Manager, Finance

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 Manager, Finance at Iterative Health will be a key member of the Finance team, partnering closely with leaders across the business to drive financial planning, forecasting, reporting, and decision-making. This role will translate complex financial and operational data into actionable insights, help leadership understand the financial implications of strategic decisions, and strengthen the processes and tools that enable the company to scale effectively.

This is an ideal opportunity for a finance leader who enjoys operating in a high-growth environment, working cross-functionally, and balancing strategic thinking with hands‑on execution.

• Lead the annual budgeting, forecasting, and long-range planning processes across the organization.
• Develop and maintain financial models that support company-wide planning, strategic initiatives, and scenario analysis.
• Analyze actual performance against budget and forecast, identify key drivers and trends, and communicate implications to leadership.
• Develop meaningful financial and operating metrics to improve visibility into business performance.
• Support monthly and quarterly financial reporting and management reviews.

• Partner with functional leaders across the organization to understand business priorities, financial needs, and growth opportunities.
• Serve as a trusted finance partner to business leaders, providing insights that inform resource allocation and strategic decisions.
• Evaluate new initiatives, investments, and business opportunities through financial modeling and ROI analysis.
• Develop scenario analyses and recommendations to support complex business decisions.
• Help leadership understand tradeoffs between growth, profitability, cash utilization, and operational investment.

• Analyze revenue, operating expenses, headcount, cash flow, and other key financial drivers.
• Develop and improve management reporting, dashboards, and financial performance materials.
• Identify trends, risks, and opportunities and proactively surface them to Finance and executive leadership.
• Partner with Accounting to ensure financial reporting and operational metrics are aligned and accurately reflected.
• Support the development of scalable financial processes, controls, and systems.

• Build and improve financial planning and reporting processes as the company continues to scale.
• Identify opportunities to automate reporting, improve data quality, and increase the efficiency of Finance operations.
• Partner with Accounting, People, Operations, Revenue, and other teams to ensure consistent financial data and assumptions.
• Help establish financial discipline and accountability across the organization.
• Take ownership of ad hoc analyses and strategic projects as priorities evolve.
• Performs related job duties

• Collaborative and low-ego team environment
• Fast-moving and highly iterative culture
• Strong focus on ownership and accountability
• Mission-driven and patient-centered mindset
• Open communication and continuous learning
• Comfortable navigating evolving business needs

• 5+ years of progressive experience in finance, FP&A, strategic finance, investment banking, consulting, or a related field.
• Bachelor’s degree in Finance, Accounting, Economics, Business, or a related discipline.
• Strong financial modeling and analytical…