June 25, 2026
Staff Accountant
Mid • Hybrid
Cambridge, MA
The Staff Accountant plays a key role in ensuring the accuracy and efficiency of financial operations. Reporting to the Director of Accounting, this role supports day-to-day accounting functions, month-end and year-end close processes, and financial reporting across the organization. The position requires collaboration with cross-functional teams and contributes to financial compliance and operational excellence initiatives.
Quick Facts
- Hybrid work environment with in-office collaboration two days per week in either NYC or Boston office
- Comprehensive medical, dental, and vision coverage with up to 80% of premiums covered
- Mental health and wellness support
- Health HSA or FSA options and commuter FSA contributions
- Unlimited PTO, 12 company holidays, and company-wide shutdown between Christmas and New Year
- 401(k) program with company match up to 3%
- Weekly in-office lunch benefit
- 100% company-paid short-term and long-term disability coverage
- Annual wellness and professional development stipend
Where You'll Drive Impact
Accounting & Financial Operations
- Handle day-to-day accounting duties including bank transactions and cash applications
- Prepare journal entries and account reconciliations accurately and on time
- Assist with month-end and year-end close processes, including journal entries, accruals, and reconciliations
- Utilize NetSuite for accounting operations, reporting, and general ledger activities
- Support external audits by preparing documentation and schedules
- Learn and use the Clinical Trial Management System (CTMS) to support research financial operations
- Post sponsor study payments within the research CTMS
- Ensure accuracy and quality control of financial data collection for clinical research trials in CTMS
- Collaborate with research operations and site network teams on financial reporting tied to clinical trial activity
- Support cost analysis initiatives and cross-functional financial reporting
- Maintain information files and process administrative paperwork
- Identify and implement process improvements across accounting workflows
What You Bring to the Team
- Bachelor's degree in Accounting, Finance, or related field; CPA or progress toward CPA preferred
- 2–3 years of accounting experience
- Proficiency in NetSuite ERP for general ledger and reporting
- Experience with cash transactions and bank reconciliations
- Familiarity with expense reports and credit card expenditure analysis
- Strong knowledge of Microsoft Excel, including pivot tables and VLOOKUP
- Strong analytical and problem-solving skills
- Ability to work independently and collaboratively in a fast-paced environment
Preferred Qualifications
- Experience in healthcare, biotech, or healthcare technology industry
- Familiarity with clinical research operations or sponsor payment workflows
- Experience supporting external audits or SOX compliance activities
- Exposure to multi-entity or intercompany accounting environments
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This role owns strategy, operating cadence, and leader development, ensuring disciplined execution, accurate forecasting, and compliant delivery. Leveraging AI as a force multiplier, the leader scales insight generation, prioritization, and decision quality to accelerate speed, consistency, and outcomes. Operating within a hyper-growth, highly regulated 503A/503B environment, the role aligns customer commitments with quality, regulatory, and operational realities. Success requires strong strategic thinking, rigorous execution, and exceptional learning agility to navigate complexity, elevate standards, and deliver durable, scalable performance while building teams and institutionalizing repeatable systems. Responsibilities: Regional Account Revenue Ownership - Own regional retention and expansion performance through AI-enabled account strategies and disciplined execution. - Develop scalable expansion frameworks leveraging AI-driven segmentation and opportunity scoring. - Establish high-confidence forecasting systems using AI-enhanced analytics and performance dashboards. Account Management Team Leadership - Build and coach high-performing managers through structured development plans and performance analytics. - Drive rigorous performance management using data-backed interventions and AI tools. - Lead structured hiring, succession planning, and workforce planning initiatives. Customer Stewardship and Executive Engagement - Own senior-level customer relationships, leading strategic conversations and negotiations. - Ensure consistent delivery of customer commitments through disciplined account planning and performance tracking. - Design and execute retention programs leveraging predictive analytics and health scoring. Compliance-Embedded Account Execution - Standardize workflows using AI-enabled automation, playbooks, and performance metrics. - Collaborate cross-functionally with Operations, Quality, Finance, Legal, and Sales. - Embed compliance, quality, and contractual guardrails into all account activities. Forecasting, Renewal Discipline, and Predictability - Leverage AI and advanced analytics to inform strategy and enhance decision-making. - Build scalable systems and governance models supporting rapid growth. - Champion continuous improvement through innovation and process refinement. Knowledge and Skills: - Advanced proficiency in CRM platforms, forecasting tools, and AI-driven analytics. - Strong leadership capability in team development and organizational design. - Deep understanding of regulated business environments, risk management, and compliance alignment. - Exceptional communication and strategic thinking skills. Experience and Qualifications: - 10 to 15 years of experience leading account management, customer success, or post-sale commercial organizations, with at least 1 to 2 years leading leaders. - Demonstrated success improving retention and expansion in regulated or complex environments. - Experience in healthcare, life sciences, or similarly governed industries preferred. - Bachelor’s degree required or equivalent experience considered. Employee Benefits, Health and Wellness: Comprehensive benefits including medical, dental, and vision coverage, paid time off, 401(k) matching, wellness perks, IV therapy, and compounded medications. Physical Requirements: Requires frequent communication, prolonged stationary positioning, regular use of hands and computer equipment, and movement throughout the office and corporate campus. Regular standing, walking, reaching, balancing, stooping, kneeling, crouching, or crawling may be required.
