We help bring life-saving therapeutics to market cost-effectively

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.

We believe

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Science matters but trial outcomes depend on more than science alone.
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Sponsors deserve tools built to handle the complexity of clinical trials.
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Science is inherently unpredictable, but budgets don’t need to be.
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Biotechs can bring drugs to market quickly, and cost effectively.

Leadership Team

Adam Weisman
CEO and Co-founder
Erin Warner Guill
President and COO
Kristen Lueck
VP of Product
Peter Kinchley
VP of Marketing
Laura Remaker
Chief People Officer
Sharon Langan
VP of Partnerships and Community
Alyssa Foxx
VP of Engineering

Customer Team Spotlight

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Ethan Saville

Business Analyst
Ethan is a Business Analyst at Auxilius, where he ensures that customers' clinical, financial, and accounting data is properly mapped and ingested into the Auxilius platform. He has a MSc in Epidemiology from the University of London and BA from the University of Albany.

Tyler Lythgoe, CPA

Director of Technical Accounting Success
Tyler is a Director of Technical Accounting success at Auxilius, where he oversees customer implementations and ensures his customers are getting the most out of the platform. Before Auxilius, Tyler managed clinical and CMC accrual and close processes as a consultant for biotech clients. He starting his career as a Tax accountant at EY.

Join the team

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.

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Clinical Analyst

Clinical Operations
Full-time
Remote

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:

  • You will ensure accurate and actionable clinical and operational data for clients
  • Your insights will guide product improvements and client success strategies

Key Responsibilities

Platform Configuration & Onboarding

  • Support accounting workflows by configuring clinical data in the Auxilius platform (e.g., CTA-driven costs leveraging EDC)
  • Support client onboarding, enablement, and training focused on clinical cost tracking and budgeting

Data Quality & Analysis

  • Perform QA/QC audits of clinical trial financial data to ensure accuracy and alignment with trial activity
  • Analyze discrepancies and identify root causes across clinical and financial data

Client Support & Communication

  • Investigate and resolve client issues related to clinical accounting data
  • Clearly communicate findings, corrections, and outcomes to clients

Product & Process Improvement

  • Support product testing for clinical accounting features
  • Translate client feedback and workflow gaps into actionable product roadmap input

Controls & Compliance

  • Ensure compliance with client-specific controls, policies, and clinical accounting requirements

Skills and Qualifications

  • Bachelor’s degree in Life Sciences, Healthcare, Business, or related field
  • 2+ years in clinical operations, biotech, or related fields (startup experience preferred)
  • Strong analytical skills; proficiency with Excel; familiarity with clinical or operational software a plus
  • Detail-oriented with a process-focused mindset
  • Ability to work independently and manage multiple priorities
  • Collaborative, positive attitude with a sense of humor

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.

Accounting Analyst

Accounting
Full-time
Remote

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:

  • Your work ensures accurate financial reporting for clients, enabling better business workflows, strengthened controls, and more strategic value from their clinical trial accounting data
  • You will influence product development by providing actionable feedback based on real client usage and needs.

Key Responsibilities

Platform Configuration & Onboarding

  • Design, implement, and maintain technical accounting workflows within the Auxilius platform
  • Support accounting-focused onboarding, training, and enablement in partnership with Technical Accounting Success

Data Quality & Compliance

  • Perform detailed QA/QC reviews of financial data to ensure accuracy and compliance with accounting standards
  • Support adherence to client accounting methodologies and internal controls

Client Support & Advisory

  • Provide accounting support through data processing, analysis, and issue resolution
  • Communicate accounting outcomes and system configurations clearly to clients

Product Collaboration

  • Participate in product development testing for accounting features
  • Translate technical accounting requirements into clear product feedback

Operational Excellence

  • Identify opportunities to standardize and improve accounting workflows at scale

Skills and Qualifications

  • Bachelor’s degree in Accounting, Finance, or related field
  • 2+ years in accounting or finance roles (startup experience preferred)
  • Advanced Excel and analytical skills
  • Exceptional attention to detail and problem-solving abilities
  • Ability to work independently and manage multiple priorities
  • Interest or experience in healthcare / biotech finance
  • Collaborative attitude with a sense of humor

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.

