July 9, 2026
Senior Research Budget Specialist - Ex-US
Senior • Hybrid
New York, NY
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.
As the Research Budget Specialist - Ex- US at Iterative Health you will be a key player in our global research operations, owning ex-US clinical trial budgeting, contracting, and financial performance across our international site network. This role sits at the crossroads of finance and clinical operations — partnering closely with Clinical Operations, Finance, Legal, Business Development, and site leadership to keep study startup on track and sponsor relationships running smoothly. The ideal candidate is a detail-oriented, globally-minded finance professional with deep experience in clinical trial budget negotiations, a strong grasp of international contracting nuances, and the flexibility to operate across time zones as our European network continues to grow.
Where You'll Drive Impact
- Manage the development, negotiation, and execution of clinical trial budgets, Clinical Trial Agreements (CTAs), amendments, and related study agreements across a global network of research sites, with a primary focus on ex-US markets.
- Develop and maintain standardized budgeting methodologies, negotiation tools, and country-specific rate cards.
- Prepare sponsor budget estimates, feasibility assessments, and pricing analyses to support new study opportunities and partnerships.
- Partner with Clinical Operations and site leadership to support study startup, activation metrics, and operational readiness.
- Collaborate with post-award teams to ensure accurate invoicing and adherence to contractual payment terms.
- Coordinate with Legal and Procurement teams to support contract compliance and operational efficiency.
- Performs related duties as requested
What You Bring to the Team
- Bachelor's degree in Business, Finance, Healthcare Administration, Life Sciences, or a related field.
- 5+ years of experience in clinical trial budgeting, contracting, clinical research finance, or related research administration, including exposure to ex-US budget negotiations.
- Flexibility to work starting at 6:00AM ET to support partial coverage of European time zones.
- Experience negotiating clinical trial budgets and contracts with sponsors, CROs, and international research sites.
- Working knowledge of clinical trial operations, study startup processes, and research financial management.
- Strong analytical, negotiation, and communication skills.
- Ability to manage multiple priorities and competing deadlines in a fast-paced, global environment.
Preferred Qualifications
- Experience with Polish clinical trial budgets or familiarity with Central/Eastern European research market rates and contracting norms.
- Background in healthcare technology, biotech, or a multi-site clinical research network.
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.
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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! New York pay range$180,000—$250,000 USDAt Iterative Health, we're actively working towards creating an environment that is representative of the diversity of patients our technology serves. 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Hybrid work arrangement with comprehensive benefits and opportunities to work within AI-driven healthcare research. 🗂️ Requirements: Bachelor's degree in Life Sciences, Healthcare, Business, or related field, 8+ years of experience in business development, strategic partnerships, clinical research, or life sciences, Experience developing and closing partnerships with biotechnology and pharmaceutical organizations, Strong understanding of the clinical trial ecosystem, Ability to negotiate complex commercial agreements, Experience managing enterprise-level client relationships, Strong communication and presentation skills, Ability to work in a fast-paced, growth-oriented environment 📃 Skills: CRM, AI, ClinicalResearch, Biopharma, Biotechnology, Sales, Negotiation, Forecasting, Cardiology, Gastroenterology, Hepatology, Immunology 🏢 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. As a Director, Life Sciences at Iterative Health you will play a pivotal role in accelerating growth across our clinical trials business. This highly visible, external-facing role will be responsible for identifying, developing, and expanding partnerships with biopharmaceutical and biotechnology sponsors, helping bring innovative therapies to patients through cutting-edge clinical research. You will own the full business development lifecycle—from market engagement and opportunity identification through proposal development, contract negotiation, and partnership expansion. This individual will collaborate closely with clinical operations, product, scientific, and executive leadership teams to develop commercial strategies that drive revenue growth and strengthen Iterative Health's position as a trusted partner in driving innovations in specialty research. Where You'll Drive Impact Serve as a primary commercial representative of Iterative Health to prospective and existing biopharma, biotech, and clinical research partners. Develop and execute strategic business development plans to drive sponsor engagement, revenue growth, and long-term partnerships. Build, manage, and expand relationships with key decision-makers across clinical development, clinical operations, medical affairs, and strategic outsourcing functions. Lead the full sales cycle, including prospecting, qualification, proposal development, pricing strategy, contract negotiation, and deal execution. Collaborate with internal stakeholders to develop tailored clinical trial solutions that align with sponsor needs and