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Salary
≈ $32k – $91k per year (Estimated)
Location
Remote (Brazil, Colombia, Mexico)
Seniority
Senior · 5+ years exp
Visa
No sponsorship (stated in the posting)

Confirmed on the employer's own hiring board on Oct 26, 2026. First seen by Alion on Oct 8, 2026. Precision for Medicine scores B on the Alion truth index.

Overview
Company
Impact
Profile match
Precision for Medicine is the drug and diagnostic development business of Precision Medicine Group, providing clinical research services built around biomarkers for pharmaceutical and biotech sponsors. It runs biomarker-informed clinical trials, specialty laboratory and bioanalytical testing, biorepository services and clinical data management from sites in the United States, Europe and India. The company is headquartered in Bethesda, Maryland, United States.
Backed by Oak HC/FT

Position Summary:

The Change Order Manager will lead change order budget creation activities between project management, functional leads, and the financial analysts in order to develop, explain, and provide variance analysis for the change orders in preparation for presentation to the client. The Change Order Manager will contribute to the tracking and record keeping of change order requests in order to develop departmental metrics, and lead and/or actively participate in internal and client calls on a routine basis.

Essential functions of the job include but are not limited to:

  • Work collaboratively with project management, financial analysts, functional leads, and other contributing parties in order to produce a high-quality change order which is meaningful, accurate, and in accordance with the changes in assumptions on a timely basis.
  • Provide review of changes in assumptions to the budget in order to work with the extended project team to identify information gaps and/or discrepancies, unique service requirements in order to translate information into budgets.
  • Actively communicate with the project team and other key stakeholders both within and outside the organization in order to support the timely and accurate delivery of change orders.
  • Schedule and lead the change order alignment calls with the extended project team.
  • Prepare, edit, and customize change order text to accurately reflect the strategic message, changes in assumptions, budget summaries, changes in resourcing, and additional financial requirements.
  • Incorporate vendor and partner change orders into the main change order as applicable while ensuring accuracy and completeness.
  • Ensure all information is accurate and clearly stated including assumptions, processes described, changes from prior executed agreements inclusive of resourcing updates, timeline shifts, country/site/patient changes, etc.
  • Meticulous attention to the use of financial formulas to ensure an accurate change order which includes, but not limited to: cross checks, formula review, reasonable testing, etc.

Qualifications:

Minimum Required:

  • Bachelor’s degree or equivalent in science, finance/accounting or related business field.

Other Required:

  • A minimum of 5 years’ experience in proposal and/or change order preparation in an excel based costing tool and preparation of change order/contract documents
  • Working knowledge of project budgets, financial analysis, advanced excel skills with a meticulous attention to detai

Preferred:

  • MBA Preferred
  • Experience in the CRO industry 

Competencies:

  • Working knowledge of the life cycle of a project with a solid foundation of how the changes in assumptions impact the costings/budget and financial impact at each stage of the clinical trial.
  • Strong Excel/Microsoft Office skills and ability to thrive in a multi-tasking environment.
  • Strong financial skills combined with an attention and appreciation to detail.
  • High energy and enthusiasm with a strong commitment to exceeding expectations.
  • Flexibility and willingness to work on multiple assignments of varying tasks with personnel throughout the organization.
  • Ability to learn quickly. Good oral and written communication & interpersonal skills with the ability to connect and build relationships with management and others throughout the organization.
  • Exhibits self-motivation and is able to work and plan independently as well as in a team environment.
  • Team player with a desire to be an active, long-term participant in the growth of the company.
  • Travel required - Travel will be minimal.

Any data provided as a part of this application will be stored in accordance with our Privacy Policy.  For CA applicants, please also refer to our CA Privacy Notice.

Precision Medicine Group is an Equal Opportunity Employer. Employment decisions are made without regard to race, color, age, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status or other characteristics protected by law.

If you are an individual with a disability and require a reasonable accommodation to complete any part of the application process or are limited in the ability or unable to access or use this online application process and need an alternative method for applying, you may contact Precision Medicine Group at [email protected].

Recruitment Fraud Warning: Please be aware that fraudulent individuals and websites may impersonate Precision Medicine Group or its affiliates and attempt to obtain personal, financial, or banking information through fake job postings or employment offers. Precision Medicine Group will never request payment, banking details, or other sensitive financial information as part of the recruitment process. If you believe you have been targeted by a recruitment scam, we encourage you to report the incident to your local law enforcement authorities, consumer protection agency, or relevant cybercrime reporting organization in your country. Please also notify us at [email protected] so we can investigate and take appropriate action.

Candidates must be legally authorized to work in the country of employment without employer sponsorship.

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