Technology

Iterative Health
Accounts Payable Specialist
Mid
Hybrid
Cambridge, MA
🏢 Summary: Accounts Payable Specialist role focused on managing the full AP lifecycle, procurement workflows, vendor management, and accounting operations in a fast-paced healthcare technology environment. The position supports financial reporting, audits, month-end close activities, and process improvements using ERP and procurement systems. The offer includes a hybrid work environment, comprehensive benefits, and professional development support. 🗂️ Requirements: Bachelor's degree in Accounting, Finance, or related field, 2–3 years of accounting experience, Accounts payable experience, Experience with NetSuite ERP or similar accounting system, Experience with procurement platforms, Microsoft Excel proficiency, Knowledge of accounting principles and internal controls, Ability to manage multiple priorities and deadlines, Strong attention to detail, Communication and interpersonal skills 📃 Skills: NetSuite, Excel, ZIP, Coupa, Accounting, Finance, Procurement, ERP, 1099, Auditing 🏢 Description: 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. 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. The Accounts Payable Specialist is a key member of the Accounting team, reporting to the Manager, Accounting . This role is responsible for ensuring the accuracy, efficiency, and integrity of Iterative Health's accounts payable operations while supporting broader accounting and financial close activities. The ideal candidate is an accountant who brings strong accounts payable and accounting experience, exceptional attention to detail, and a passion for process improvement. This individual will serve as a critical partner across Finance, Procurement, and business teams to ensure vendor payments are processed accurately, financial records remain audit-ready, and accounting operations scale effectively alongside the organization. Where You'll Drive Impact Support the full accounts payable lifecycle, including invoice receipt, coding, approval routing, and payment processing. Review invoices for accuracy and appropriate supporting documentation. Process vendor payments accurately and on time while ensuring compliance with company policies and internal controls. Reconcile accounts payable transactions and vendor statements, identifying and resolving discrepancies promptly. Maintain vendor records and ensure proper onboarding, tax documentation, and compliance requirements. Support annual 1099 preparation and reporting activities. Partner with internal stakeholders to ensure timely invoice approvals and resolution of payment-related inquiries. Utilize NetSuite to support day-to-day accounting operations, vendor management, reporting, and general ledger activities. Manage purchase order requests, invoice matching, and approval workflows through ZIP Procurement. Monitor procurement and payment workflows to ensure efficiency, accuracy, and compliance. Assist with system enhancements, testing, and process improvements related to accounts payable and procurement operations. Serve as a resource for employees regarding procurement and invoice processing procedures. Assist with month-end and year-end close activities, including journal entries, accruals, and account reconciliations. Support the preparation of financial reports and schedules. Assist with external audits by preparing supporting documentation and responding to audit requests. Ensure transactions are recorded accurately and in accordance with accounting policies and procedures. Collaborate with Accounting and Finance team members to support financial reporting, budgeting, and cost analysis initiatives. Identify opportunities to improve processes, strengthen internal controls, and increase operational efficiency. Help develop and maintain accounting policies, procedures, and documentation. Participate in special projects and other accounting initiatives as needed. Performs related duties as requested What You Bring to the Team Bachelor's degree in Accounting, Finance, or a related field. 2–3 years of accounting experience, with a strong focus on accounts payable. Experience working with NetSuite ERP or a similar enterprise accounting system. Experience using procurement platforms such as ZIP Procurement, Coupa, or similar tools. Strong Microsoft Excel skills, including pivot tables, lookups, and data analysis. Knowledge of accounts payable processes, accounting principles, and internal controls. Strong attention to detail with the ability to manage multiple priorities and deadlines. Excellent communication and interpersonal skills. Preferred Qualifications Experience supporting month-end close activities and audit preparation. Experience in healthcare, healthcare technology, biotechnology, or other highly regulated industries. Familiarity with procurement operations and vendor management best practices. Proven ability to identify and implement process improvements. Experience working in a fast-paced, high-growth environment. How We Work Collaborative and low-ego team environment High ownership and accountability culture Fast-paced and highly iterative growth environment Open communication and continuous learning mindset Mission-driven organization focused on improving patient outcomes Comfortable navigating evolving business priorities and opportunities Benefits That Support You We believe great teams do their best work when they feel supported — professionally and personally. 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 And more! 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 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 CandidateAccommodations@iterative.health.