Biotechs are the driving force behind new therapies that will cure disease and transform quality of life, but a third of clinical trials fail for reasons unrelated to efficacy or safety.
We started Auxilius after hundreds of conversations with experienced Chief Science Officers and CFOs who learned the hard way that clinical R&D is about more than science. It's about managing operational complexity that can derail even the most promising science and capable teams.
We created Auxilius to fill the gap left by industry-agnostic tools and siloed clinical systems – solutions never designed for the realities of clinical finance. Auxilius pairs purpose-built software with a team of in-house experts to bring automation, accuracy, and audit-readiness to every budget, forecast, and close.

Many of us can't tell a pipette from a petri dish, but we are passionate about driving efficiency in drug development. If you find meaning at the intersection of healthcare and technology, we'd love to meet you.
About Auxilius
Auxilius is a fast-growing, venture-backed B2B SaaS company transforming how innovative biotechs operate. We help sponsors streamline clinical and operational processes to bring life-saving drugs to market faster and more efficiently. While our product looks like software, we provide clarity. Our data, context, and frameworks enable clients to make better operational decisions and achieve trial outcomes dynamically and cost-effectively.
About the Role
We are seeking a Clinical Analyst to join our Operations team. You’ll work on a collaborative, fast-paced, cross-functional team alongside Clinical, Product, and Client Success teams.
The ideal candidate is familiar with clinical trials (protocols, protocol amendments, site contracts) and is analytical, process-oriented, and thrives in dynamic environments. You’ll help biotechs optimize workflows, ensure compliance, and maximize value from our platform.
Why This Role Matters:
Key Responsibilities
Platform Configuration & Onboarding
Data Quality & Analysis
Client Support & Communication
Product & Process Improvement
Controls & Compliance
Skills and Qualifications
We care way more about attitude than whether you're a perfect fit. If you're interested in this role at Auxilius but aren't sure if you meet all the criteria, you should still apply - we'd love to open a conversation.
What Success Looks Like
Within the first 6–12 months, success means clinical accounting workflows are clearly defined and consistently used, trial-level financial data is accurate and compliant, client issues are resolved quickly, and insights from clinical workflows are feeding directly into product and process improvements.
What We Offer
We offer premium healthcare, with access to modern health partners like One Medical, Kindbody, Talkspace, and Teladoc, plus a Flexible Spending Account. Beyond healthcare, we support your future with a 401(k) that matches 100% of the first 1% you contribute and 50% of the next 5%, life and disability insurance, commuter benefits, and 24/7 well-being resources through Health Advocate. We know the best work comes from people who are recharged, so we offer unlimited PTO so you can take the time you need, when you need it.
About Auxilius
Auxilius is a fast-growing, venture-backed B2B SaaS company revolutionizing how innovative biotechs manage financial operations. We help sponsors take control over trial costs, manage financial risk, and optimize spending to achieve trial outcomes efficiently.
While our product looks like software, we provide clarity. Our data, context, and frameworks help sponsors make informed decisions and drive measurable business value.
About the Role
We are seeking an Accounting Analyst to join our Operations team. You’ll work with a collaborative, fast-paced, cross-functional team that partners with Finance, Product, and Client Success.
This is not a traditional day-to-day accounting role. Rather than performing routine transactional accounting, you’ll act as a client-facing partner, helping biotech customers understand, optimize, and scale their accounting processes using our platform. The ideal candidate is analytical, detail-oriented, and thrives in ambiguity. You’ll play a critical role in helping biotechs streamline processes, ensure compliance, and maximize value from our platform.
Why This Role Matters:
Key Responsibilities
Platform Configuration & Onboarding
Data Quality & Compliance
Client Support & Advisory
Product Collaboration
Operational Excellence
Skills and Qualifications
We care way more about attitude than whether you're a perfect fit. If you're interested in this role at Auxilius but aren't sure if you meet all the criteria, you should still apply - we'd love to open a conversation.
What Does Success Look Like?
Within the first 6–12 months, success means technical accounting workflows are standardized and scalable, financial data is accurate and audit-ready, clients trust the platform for reporting, and accounting feedback is actively shaping product enhancements.
