Tandem Intermediate LLC

Role Description The Manager, Revenue Operations is a bridge role. It sits between clinical operations and finance, and it exists because revenue at a clinical research site network does not originate in the accounting system. It originates in the contract, becomes real through activity at the site, and only then flows to billing, revenue recognition, and forecast. The person in this seat owns that flow end to end. They read the clinical trial agreement and the study budget. They know what triggers a billable event and when it is earned. They know what CRIO captures natively and what it does not. Each month they reconcile what was earned against what was invoiced against what was recognized, and they know exactly where the gaps come from. Tandem has a capable billing and collections function. What we do not have is a single owner of revenue integrity from contract through cash. That is this role. Key Responsibilities - Revenue Integrity and Capture Completeness: - Establish and maintain the reconciliation from contract terms to billable activity to invoiced revenue to recognized revenue. - Identify, quantify, and drive recovery of revenue leakage across studies, sites, and sponsors. - Own the unbilled revenue schedule, including aging, root cause, and resolution ownership. - Contract to Revenue Translation: - Know how to interpret clinical trial agreements, study budgets, and contract amendments, and determine how each revenue component becomes a billable event. - Own the revenue treatment of visit-based fees, monitoring fees, study fees, pharmacy fees, contract renewal fees, startup and closeout fees, and pass-through costs. - Serve as the authority on whether an invoice, a credit, or a sponsor response is consistent with the underlying contract. - Screening and Screen Failure Revenue: - Interpret screen failure terms, caps, reimbursement schedules, and per-procedure allowances across each contract. - Reconcile screening activity captured at the site against what is billable under contract, and pursue the difference. - Quantify screen failure revenue at risk and build the process and controls that prevent recurrence. - Clinical Operations Partnership: - Build and run a standing cadence with clinical operations, study budgets & contracts, and site leadership. - Ensure protocol amendments, change orders, contract renewals, and scope changes reach finance through a defined channel rather than being discovered at month end. - Translate between operational activity and financial consequence for audiences who do not think in financial terms. - CRIO and System Ownership: - Assess what CRIO captures natively and what is currently managed outside the system. - Collaborate with the configuration team to drive configuration changes where CRIO can be made to generate the revenue event, and design documented manual controls where it cannot. - Partner with finance systems on the flow of data from CRIO to the general ledger. - Month-End Close and Revenue Recognition: - Own the revenue cutoff, the monthly revenue accrual, and the unbilled reconciliation. - Prepare and maintain supporting documentation sufficient to withstand external audit. - Analytics and Forecast: - Deliver monthly revenue reporting by study, sponsor, and site, including variance to contract. - Provide the operational assumptions that drive the revenue forecast, and explain the variance when actuals diverge. What This Role Is Not This is not a billing role, a collections role, or a cash application role. Those functions are staffed and performing. The Manager, Revenue Operations will not be measured on invoices processed or cash collected. This position is measured on whether the revenue Tandem earned is the revenue Tandem captured, and on whether finance and clinical operations are working from the same set of facts. Additional Responsibilities This job description outlines the core duties of the Manager, Revenue Operations; however, additional responsibilities may be assigned as needed to support evolving organizational goals and operational demands. The position requires flexibility and a proactive attitude to manage changes in sponsor requirements, contract structures, system capabilities, or departmental initiatives. Qualifications - Ability to read a clinical trial agreement and a study budget and translate both into billing and revenue recognition treatment without supervision. - Working command of clinical research site operations, including the visit schedule, the source of activity data, and where that data breaks. - Analytical fluency. Advanced Excel required, including the ability to build reconciliations and variance analysis from imperfect source data. - Demonstrated ability to work directly with clinical operations personnel and obtain what finance needs without creating friction. - Strong written and verbal communication. Comfortable presenting findings to finance leadership and to sponsors. - High attention to detail with the judgment to know which details matter. - Ability to build process and documentation where none currently exists, and to operate with limited structure. - Comfortable in a fast-paced, multi-site, private equity backed environment. - Available to work core business hours on Eastern or Central time to maintain overlap with clinical operations across Louisiana, Florida, and New Jersey. Requirements - Education: Bachelor's degree in Accounting, Finance, Business, or a related field. - Experience: - Minimum of five years in revenue operations, revenue integrity, clinical trial finance, or research site financial management. - Direct experience at a clinical research site, site management organization, integrated site network, or academic medical center research operation. Sponsor-side or CRO-side experience alone will not translate to this role. - Hands-on working knowledge of CRIO. Candidates should be able to speak specifically to what CRIO captures, where it falls short, and how they have managed the difference. - Demonstrated experience interpreting screening and screen failure contract terms and recovering the associated revenue. - Experience reconciling study-level activity to invoiced and recognized revenue. Preferred - Experience in a private equity backed or multi-site environment. - Exposure to ERP systems, NetSuite or Sage preferred, and to the integration between a clinical trial management system and the general ledger. - Familiarity with revenue recognition principles as applied to clinical research contracts. - Experience scaling a revenue operations function, including building process and documentation from a standing start. - CPA, CMA, or equivalent. Not required. Operational depth matters more than credentials in this seat.