Accounting Operations Manager

Accounting
Full-time
Remote

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

  • Partner with clients to help them maximize value from the platform
  • Own and manage complex accounting workflows for strategic clients using the Auxilius platform
  • Ensure financial data is accurate, complete, and aligned with GAAP and client expectations
  • Provide consultative guidance on accounting, FP&A, and financial operations
  • Solve complex technical accounting problems and escalate issues thoughtfully

Build Auxilius’ Customer Success & Relationship Management Stragegy (Functional / Secondary Focus)

  • Design and own the end-to-end customer success strategy across the client lifecycle, from onboarding through renewal and expansion, ensuring customers realize measurable operational and trial outcomes from Auxilius’ platform and services.
  • Define success frameworks, health metrics, and engagement models that translate Auxilius’ data, context, and methodologies into clear value narratives, standardized playbooks, and proactive intervention signals.
  • Partner cross-functionally with Product, Ops, Sales, and Data to surface customer insights, influence roadmap prioritization, and continuously improve how we deliver clarity and impact at scale.

Process Improvement & Cross-Functional Leadership

  • Build the operating infrastructure for customer success including team structure, tooling, workflows, and feedback loops that support retention, expansion, and long-term customer trust in a regulated, high-stakes environment.
  • Identify opportunities to standardize workflows and drive operational efficiency

Skills and Qualifications

Required

  • BA/BS in Accounting, Finance, or related field
  • Experience in life sciences / biotech accounting, especially familiarity with clinical trial management
  • CPA and/or public accounting experience required
  • 4+ years of relevant technical accounting experience
  • Experience with complex client accounting workflows and financial operations
  • Experience collaborating cross-functionally and working directly with clients
  • Strong problem-solving, analytical, and business judgment skills
  • Ability to manage multiple projects simultaneously with attention to detail
  • Start-up experience or high-growth environment

Nice to Have

  • Exposure to Customer Success, onboarding, or adoption processes
  • Experience with financial systems or SaaS platforms

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.

Senior Full Stack Engineering Lead

Engineering
Full-time
Remote

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

  • Lead technical design discussions and provide guidance on architecture and implementation approaches
  • Design and implement scalable full-stack architecture patterns spanning frontend, backend, and cloud infrastructure
  • Establish and document engineering standards, best practices, and coding conventions across the stack
  • Create technical documentation and architectural decision records
  • Stay current with industry trends and evaluate new technologies that could benefit our stack

Full Stack Development

  • Build sophisticated user interfaces using Angular and AG Grid for complex financial data visualization
  • Architect and develop Node.js backend services
  • Design and optimize database schemas and queries to support application performance
  • Write clean, maintainable, well-tested code that serves as a model for the team

Infrastructure

  • Deploy and manage AWS infrastructure including Lambda, API Gateway, S3, CloudFront, RDS, and other services
  • Identify and drive performance optimizations across the entire application stack

Collaboration and Code Quality

  • Lead technical design discussions and provide guidance on architecture and implementation approaches
  • Write clean, maintainable, well-tested code that serves as a model for the team
  • Conduct thorough code reviews with constructive feedback to elevate code quality across the team
  • Identify and drive performance optimizations across the entire application stack
  • Collaborate with Product and Design to translate complex requirements into elegant technical solutions
  • Create technical documentation and architectural decision records
  • Advocate for technical excellence across the team
  • Stay current with industry trends and evaluate new technologies that could benefit our stack

Preferred Skills and Qualifications

  • 7+ years of full-stack software engineering experience
  • Strong expertise in Angular or other modern front-end framework and TypeScript with a frontend lean
  • Strong proficiency in Node.js for backend services, APIs, and business logic
  • Hands-on experience with AWS services (Lambda, API Gateway, S3, CloudFront, RDS, DynamoDB, etc.)
  • Solid understanding of database design
  • Proven track record of establishing technical standards and improving engineering practices
  • Proficiency with modern development tools, testing frameworks, and CI/CD pipelines
  • Ability to work independently with minimal direction and drive technical initiatives from concept to completion
  • Excellence in writing clean, performant, maintainable code across the full stack
  • Strong communication skills with ability to document technical decisions and mentor peers
  • Experience in SaaS or B2B product development is a plus
  • Startup mindset: resourceful, self-motivated, and comfortable with ambiguity

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.

Don't see a role that fits?

Email us your resume at hr@auxili.us

Discover a new approach to clinical trial financial management

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