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finance

Posted 2 hours ago

Senior Clinical Research Finance Specialist

at Iterative Health

New York, United StatesHybrid

Responsibilities

  • Own day-to-day AR operations for sponsor-funded studies and internal sites, ensuring accurate tracking of balances and timely collections.
  • Monitor and reconcile study-level balances and payment activity, proactively identifying discrepancies and driving resolution with internal and external stakeholders.
  • Prepare and issue invoices for study activities and services in coordination with sponsor communications and internal teams.
  • Analyze AR aging and payment trends, escalating risks and recommending actions to improve collections and cash flow.
  • Collaborate cross-functionally with Clinical Operations, Site Finance, and Accounting teams to clarify billing terms, milestone triggers, and contract deliverables.
  • Prepare AR aging schedules, financial summaries, and operational reports for finance leadership.
  • Support internal audits, financial reviews, and documentation related to accounts receivable and billing activities.
  • Identify opportunities to improve AR workflows, reporting, and system utilization to increase efficiency and financial transparency.

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.
  • Bachelor's degree in Finance, Accounting, Business, or a related field; or equivalent practical experience. 3–5+ years of
  • experience in accounts receivable, billing operations, or finance within a complex or multi-entity environment.
  • Strong proficiency in Microsoft Excel, including data analysis, reconciliation, and financial reporting.
  • Demonstrated ability to manage multiple priorities 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 manage operational finance processes and resolve issues proactively. Preferred
  • Experience with RealTime CTMS or similar clinical trial management and billing systems.
  • Familiarity with clinical trial billing structures, sponsor contracts, and study-level financial reconciliation. •
  • Experience working in high-growth or multi-site organizations. How We Work

Benefits

  • Comprehensive medical, dental, and vision coverage, with up to 80% 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! New York pay range $85,000 — $105,000 USD

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 Senior Clinical Research Finance Specialist is a critical member of Iterative Health's growing Finance team, partnering closely with the Research Finance Manager to own end-to-end accounts receivable operations across sponsor-funded clinical studies and internal research sites.
  • This role sits at the intersection of finance and clinical research — ensuring accurate billing, timely cash application, and prompt resolution of outstanding balances across a complex, multi-site research environment.
  • The ideal candidate is a detail-driven finance professional who thrives on balancing hands-on execution with cross-functional collaboration and is energized by finding smarter, more efficient ways to get the work done.
  • Accurately post cash receipts and payment details in RealTime CTMS and related financial systems.
  • Serve as a key point of contact for sponsors and CROs regarding billing inquiries, payment status, and outstanding balances.
  • Contribute to finance process documentation and help implement best practices across the organization.
  • Background in healthcare, clinical research, or clinical trial finance.

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