What We Offer
We offer premium healthcare, with access to modern health partners like One Medical, Kindbody, Talkspace, and Teladoc, plus a Flexible Spending Account. Beyond healthcare, we support your future with a 401(k) that matches 100% of the first 1% you contribute and 50% of the next 5%, life and disability insurance, commuter benefits, and 24/7 well-being resources through Health Advocate. We know the best work comes from people who are recharged, so we offer unlimited PTO so you can take the time you need, when you need it.
About Auxilius
Auxilius is a fast-growing, venture-backed B2B SaaS company transforming how innovative biotechs operate. We help sponsors streamline clinical and operational processes to bring life-saving drugs to market faster and more efficiently. While our product looks like software, we provide clarity. Our data, context, and frameworks enable clients to make better operational decisions and achieve trial outcomes dynamically and cost-effectively.
About the Role
We are seeking a Director, Client Success & Accounting Workflows to support strategic clients, optimize client-facing workflows, and build out our customer success strategy.
This role is focused on both client success and operational excellence — you will manage key workflows end-to-end, engage directly with clients to ensure adoption and value realization, and partner cross-functionally to improve processes and influence product decisions.
This role is ideal for someone who thrives in a fast-paced, startup environment, enjoys solving complex workflow challenges, and wants to make a direct impact on client outcomes and financial accuracy.
We’ll Count on You To
Technical Accounting Excellence
Build Auxilius’ Customer Success & Relationship Management Stragegy (Functional / Secondary Focus)
Process Improvement & Cross-Functional Leadership
Skills and Qualifications
Required
Nice to Have
We care way more about attitude than whether you're a perfect fit. If you're interested in this role at Auxilius but aren't sure if you meet all the criteria, you should still apply - we'd love to open a conversation.
What Success Looks Like
Within the first 6–12 months, clients rely on you as their trusted accounting partner. They’re using Auxilius workflows confidently, adoption is high, and issues are minimal. Technical accounting data is accurate, complete, and feeds seamlessly into client budgets and reports. Processes are documented, repeatable, and scalable, reducing manual effort across the team. You’re actively partnering with Product and Ops, turning client feedback into actionable improvements and roadmap input.
What We Offer
We offer premium healthcare, with access to modern health partners like One Medical, Kindbody, Talkspace, and Teladoc, plus a Flexible Spending Account. Beyond healthcare, we support your future with a 401(k) that matches 100% of the first 1% you contribute and 50% of the next 5%, life and disability insurance, commuter benefits, and 24/7 well-being resources through Health Advocate.We know the best work comes from people who are recharged, so we offer unlimited PTO so you can take the time you need, when you need it.
About Auxilius
Auxilius is a fast-growing, venture-backed B2B SaaS company revolutionizing how innovative Biotechs manage clinical trial finances. We help clinical trial sponsors take control over trial costs, manage financial risk and optimize spending in pursuit of trial outcomes. While our product looks like software, we provide data, context and frameworks that help sponsors make decisions to achieve trial outcomes dynamically and cost-effectively.
About the role
We are seeking a highly skilled and independent Senior Full Stack Engineering Lead to drive technical excellence across our entire application stack and define engineering standards for our platform. This is a hands-on technical leadership role responsible for architecting robust, scalable solutions from database to UI, while elevating our engineering practices. While this position does note involve direct people management responsibilities, you'll serve as a technical mentor and set the standard for how we build exceptional software.
The ideal candidate is an experienced full-stack engineer with a strong front-end focus, who thrives working autonomously, has strong opinions on code quality and architecture, and can deliver end-to-end solutions independently.
We'll count on you to...
Core Architecture and Leadership
Full Stack Development
Infrastructure
Collaboration and Code Quality
Preferred Skills and Qualifications
What We Offer
At Auxilius, we don't just invest in your career—we invest in you. We offer premium healthcare, with access to modern health partners like One Medical, Kindbody, Talkspace, and Teladoc, plus a Flexible Spending Account. Beyond healthcare, we support your future with a 401(k) that matches 100% of the first 1% you contribute and 50% of the next 5%, life and disability insurance, commuter benefits, and 24/7 well-being resources through Health Advocate. And because we know the best work comes from people who are recharged, we offer unlimited PTO so you can take the time you need when you need it.

