Senior Clinical Research Finance Specialist

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 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 Responsibilities Own day-to-day accounts receivable 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 Serve as a key point of contact for sponsors and CROs regarding billing inquiries, payment status, and outstanding balances Analyze AR aging and payment trends, escalating risks and recommending actions to improve collections and cash flow Assist in preparing AR aging schedules, financial summaries, and operational reporting for finance leadership Support internal audits, financial reviews, and documentation related to accounts receivable and billing activities Collaborate cross-functionally with Clinical Operations, Site Finance, and Accounting teams to clarify billing terms, milestone triggers, and contract deliverables 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 Required Qualifications 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 communication skills with the ability to work effectively with internal stakeholders and external partners Proven ability to independently manage operational finance processes and resolve issues proactively Preferred 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 New York pay range $85,000 — $105,000 USD At Iterative Health, we’re actively working towards creating an environment that is representa