Senior Clinical Research Finance Specialist

About the role

The Senior Clinical Research Finance Specialist plays a crucial role in Iterative Health's Finance team, overseeing accounts receivable operations for both sponsor-funded studies and internal research sites. This position requires a detailed finance professional who can balance hands-on execution with cross-functional collaboration.

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.
• Accurately post cash receipts and payment details in RealTime CTMS and related financial systems.
• 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.
• Serve as a key point of contact for sponsors and CROs regarding billing inquiries, payment status, and outstanding balances.
• 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.
• Contribute to finance process documentation and help implement best practices across the organization.

Requirements

• 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.

Qualifications

• Experience with RealTime CTMS or similar clinical trial management and billing systems.
• Background in healthcare, clinical research, or clinical trial finance.
• Familiarity with clinical trial billing structures, sponsor contracts, and study-level financial reconciliation.
• Experience working in high-growth or multi-site organizations.

Skills

• Strong analytical and problem-solving skills.
• Excellent organizational and time management skills.
• Ability to work independently and collaboratively.
• Proficiency in Microsoft Office Suite.

Benefits

• Hybrid work environment with in-office collaboration two days per week in either our NYC or Boston office.
• Comprehensive medical, dental, and vision coverage, with up to 80% of premiums covered by Iterative Health.
• Mental health and wellness support through Spring Health.
• Health HSA or FSA options, and commuter FSA contributions supported 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.