From Fragmented to Future-Ready: Roadmap to Financial Excellence in Clinical Trials

Managing site financials in clinical trials is complex but it doesn’t have to be. Leading biopharma companies are adopting digital strategies to streamline budgeting, contracting, payments, and reconciliation across global studies.

Integrating data and aligning internal capabilities accelerates study startup, improves payment accuracy, and enables smarter decisions—delivering shorter cycle times, lower costs, and scalable operations.

Yet many organizations still depend on fragmented systems and manual processes, causing delays, errors, and limited visibility. The solution? Consolidate data, standardize processes, and modernize technology to unlock real-time insights, reduce friction, and build an agile financial ecosystem ready for the future of clinical research.

Clinical Trial Financial Transformation – 14–18 Weeks with Infosys 4 pillar approach:

Infosys proposes a structured, phased, and data-driven strategy to help biopharma organizations modernize and streamline their site financial operations. The approach is built around four key pillars:

1. Maturity Model Framework

Infosys uses a five-level maturity model to assess and guide transformation across six core financial capabilities:

  • Contract & Budget Finalization
  • Forecasting Accruals & Budget Performance
  • Milestone Completion & Site Payment
  • Payment Accuracy & Exception Management
  • Reconciliation & Closeout

Each level—from Initial (L1) to Optimized (L5)—represents a progression from manual, fragmented processes to automated, data-driven operations with continuous improvement.

Infosys will use the maturity assessment framework to identify gaps and help customers navigate the roadmap to maturity.

2. Best Practices for Site Financials

Infosys recommends targeted best practices across three domains:

  • Site Budgeting: Use historical trial data to pre-define budget templates and reduce negotiation time.
  • Site Contracting: Implement contract management tools for real-time updates and fewer review cycles.
  • Site Payments: Build flexible, compliant payment systems that ensure timely and auditable transactions.

These practices aim to reduce delays, improve accuracy, and enhance stakeholder satisfaction.

3. Transformation Framework

Infosys follows a three-phase transformation journey:

  • Discover: Evaluate current systems and platforms, identify gaps, and define ideal solution archetypes.
  • Assess & Align: Map stakeholder experiences, roles, and geographic needs. Design future-state processes and operating models.
  • Recommend & Deliver: Implement a standardized, scalable ecosystem with clear handoffs, integrated systems, and real-time analytics.

This framework ensures alignment with business goals while minimizing disruption.

4. Solution Ecosystem Design

Infosys envisions a layered technological architecture that integrates budgeting, contracting, and payment systems:

  • Applications Layer: Tools like BEST, CTMS, and SoA Builder for study design and budgeting.
  • Integration Layer: API management for seamless data flow.
  • Data Consolidation Layer: Migration of legacy data into unified formats.
  • Operational Data Store: Centralized repository for contracts, payments, and budgets.
  • Analytics Layer: Real-time dashboards and reporting powered by data lake pipelines.
  • Automation Tools: CI/CD pipelines and test automation for scalable deployment.

This ecosystem supports global operations, improves visibility, and enables proactive financial management.

Conclusion

Infosys’ approach offers a structured, outcome-driven path to transforming site financials in clinical trials. By combining deep domain expertise, proven frameworks, and scalable technology, organizations can move from fragmented operations to a unified, intelligent ecosystem. The result is faster study startup, improved financial accuracy, and a future-ready model that delivers sustained value across global clinical research portfolios.

Author Details

Supriya Sahu

Supriya is Driving the next wave of innovation in Clinical R&D. As a Principal Consultant at Infosys Consulting, Supriya specializes in digital transformation, ensuring compliance and excellence through deep knowledge of Quality Assurance and managing complex Regulatory Inspections and Vendor Ecosystems. My current mandate is clear: deploy GenAI automation across the clinical research lifecycle to deliver unprecedented speed and quality. Action-oriented leader turning cutting-edge technology into bottom-line performance.

Deeksha Gupta

Deeksha Gupta is a Senior Consultant with 11 years of experience in the Pharmaceutical and Lifesciences industry, with core competency in the Clinical domain (Clinical Trials Management). She has proven expertise in Process Consulting, Quality Assurance, Audit Management, Inspection readiness, Business Development and Risk Management.

Yash Parte

Life Sciences Consultant with 3+ years of experience across clinical trial operations and management, regulatory documentation, and application management support. Skilled in process optimization, stakeholder coordination, and regulatory compliance using tools like Veeva Vault and CTMS. Adept at managing change, incident, and documentation workflows through structured methodologies, ensuring delivery excellence and audit readiness in complex, cross-functional environments

Shubhangi Tanwar

Shubhangi is a Clinical technology specialist and business analyst with 6+ years of healthcare experience including hands-on expertise in Veeva CTMS, e-TMF and oracle systems, adept in using PM and ITSM tools (JIRA, Trello, Confluence, ServiceNow) and well versed in operational procedures including service request, change, incident and inventory management.

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