organizational capabilities. Partner with clinical operations and delivery teams to ensure successful execution and ongoing client satisfaction. Gather and communicate market intelligence, competitive insights, and sponsor feedback to inform commercial strategy and product development. Contribute to the development and refinement of Iterative Health's value proposition, positioning, and go-to-market strategy. Represent Iterative Health at industry conferences, scientific meetings, and business development events. Maintain accurate opportunity forecasting and pipeline management within CRM systems. Performs related job duties How We Work Collaborative and low-ego team environment Fast-moving and highly iterative culture Strong focus on ownership and accountability Mission-driven and patient-centered mindset Open communication and continuous learning Comfortable navigating evolving business needs What You Bring to the Team Bachelor's degree in Life Sciences, Healthcare, Business, or a related field. 8+ years of progressive experience in business development, strategic partnerships, clinical research, life sciences, or related commercial roles. Demonstrated success developing and closing partnerships with biotechnology and pharmaceutical organizations. Strong understanding of the clinical trial ecosystem, including sponsors, CROs, site networks, and research operations. Established network of industry contacts and decision-makers within the biopharma sector. Proven ability to negotiate complex commercial agreements and manage enterprise-level relationships. Exceptional communication, presentation, and relationship-building skills. Strong business acumen, strategic thinking, and ability to influence cross-functional stakeholders. Ability to thrive in a fast-paced, growth-oriented environment with evolving priorities. Preferred Qualifications Experience supporting clinical trials within cardiology, gastroenterology, hepatology, obesity, , immunology, or related therapeutic areas. Experience within a CRO, site network, clinical trial technology company, healthcare technology organization, or sponsor organization. Knowledge of decentralized, technology-enabled, or AI-driven clinical research solutions. Advanced degree such as MBA, MPH, MS, PharmD, or PhD. Experience managing strategic accounts and driving expansion opportunities within existing partnerships. 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! New York pay range$180,000—$250,000 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 CandidateAccommodations@iterative.health.
Technology

Iterative Health
Director, Life Sciences (Business Development)
Senior
Hybrid
Cambridge, MA
🏢 Summary: Director, Life Sciences role focused on driving business development and strategic partnerships within clinical research and biopharma. The position manages the full sales lifecycle, collaborates cross-functionally on clinical trial solutions, and supports revenue growth through sponsor engagement and partnership expansion. The offer includes a hybrid work model, comprehensive healthcare coverage, unlimited PTO, and professional development support. 🗂️ Requirements: Bachelor's degree in Life Sciences, Healthcare, Business, or related field, 8+ years of experience in business development, strategic partnerships, clinical research, or life sciences, Experience developing and closing partnerships with biotechnology and pharmaceutical organizations, Strong understanding of the clinical trial ecosystem, Ability to negotiate complex commercial agreements, Experience managing enterprise-level relationships, Strong communication and presentation skills, Ability to work in a fast-paced, growth-oriented environment 📃 Skills: CRM, AI, ClinicalResearch, Biopharma, Biotechnology, Sales, Negotiation, Forecasting, Cardiology, Gastroenterology, Hepatology, Immunology 🏢 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. As a Director, Life Sciences at Iterative Health you will play a pivotal role in accelerating growth across our clinical trials business. This highly visible, external-facing role will be responsible for identifying, developing, and expanding partnerships with biopharmaceutical and biotechnology sponsors, helping bring innovative therapies to patients through cutting-edge clinical research. You will own the full business development lifecycle—from market engagement and opportunity identification through proposal development, contract negotiation, and partnership expansion. This individual will collaborate closely with clinical operations, product, scientific, and executive leadership teams to develop commercial strategies that drive revenue growth and strengthen Iterative Health's position as a trusted partner in driving innovations in specialty research. Where You'll Drive Impact Serve as a primary commercial representative of Iterative Health to prospective and existing biopharma, biotech, and clinical research partners. Develop and execute strategic business development plans to drive sponsor engagement, revenue growth, and long-term partnerships. Build, manage, and expand relationships with key decision-makers across clinical development, clinical operations, medical affairs, and strategic outsourcing functions. Lead the full sales cycle, including prospecting, qualification, proposal development, pricing strategy, contract negotiation, and deal execution. Collaborate with internal stakeholders to develop tailored clinical trial solutions that align with sponsor needs and organizational capabilities. Partner with clinical operations and delivery teams to ensure successful execution and ongoing client satisfaction. Gather and communicate market intelligence, competitive insights, and sponsor feedback to inform commercial strategy and product development. Contribute to the development and refinement of Iterative Health's value proposition, positioning, and go-to-market strategy. Represent Iterative Health at industry conferences, scientific meetings, and business development events. Maintain accurate opportunity forecasting and pipeline management within CRM systems. Performs related job duties How We Work Collaborative and low-ego team environment Fast-moving and highly iterative culture Strong focus on ownership and accountability Mission-driven and patient-centered mindset Open communication and continuous learning Comfortable navigating evolving business needs What You Bring to the Team Bachelor's degree in Life Sciences, Healthcare, Business, or a related field. 