---
title: 'Change Order Manager at Precision for Medicine'
canonical: 'https://feeny.ai/job/change-order-manager-precision-for-medicine-brazil-colombia-mexico-tpyjkzgdfzcn'
type: 'job'
last_seen: '2026-10-19'
---

# Change Order Manager at Precision for Medicine

- **Company:** Precision for Medicine
- **Location:** Brazil / Colombia / Mexico
- **Work type:** remote
- **Posted:** 2026-10-08
- **Last confirmed live:** 2026-10-19
- **Apply:** https://job-boards.greenhouse.io/pfm/jobs/6220687004

## Job description

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.](https://nam12.safelinks.protection.outlook.com/?url=https%3A%2F%2Fwww.precisionmedicinegrp.com%2Fprivacy-policy%2F&data=05%7C01%7Czeta.larcon%40precisionmedicinegrp.com%7Cb58fe8b0c3ea4dd2e79d08db5bd09a25%7Cb71ff3f628164ca8a9b938f820f91ad1%7C0%7C0%7C638204723732367131%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000%7C%7C%7C&sdata=9DgboiHTFPrNYVhdKhyfdwVyNYwUvZbP%2FroLdWIIfxw%3D&reserved=0) For CA applicants, please also refer to our [CA Privacy Notice](https://nam12.safelinks.protection.outlook.com/?url=https%3A%2F%2Fwww.precisionmedicinegrp.com%2Fca-applicants-privacy-notice%2F&data=05%7C01%7Czeta.larcon%40precisionmedicinegrp.com%7Cb58fe8b0c3ea4dd2e79d08db5bd09a25%7Cb71ff3f628164ca8a9b938f820f91ad1%7C0%7C0%7C638204723732367131%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000%7C%7C%7C&sdata=tfAqqMZsG%2B11IchL45HFFVbfECCkYqQpNr0PQxrMFJU%3D&reserved=0).

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 myHR@precisionmedicinegrp.com.

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 myHR@precisionmedicinegrp.com so we can investigate and take appropriate action.

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

## About Precision for Medicine

## Company Overview
- **One-liner**: Precision for Medicine is a global clinical research organization (CRO) and laboratory services provider specialized in accelerating the development of precision therapies for oncology, rare disease, and other complex conditions.
- **Entity Type**: Private – subsidiary of Precision Medicine Group (a private holding company)
- **Headquarters**: Not explicitly stated in sources; likely around the Washington D.C./Maryland area (Precision Medicine Group HQ is in Bethesda, MD). The company operates globally with labs in North America and Europe.
- **Founded**: 2012 (company began), but the team has over 25 years of clinical trial experience
- **Founders**: Not publicly disclosed on provided sources; leadership includes a founder role but name not given.

## Core Business
- **Primary industries**: Contract Research Organization (CRO) services, central laboratory services, biospecimen solutions, data intelligence for clinical development.
- **Target customers**: Biotechnology and pharmaceutical companies developing precision medicines, especially in oncology and rare disease (B2B, mid-to-large pharma).
- **Mission/purpose**: “Bringing life-changing therapies to patients by integrating laboratory expertise, clinical trial excellence, and data intelligence to deliver critical insights into patient biology.”

## Products & Services
- **Global CRO Services**: Full-service clinical trial management with a focus on early- and late-phase development, regulatory support, project management, and site startup. Over 75% of trials are in oncology.
- **Global Laboratory Services**: Translational and biomarker sciences, including specialty labs for genomics, flow cytometry, molecular diagnostics, and central lab testing. Operates 5 specialty labs in the US and Europe.
- **Biospecimens**: Access to over 11 million tissue, cellular, and biofluid specimens for research.
- **Data Intelligence**: AI-enabled data ecosystem for sample management, biomarker analysis, biostatistics, and decision support (includes a conversational AI virtual assistant).
- **Diagnostics and Companion Diagnostics (CDx)**: Development and commercialization of diagnostic tests aligned with therapies.

## Market Standing
- **Valuation / Market Cap**: Not publicly disclosed (part of private Precision Medicine Group).
- **Key Metric**: ~3,500 employees; 2,500+ clinical trial and lab projects; 70% of clinical trials in oncology; 25+ years of combined experience.
- **Notable Investors/Partners**: Sources mention “$30B in investments raised for biotech in the last 5 years” (general biotech investment, not specific to Precision). No specific lead investors listed; backed by private equity (Precision Medicine Group is owned by institutional investors).
- **Growth Signals**: Awarded the 2025 Fierce Biotech CRO Award for Innovative Solutions in Drug Development. Active hiring with 129 job openings globally (as of July 2026). Strong remote/hybrid work options across many roles.

