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Posted 3 hours ago

Manager, Revenue Cycle

at Iterative Health

Southlake, United StatesHybrid

Responsibilities

  • Lead, coach, and develop members of the revenue cycle team, establishing priorities, driving accountability, and supporting professional growth.
  • Own the end-to-end revenue cycle for sponsor-funded studies and internal sites, ensuring accurate tracking of balances and timely collections.
  • Lead all AR recovery efforts for balances aging beyond 90 days, owning escalation strategy, resolution, and root-cause remediation.
  • Monitor and reconcile study-level balances and payment activity, proactively identifying discrepancies and driving resolution with internal and external stakeholders.
  • Analyze AR aging and payment trends, escalating risks and recommending actions to improve collections and cash flow.
  • Prepare AR aging schedules, financial summaries, and operational reports for finance leadership.
  • Lead internal audits, financial reviews, and documentation related to accounts receivable and billing activities.
  • Define and improve AR and RCM workflows, reporting, and system utilization to increase efficiency and financial transparency.
  • Own finance process documentation and drive adoption of best practices across the organization.
  • Track record of driving AR recovery and reducing aged balances across a complex receivables portfolio.

Requirements

  • 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.
  • You will also lead the onboarding of newly acquired sites onto our real-time eCTMS platform, standardizing processes and helping scale research finance operations as the organization grows.
  • Serve as the point person leading financial migrations for newly acquired sites — transferring active studies from paper-based processes and other eCTMS platforms (such as CRIO) onto our real-time eCTMS.
  • Bachelor's degree in Finance, Accounting, Business, or a related field; or equivalent practical experience. 5–7+ years of
  • experience in accounts receivable, revenue cycle management, billing operations, or finance within a complex or multi-entity environment, including
  • experience owning a function or leading process improvement. Demonstrated
  • experience leading system implementations, migrations, or the onboarding of new sites/entities onto a shared platform.
  • Strong proficiency in Microsoft Excel, including data analysis, reconciliation, and financial reporting.
  • Demonstrated ability to manage multiple priorities and stakeholders while maintaining strong attention to detail and accuracy.
  • Strong written and verbal communication skills, with the ability to work effectively with internal stakeholders and external partners including sponsors and CROs.
  • Proven ability to independently own operational finance processes, lead cross-functional efforts, and resolve issues proactively. Preferred
  • experience with RealTime eCTMS, CRIO, or similar clinical trial management and billing systems. •
  • Experience migrating or onboarding clinical research sites from paper-based or legacy eCTMS systems onto a unified platform.
  • Background in healthcare revenue cycle management, clinical research, or clinical trial finance.
  • Familiarity with clinical trial billing structures, sponsor contracts, and study-level financial reconciliation. •
  • Experience working in high-growth, multi-site, or acquisitive organizations. How We Work

Benefits

  • Comprehensive medical, dental, and vision coverage, with up to 75% of premiums covered by Iterative Health
  • Unlimited PTO, 12 company holidays, and a company-wide shutdown between Christmas and New Years
  • 401(k) program with a company match of up to 3% (up to $3,000 annually)
  • Weekly in-office lunch benefit every Tuesday
  • 100% company-paid short-term and long-term disability coverage
  • Annual wellness and professional development stipend to support your health and growth And more!

Contact

  • experience more accessible to you, please contact CandidateAccommodations@iterative.health.

Additional details

  • 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.
  • Today, Iterative Health is headquartered in Cambridge, Massachusetts, and New York City with 250+ employees world-wide.
  • The Manager, Revenue Cycle Management at Iterative Health has end-to-end ownership of revenue cycle management across sponsor-funded clinical studies and our research site network.
  • This pivotal role is responsible for ensuring accurate billing, timely cash application, and proactive management of accounts receivable to optimize cash flow across a complex, multi-site clinical research environment.
  • You will partner closely with cross-functional teams to drive financial performance while supporting the growth of our research network.
  • Success in this role requires a hands-on, detail-oriented leader who enjoys building efficient processes, solving operational challenges, and identifying smarter, more scalable ways of working.
  • Serve as a key point of contact for sponsors and CROs regarding billing inquiries, payment status, and outstanding balances.
  • Partner cross-functionally with Clinical Operations, Site Finance, and Accounting teams to clarify billing terms, milestone triggers, and contract deliverables.
  • Fast-paced and highly iterative growth environment

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