Role Description The Feasibility Manager bridges Prolerity's clinical trial feasibility function with commercial strategy, retaining full responsibility for executing accurate and timely network feasibility assessments while identifying site opportunities and growth potential beyond the scope of initial requests. Partnering closely with Business Development and Site Operations, this individual develops comprehensive proposals that drive net new business, increase deal size, and position Prolerity to win trials within our therapeutic areas of focus. Key Responsibilities - Applies strong business acumen to evaluate feasibility requests beyond face value, identifying site opportunities and untapped potential not immediately apparent in initial submissions. - Partners closely with Business Development to build cohesive, integrated site strategies that expand scope, strengthen client relationships, and increase overall deal size. - Transforms standard feasibility requests into comprehensive proposals that drive net new business (NNB) and contribute measurably to organizational revenue goals. - Thinks strategically about site selection and network positioning, proactively identifying opportunities to expand study footprints in alignment with customer objectives. - Serves as a bridge between operational feasibility and commercial strategy, ensuring proposals reflect both scientific rigor and business growth opportunities. - Demonstrates a consultative approach with customers, positioning site recommendations as solutions that address both current needs and future pipeline potential. - Executes effective, accurate network feasibility assessments and delivers company and site data that positions Prolerity to be awarded trials within therapeutic areas of focus. - Collaborates with the Business Development and Site Operations teams to ensure Feasibility Questionnaire responses are realistic, optimized, and timely. - Conducts timely centralized follow-up and maintains excellent proactive communication with trial Sponsors and Prolerity Site Operations/sites regarding project status. - Enters study opportunities and maintains key data in the Devana platform, supporting visibility, predictability, potential randomizations, forecasting, and other key performance measures. - Creates files and uploads appropriate documents to designated repositories and platforms. - Maintains proficiency and current knowledge of therapeutic area expectations relevant to Prolerity's customers. - Complies with all federal and local regulatory requirements as well as company policies and standard operating procedures. - Meets or exceeds goals set for lead generation milestones, feasibility completions, and conversions. - Collaborates with Prolerity teams involved in the Study Start-Up process. - Travels to other sites within the network, and to industry events or sponsor meetings as needed. Additional Responsibilities This job description covers the primary duties of the Business Development & Feasibility Specialist, but additional tasks may arise as necessary. These may include supporting additional feasibility operations, handling special projects, and addressing evolving needs within the company. Flexibility in adapting to new challenges and contributing to the overall success of Prolerity is essential. Success In This Role Looks Like - New sponsor leads and trial opportunities are actively identified and introduced into the business pipeline on a consistent basis. - Feasibility Questionnaire responses are submitted on time, are accurate, and consistently position Prolerity competitively for trial awards. - Outreach and relationship-building activities reflect a professional understanding of the clinical research landscape and Prolerity's therapeutic focus areas. - Sponsor communications are proactive, timely, and professionally executed. - Lead generation milestones and feasibility conversion goals are consistently met or exceeded, supporting both study success and Prolerity's long-term business growth. Qualifications - Strong verbal and written communication skills for both internal collaboration and external sponsor and partner outreach. - Demonstrated interest in and aptitude for lead generation, outreach, and relationship building within the clinical research or healthcare industry. - High level of organization, accuracy, and attention to detail in managing feasibility projects and business development activities. - Proficient in office software and digital platforms, including the Devana platform. - Demonstrated understanding of therapeutic area requirements and clinical trial expectations. - Ability to manage competing priorities effectively to meet deadlines and achieve goals. - Willingness to adapt to evolving project and business development needs.