## Competitive Advantages
- **Integrated CRO + Lab + Data**: One organization covering the full spectrum from biospecimens to late-phase trials, reducing inefficiencies of working with separate vendors.
- **Specialization in complex indications**: Deep expertise in oncology and rare disease, where protocols are highly complex.
- **Right-sized CRO model**: Assigns employees to no more than 2–3 trials at a time, offering more attention than large “Big Five” CROs (positioned as “antidote to Big Five Fatigue”).
- **AI-enabled data intelligence**: Unified ecosystem with conversational AI to extract insights from siloed data.

## Strategic Focus
- Continue expanding capabilities in precision medicine development, particularly in early-phase oncology and rare disease.
- Leverage data intelligence and AI to improve trial efficiency and patient matching.
- Scale global clinical operations (recent push into Asia Pacific, Latin America, and Eastern Europe).

## Why Work Here
- **Culture**: Employee-driven mission “to help patients get access to innovative treatments.” Collaboration across functions is emphasized, with a focus on complex and impactful therapies.
- **Work environment**: Strong remote/hybrid options – job postings span remote roles in the US, Canada, Europe, Asia, and Latin America. Offices and labs exist in multiple countries.
- **Perks & growth**: Not explicitly detailed, but the company invests in career development (e.g., roles from CRA to Director level). 25 years of history and a growing global footprint indicate stability and upward mobility.
- **Engineering & science culture**: Teams include clinical scientists, data engineers, lab professionals, and operations – a blend of deep science and tech.

## Sources
1. [Precision for Medicine – Homepage](https://www.precisionformedicine.com/)
2. [Precision for Medicine – Our Story](https://www.precisionformedicine.com/about-us/our-passion/)
3. [Precision for Medicine – Leadership](https://www.precisionformedicine.com/about/leadership)
4. [Precision for Medicine – Careers (Greenhouse)](http://job-boards.greenhouse.io/pfm)
5. [Precision for Medicine – LinkedIn](https://www.linkedin.com/company/precision-for-medicine)

## Other roles at Precision for Medicine

- [Clinical Research Associate I/ Clinical Research Associate II](https://feeny.ai/job/clinical-research-associate-i-clinical-research-associate-ii-precision-for-rpzgw1fgqqxt) — France
- [Senior Clinical Project Manager - Oncology](https://feeny.ai/job/senior-clinical-project-manager-oncology-precision-for-medicine-slovakia-7gn7321jj3g2) — Slovakia
- [Senior Clinical Project Manager - Oncology](https://feeny.ai/job/senior-clinical-project-manager-oncology-precision-for-medicine-romania-d0w7dfj4ckw0) — Romania
- [Senior Clinical Project Manager - Oncology](https://feeny.ai/job/senior-clinical-project-manager-oncology-precision-for-medicine-hungary-xw7kb0xj2vb3) — Hungary
- [Senior Clinical Project Manager - Oncology](https://feeny.ai/job/senior-clinical-project-manager-oncology-precision-for-medicine-serbia-cgmdtgszg4df) — Serbia
- [Senior Clinical Project Manager - Oncology](https://feeny.ai/job/senior-clinical-project-manager-oncology-precision-for-medicine-poland-9gmw059gf0y8) — Poland
- [Senior Clinical Project Manager - Oncology](https://feeny.ai/job/senior-clinical-project-manager-oncology-precision-for-medicine-spain-ggfqdt2sckzf) — Spain
- [Senior Clinical Project Manager - Oncology](https://feeny.ai/job/senior-clinical-project-manager-oncology-precision-for-medicine-united-kingdom-0vgmmyh5gess) — United Kingdom
- [Senior Financial Analyst (Clinical Solutions)](https://feeny.ai/job/senior-financial-analyst-clinical-solutions-precision-for-medicine-brazil-qrzhrzdp7k0h) — Brazil / Canada / Mexico
- [Senior Operational Strategy Director](https://feeny.ai/job/senior-operational-strategy-director-precision-for-medicine-united-states-s4f4wk03g3yr) — United States