Accounts Receivable (AR) Manager

Iterative Health is a healthcare technology and services company powering the acceleration of clinical research to transform patient outcomes. The Iterative Health Site Network is a premier network of 100+ clinical research sites across the US and Europe, accelerating the path to market for novel therapies. By combining deep expertise in clinical trials with cutting-edge AI, we empower research teams and study sponsors to expand and expedite access to novel therapeutics for patients in need. About the Role We are seeking a highly organized and experienced Accounts Receivable (AR) Manager to lead our AR operations with a focus on clinical research projects. The ideal candidate will have 5+ years of AR experience, including NetSuite proficiency, a strong background in collections management, and expertise in long-term, milestone-based contracts with partial payment structures. Experience in Real Time software and advanced Excel capabilities are also essential. Location: Cambridge, MA Responsibilities Accounts Receivable & Collections Management: Run monthly AR reports, consolidate and prepare global aging by customer, location and business. Develop and maintain executive AR dashboards including aging, DSO and other AR KPIs. Manage the AR reconciliation process between the GL and Real Time Partner with project management and contract teams to align invoicing and collections with project milestones. Review and propose AR reserves. Prepare collections forecast reports. Leverage NetSuite to manage AR operations and generate financial reports. Use Real Time software to help track project data and integrate AR activities where appropriate. Ensure timely and accurate application of customer payments against open invoice within NetSuite. Oversee all AR functions including billing, invoicing, cash applications, and collections from an accounting perspective, partnering with the RCM team to ensure clinical research related receivables are properly recorded and reconciled. Manage collections for long-term contracts that include milestone-based and partial payments. Team Leadership & Process Optimization: Supervise, mentor, and develop the AR function, coordinating with the RCM team as needed to improve performance and efficiency. Establish KPIs for the AR function and drive process improvements to reduce aging and bad debt exposure. Collaborate with other departments including Finance, Project Management, and Legal to resolve billing issues and support customer relationships. Lead AR-related audits and prepare supporting documentation as needed. Industry-Specific Focus: Apply knowledge of clinical research billing practices and revenue cycle requirements. Ensure AR practices align with clinical study timelines, contracts, and regulatory requirements. Collaborate with other team members to ensure accurate financial reporting and support cost analysis initiatives. What We’re Looking For Required Qualifications Education: Bachelor’s degree in Accounting, Finance, or Business Administration. Experience: 5+ years of progressive AR/accounting experience, with at least 2 years in a managerial or supervisory role. Minimum 2 years of experience working within the healthcare industry. Proven track record managing collections on milestone-based contracts with partial payment structures. Experience in clinical research industry AR is required. Proficient in NetSuite and Real Time software. Strong knowledge of Microsoft Excel (pivot tables, VLOOKUP, etc.). Preferred Qualifications Exceptional attention to detail and organizational skills. Strong analytical and problem-solving abilities. Excellent communication and interpersonal skills. Ability to work independently and collaboratively in a fast-paced environment. New York pay range $95,000 — $135,000 USD At 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 inclus