed technical ownership and decision-making
• Drive the use of Architecture Decision Records (ADRs) for significant decisions
• Ensure decisions consider tradeoffs, risks, and existing architectural precedent
• Encourage engineers to lead technical design, providing guidance and challenge
• Drive engineering best practices across design, development, testing, security, observability, performance, and reliability
• Keep technical debt and architectural risk visible and actively managed
• Stay close to the code and systems the team owns
• Contribute directly to complex, high-risk, or strategically important work
• Participate in technical design and code reviews
• Pair with engineers on difficult problems and provide technical leadership during production incidents
• Directly manage, mentor, and develop engineers
• Set expectations around quality, ownership, and performance
• Provide regular feedback and career development
• Develop engineers' ability to independently own technical design and decisions
• Participate in hiring, onboarding, and performance management
• Partner with Product to turn priorities into technically sound plans
• Ensure complex work receives appropriate technical discovery and design before development
• Surface technical risks, dependencies, and complexity early
• Balance delivery with technical debt, reliability, and long-term platform health
• Own the engineering execution and technical outcomes of the team

Study Startup Lead, Clinical Budget Operations

Associate Project Lead

Team Lead, Clinical Budget Operations

Study Startup Associate

Tech Lead