Clinical Research Finance Specialist

Cambridge, Massachusetts, United States & New York, New York, United States

Iterative Health is a healthcare technology and services company powering the acceleration of clinical research to transform patient outcomes. We built a leading performance-driven network of 100+ sites across the US, Europe, India, and Australia, conducting research directly in the communities where care is delivered across gastrointestinal, hepatology, obesity, and cardiology. By combining deep clinical trial expertise with cutting-edge AI, we connect sponsors' scientific ambitions with high-performing research teams that expedite and expand access to novel therapeutics for patients in need.

Today, Iterative Health is headquartered in Cambridge, Massachusetts, and New York City with 250+ employees worldwide.

We are seeking a motivated and detail-oriented Clinical Research Finance Specialist to join our growing Finance team. This role partners closely with the Finance Manager to support end-to-end accounts receivable operations across sponsor‑funded clinical studies and internal research sites.

Responsibilities include owning core transactional AR workflows, monitoring sponsor and site-level accounts, supporting timely collections, posting cash receipts in Real Time CTMS, and assisting with invoicing as needed. The role requires close collaboration with internal teams, research sites, sponsors, and CROs to ensure accurate billing, timely cash application, and prompt resolution of outstanding balances.

• Support day-to-day accounts receivable operations, including monitoring sponsor and site-level balances and assisting with timely collections.
• Reconcile study-level balances and payment activity, identifying discrepancies and partnering with stakeholders to resolve issues.
• Accurately post cash receipts and payment details in Real Time CTMS and related financial systems.
• Prepare and issue invoices for study activities and services in coordination with sponsor communications and internal teams.
• Communicate professionally with sponsors and CROs regarding billing questions, payment status, and outstanding balances.
• Assist in the preparation of AR aging schedules, financial summaries, and internal reporting.
• Support audits and financial reviews related to accounts receivable and billing activity.
• Collaborate cross‑functionally with Clinical Operations, Site Finance, and Accounting to clarify billing terms and deliverables.
• Contribute to ongoing process improvements to enhance AR efficiency, accuracy, and visibility.
• Provide general finance support as needed to ensure smooth AR operations.

• Bachelor’s degree in Finance, Accounting, Business, or a related field (or equivalent practical experience).
• 2+ years of experience in accounts receivable, billing, or finance operations.
• Strong proficiency in Microsoft Excel, including data analysis and reporting.
• High attention to detail with the ability to manage multiple priorities and deadlines.
• Excellent written and verbal communication skills, with a professional approach to external stakeholders.

• Experience with Real Time CTMS or similar clinical trial management and billing systems.
• Background in healthcare, clinical research, or multi‑site organizations.
• Familiarity with sponsor contracts, clinical trial invoicing, or study-level financial reconciliation.

New York: $75,000 - $85,000 USD.

Iterative Health (the “Company”) is proud to be an equal opportunity employer, and is committed to providing equal employment opportunities to all employees and applicants without regard to actual and/or perceived: race; color; national origin; religion; age; sex (including pregnancy, childbirth, breastfeeding, and related medical conditions); gender identity or expression (including transgender status); affectional or sexual orientation; disability (mental and physical);

atypical hereditary cellular or blood trait or genetic information (including family medical history); uniform service member and veteran status; participation in legally protected conduct or making a complaint relating to unlawful conduct; and any other characteristic or conduct protected by applicable federal, state, or local law.