Clinical Research Specialist

Senior Clinical Research Finance SpecialistIterative 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.We are seeking a motivated and detail-oriented Senior 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.You will own core transactional AR workflows, including monitoring sponsor and site-level accounts, supporting timely collections, posting cash in RealTime CTMS, and assisting with invoicing as needed. This role requires close collaboration with internal teams, research sites, and sponsors and CROs to ensure accurate billing, timely cash application, and prompt resolution of outstanding balances.The ideal candidate thrives in a fast-paced clinical research environment and enjoys balancing hands-on execution with cross-functional collaboration and continuous process improvement.Key ResponsibilitiesOwn day-to-day accounts receivable operations for sponsor-funded studies and internal sites, ensuring accurate tracking of balances and timely collectionsMonitor and reconcile study-level balances and payment activity, proactively identifying discrepancies and driving resolution with internal and external stakeholdersAccurately post cash receipts and payment details in RealTime CTMS and related financial systemsPrepare and issue invoices for study activities and services in coordination with sponsor communications and internal teamsServe as a key point of contact for sponsors and CROs regarding billing inquiries, payment status, and outstanding balancesAnalyze AR aging and payment trends, escalating risks and recommending actions to improve collections and cash flowAssist in preparing AR aging schedules, financial summaries, and operational reporting for finance leadershipSupport internal audits, financial reviews, and documentation related to accounts receivable and billing activitiesCollaborate cross-functionally with Clinical Operations, Site Finance, and Accounting teams to clarify billing terms, milestone triggers, and contract deliverablesIdentify opportunities to improve AR workflows, reporting, and system utilization to increase efficiency and financial transparencyContribute to finance process documentation and help implement best practices across the organizationRequired QualificationsBachelor'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 environmentStrong proficiency in Microsoft Excel, including data analysis, reconciliation, and financial reportingDemonstrated ability to manage multiple priorities while maintaining strong attention to detail and accuracyStrong communication skills with the ability to work effectively with internal stakeholders and external partnersProven ability to independently manage operational finance processes and resolve issues proactivelyPreferred QualificationsExperience with RealTime CTMS or similar clinical trial management and billing systemsBackground in healthcare, clinical research, or clinical trial financeFamiliarity with clinical trial billing structures, sponsor contracts, and study-level financial reconciliationExperience working in high-growth or multi-site organizationsNew York pay range$85,000 - $105,000 USDAt Iterative Health, we're actively working towards creating an environment that is representative of the diversity of patients our technology serves. We are focused on building an equitable and inclusive culture, and by extension, hiring process. If you require any accommodations to make the application process or interviewing experience more accessible to you, please contact View email address on click.appcast.io.