Clinical Trial Budgets & Contracts Analyst – CTA Amendments

Equity Medical is hiring an experienced clinical trial budgets and contracts professional to take ownership of clinical trial agreement (CTA) and budget amendments for active U.S. studies. From day one, you’ll pick up amendments already in progress, determine what’s holding them up, and move them toward signature. This role requires direct experience drafting and negotiating amendments with sponsors and CROs and the ability to manage an active caseload independently.

When a protocol adds visits, changes procedures, or extends a study, you’ll determine what the change means for our sites, negotiate the corresponding updates to the budget and agreement, and make sure Finance has what it needs to bill under the revised terms.

About Equity Medical
Equity Medical is a rapidly growing clinical research site network with eight sites across New York, Tennessee, Kentucky, Colorado, and Massachusetts. Our 18 principal investigators conduct approximately 150 active trials for pharmaceutical, biotech, and medical device sponsors and their CROs. Our mission is to expand access to clinical research in underrepresented communities.
What you’ll do

• Take ownership of assigned CTA and budget amendments, including requests already in negotiation. Review the current agreement, budget, and sponsor or CRO correspondence to identify open issues and next steps.
• Compare revised protocols and visit schedules against the executed budget. Identify added or changed visits, procedures, screening requirements, cohorts, and extension phases that need to be priced.
• Draft and redline CTA amendments and budget exhibits. Build Excel counterproposals covering per-visit costs, invoiceable items, screen failures, pass-through costs, and site overhead.
• Negotiate directly with sponsor and CRO contacts on rates and payment terms, including holdbacks, invoicing timelines, and payment for work sites have already performed.
• Work with site teams and Finance to verify what was performed, what can be invoiced, and what remains outstanding. Hand off executed amendments with the updated budget, effective dates, and any retroactive billing terms.
• Track status, deadlines, and document versions through signature. Flag recurring budget gaps and escalate legal issues such as indemnification, subject injury, and intellectual property to leadership or counsel.

Required experience

• At least three years of experience negotiating clinical trial agreements and budgets, including direct responsibility for drafting, redlining, and negotiating CTA and budget amendments for U.S. studies.
• Experience at a research site, site network, site management organization, research institution, or CRO.
• Ability to independently translate a protocol amendment into a revised site budget and explain the basis for a counterproposal.
• Strong working knowledge of U.S. site budgets and payment terms, including per-visit costs, invoiceables, pass-throughs, overhead, and payment schedules.
• Proficiency with Microsoft Word Track Changes and Excel, plus strong written and spoken English for direct negotiations with sponsors and CROs.
• Ability to manage 20 or more concurrent amendments, prioritize issues that affect site payments, and follow up independently.

Preferred: Experience negotiating on behalf of research sites, familiarity with U.S. fair market value benchmarks, and experience with Salesforce or another contract or clinical trial management system.
Engagement details
This is a remote independent contractor engagement for someone based outside the United States. You’ll need to overlap with U.S. Eastern Time business hours for four to five hours each workday and have your own equipment, reliable internet, and a secure, private workspace. The initial engagement is 90 days, with ongoing work expected based on performance and amendment volume.
How to apply
Send your résumé and a short note to Grace Ulerio, Chief People Officer, at gulerio@equity-med.com. In your note, briefly describe one CTA or budget amendment you personally negotiated. Tell us what changed, what you handled directly, who you negotiated with, and how it was resolved. Include the typical number of amendments you managed at once. Please keep sponsor and study details confidential.