Staff Accountant

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 world-wide.

The Staff Accountant at Iterative Health plays a key part in ensuring the accuracy and efficiency of our financial operations. Reporting to the Director of Accounting, this role supports day-to-day accounting functions, month-end and year-end close processes, and financial reporting across our growing organization. The ideal candidate is an organized, detail-oriented self-starter who is motivated to grow their accounting expertise in a fast-paced healthcare technology environment while contributing to broader financial compliance and operational excellence initiatives.

Where You'll Drive Impact Accounting & Financial Operations

• Handle day-to-day accounting duties including bank transactions and cash applications.
• Prepare assigned journal entries and account reconciliations accurately and on time.
• Assist with month-end and year-end close processes, including journal entries, accruals, and reconciliations.
• Utilize Net Suite for day-to-day accounting operations, reporting, and general ledger activities.
• Support external audits by preparing necessary documentation and schedules.
• Learn to use and master the Clinical Trial Management System (CTMS) to support research financial operations.
• Post sponsor study payments accurately within the research CTMS.
• Ensure accuracy and quality control of financial data collection for clinical research trials in CTMS.
• Collaborate with research operations and site network teams to support financial reporting tied to clinical trial activity.
• Collaborate cross-functionally to ensure accurate financial reporting and support cost analysis initiatives.
• Perform administrative tasks such as maintaining information files, processing paperwork, and other tasks as requested.
• Identify and implement process improvements to increase efficiency and accuracy across accounting workflows.

What You Bring to the Team

• Bachelor's degree in Accounting, Finance, or a related field; CPA or active progress toward CPA preferred.
• 2–3 years of accounting experience.
• Proficiency in Net Suite ERP for general ledger, reporting, and day-to-day operations.
• Experience with cash transactions and bank account reconciliations.
• Familiarity with expense reports, credit card expenditure analysis, and reporting.
• Strong knowledge of Microsoft Excel, including pivot tables and VLOOKUP.
• Exceptional attention to detail and organizational skills.
• Strong analytical and problem-solving abilities.
• Excellent written and verbal communication skills.
• Ability to work independently and collaboratively in a fast-paced, dynamic environment.

Preferred Qualifications

• Experience working within the healthcare, biotech, or healthcare technology industry.
• Familiarity with clinical research operations or sponsor payment workflows.
• Experience supporting external audits or SOX compliance activities.
• Exposure to multi-entity or intercompany accounting environments.

How We Work

• Collaborative and low-ego team environment
• High ownership and accountability culture
• Fast-paced and highly iterative growth environment
• Open communication and continuous learning mindset
• Mission-driven organization focused on improving patient outcomes
• Comfortable navigating evolving business priorities and opportunities

Benefits That Support You We believe great teams do their best work when they feel supported — professionally and personally.

• Hybrid work environment with in-office collaboration two days per week in either our NYC or Boston office
• Comprehensive medical, dental, and…