8+ years of progressive experience in business development, strategic partnerships, clinical research, life sciences, or related commercial roles. Demonstrated success developing and closing partnerships with biotechnology and pharmaceutical organizations. Strong understanding of the clinical trial ecosystem, including sponsors, CROs, site networks, and research operations. Established network of industry contacts and decision-makers within the biopharma sector. Proven ability to negotiate complex commercial agreements and manage enterprise-level relationships. Exceptional communication, presentation, and relationship-building skills. Strong business acumen, strategic thinking, and ability to influence cross-functional stakeholders. Ability to thrive in a fast-paced, growth-oriented environment with evolving priorities. Preferred Qualifications Experience supporting clinical trials within cardiology, gastroenterology, hepatology, obesity, , immunology, or related therapeutic areas. Experience within a CRO, site network, clinical trial technology company, healthcare technology organization, or sponsor organization. Knowledge of decentralized, technology-enabled, or AI-driven clinical research solutions. Advanced degree such as MBA, MPH, MS, PharmD, or PhD. Experience managing strategic accounts and driving expansion opportunities within existing partnerships. 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! New York pay range$180,000—$250,000 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 CandidateAccommodations@iterative.health.
Technology

Iterative Health
Executive Assistant - Office of the CEO
Senior
Hybrid
New York, NY
🏢 Summary: Executive Assistant role supporting the CEO and New York office operations in a fast-paced healthcare technology startup. The position focuses on executive support, office management, coordination of meetings and travel, and operational support for leadership initiatives. The role requires strong organizational skills, discretion, and experience supporting senior executives in high-growth environments. 🗂️ Requirements: 6+ years supporting senior executives or C-level leaders, Experience in startup or PE/VC high-growth environments, Exceptional organizational skills, Ability to manage multiple priorities, Strong judgment and discretion with confidential information, Excellent written and verbal communication skills, Ability to adapt quickly to changing priorities, Proficiency with Google Workspace, Proficiency with Microsoft Office, Proficiency with Slack, Proficiency with Zoom, Experience with calendar management tools 📃 Skills: GoogleWorkspace, MicrosoftOffice, Slack, Zoom, Calendars, Travel, ExpenseReporting, Operations, Scheduling 🏢 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. As the Executive Assistant to the Office of the CEO at Iterative Health, you'll serve as a trusted partner, ensuring priorities stay on track while helping our New York office operate seamlessly. We're looking for a highly organized, proactive, and resourceful professional who thrives in a fast-paced, high-growth environment and is eager to make an impact. As a key member of the organization, you'll wear multiple hats—providing exceptional executive support, overseeing day-to-day office operations, anticipating needs before they arise, and solving problems with urgency and professionalism. You'll help create the structure and operational excellence that enables our CEO and broader team to do their best work. This role is ideal for someone who is ambitious, resourceful, and energized by building, improving, and taking ownership. If you're someone who enjoys rolling up your sleeves, embraces new challenges, and is excited to grow alongside a scaling company, we'd love to hear from you. Where You'll Drive Impact Manage the Office of CEO team member's calendars, balancing shifting priorities and resolving scheduling conflicts. Coordinate domestic and international travel, accommodations, itineraries, and expense reports. Support executive meetings, board meetings, leadership meetings, and company events. Act as a trusted gatekeeper, managing communications with professionalism and discretion. Handle confidential and sensitive information with the highest level of integrity. Anticipate executive needs and proactively solve problems before they arise. Manage the day-to-day operations of the New York office, ensuring a welcoming, organized, and productive workplace. Coordinate office vendors, maintenance requests, supplies, equipment, and building relationships. Plan office lunches, celebrations, employee events, and team gatherings. Partner with the People team to support onboarding and offboarding logistics, workspace setup, and employee experience initiatives. Maintain conference rooms, common spaces, and office inventory. Develop and foster strong relationships with key internal stakeholders, external partners, vendors, and customers to facilitate seamless collaboration and communication. Support strategic initiatives and special projects led by the CEO. Assist with planning executive offsites, leadership meetings, and company-wide events. Jump in wherever needed—embracing the variety and pace that comes with working at a fast paced company.. Perform related duties as requested What You'll Bring 6+ years of experience supporting senior executives, founders, or C-level leaders Experience supporting executives in a startup or other PE/VC high-growth organization, where you've successfully managed competing priorities, embraced change, and built scalable ways of working. Experience in professional services is a plus, but not required. Exceptional organizational skills with the ability to manage multiple priorities simultaneously. Strong judgment, discretion, and professionalism when handling confidential information. Excellent written and verbal communication skills. A proactive, resourceful mindset with a willingness to take ownership and solve problems independently. Ability to adapt quickly as priorities evolve. Proficiency with Google Workspace, Microsoft Office, Slack, Zoom, and calendar management tools. What Makes You Successful You anticipate needs before they become requests. You thrive in fast-moving environments where priorities shift quickly. You are resourceful, adaptable, and comfortable wearing multiple hats. You have a strong sense of urgency and follow through on every detail. You enjoy building processes and improving how work gets done. You're equally comfortable coordinating a board meeting, planning an office event, or solving an unexpected operational challenge. You're eager to learn, grow, and make a meaningful impact at a scaling startup. 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! New York pay range$90,000—$135,000 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 CandidateAccommodations@iterative.health.
Technology

Iterative Health
Finance Analyst
Mid
On-site
Cambridge, MA
🏢 Summary: Finance Analyst role supporting financial operations, forecasting, reporting, and strategic analysis within a growing healthcare technology company. The position focuses on financial modeling, KPI tracking, reporting automation, and cross-functional collaboration to improve scalability and decision-making. Candidates will contribute to board materials, investor communications, and financial infrastructure initiatives. 🗂️ Requirements: 2–3 years experience in investment banking, consulting, or corporate finance/FP&A, Strong financial modeling and analytical skills, Knowledge of accounting principles and financial reporting, Proficiency in Excel and PowerPoint, Strong presentation and communication skills, Ability to manage cross-functional projects independently, Experience working with financial and operational metrics 📃 Skills: Excel, PowerPoint, NetSuite, FP&A, Accounting, Finance, Forecasting, Modeling, Reporting, Analytics 🏢 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. About the Role We are seeking a highly motivated Finance Analyst to join our growing team. In this role, you'll partner closely with the Finance, Accounting and operational teams, as well as cross-functional stakeholders, to support strategic decision-making and optimize financial operations across the business. This is a high-impact role where you'll gain hands-on experience supporting the financial operations of a rapidly scaling healthcare technology company. You will also play a key role in evolving our financial systems and infrastructure, particularly as we expand our joint venture (JV) partnerships and build for scale. Responsibilities Develop and maintain robust financial models to evaluate revenue performance, key business metrics, and strategic growth initiatives Prepare and present monthly reports to key business stakeholders, offering clear insights and transparency into financial performance Support the automation and accuracy of reports as the company builds out an EDW and implements Adaptive Insights Provide strategic analysis and actionable recommendations to support decision-making across the business Enhance forecast accuracy through deep understanding of financial and operational drivers Strengthen financial infrastructure and reporting processes to support scalability, efficiency, and accuracy Foster strong collaboration between finance and business partners; work closely with operational teams to define department-level KPIs and identify opportunities for performance improvement Contribute to high-impact financial initiatives, including board materials, investor communications, and other core finance functions What We're Looking For Required Qualifications 2–3 years of experience in investment banking, consulting, or in a corporate finance / FP&A related role at a high-growth startup Strong financial modeling, analytical and problem-solving skills, with attention to detail Familiarity with accounting principles and financial reporting Demonstrated interest in corporate finance and business operations Proficiency in Excel and PowerPoint, with strong presentation skills and the ability to communicate financial insights clearly to both technical and non-technical audiences Strong written, verbal, and interpersonal communication skills Proven ability to work independently and manage cross-functional projects High level of ownership and a desire to learn and grow Preferred Qualifications Prior experience with accounting systems (e.g., NetSuite) Accounting experience or relevant certification (e.g., working towards CFA certification) New York pay range$95,000—$120,000 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 CandidateAccommodations@iterative.health.
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.