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July 11, 2026

Finance Analyst

Mid • On-site

Cambridge, MA

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.

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 such as NetSuite
  • Accounting experience or relevant certification such as working towards CFA certification

Compensation

Pay range: $95,000—$120,000 USD

Iterative Health is actively working towards creating an environment representative of the diversity of patients its technology serves and is focused on building an equitable and inclusive culture and hiring process.

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🏢 Summary: Finance & Accounting Associate role supporting multi-entity finance operations, including GAAP-based consolidated reporting, government contract accounting, cost accounting, and financial planning. The position involves managing close processes, reconciliations, forecasting, compliance, and implementing AI-driven automation tools within finance workflows. It offers ownership in building scalable financial infrastructure across government contracting and investment-related entities. 🗂️ Requirements: Bachelor's degree in Accounting, Finance, or related field, 3–5 years of accounting and finance experience, Experience with multi-entity structures, government contracting, or investment entities, Strong knowledge of U.S. GAAP including consolidation, revenue recognition, and leases, Knowledge of cost accounting and DCAA compliance, Advanced Microsoft Excel skills, Ability to work on-site in Tysons, VA five days a week 📃 Skills: GAAP, Consolidation, RevenueRecognition, Leases, CostAccounting, DCAA, Excel, PowerQuery, PowerPivot, Deltek, QuickBooks, PowerBI, Tableau, Claude, ChatGPT, Dynamics365 🏢 Description: Overview: Axlerator is hiring a Finance & Accounting Associate to play a key role in supporting finance operations and operational reporting across a diverse portfolio of entities. The ideal candidate will be comfortable navigating the distinct accounting, compliance, and reporting requirements of each entity type — including GAAP-based consolidated reporting, and cost accounting standards. This position is designed for an accounting and finance professional who is ready to take on complex, multi-entity responsibilities, and contribute to financial frameworks that drive operational excellence and support portfolio management initiatives. This is a unique opportunity to build and shape a finance and accounting structure with a new mission and perspective — one that is actively investing in and operating multiple businesses across government contracting and public markets. This role requires the ability to work out of Tysons, VA five days a week. Key Responsibilities Execute monthly, quarterly, and year-end close processes across all entities in accordance with U.S. GAAP, including consolidated financial statements and intercompany eliminations. Perform complex account reconciliations and variance analysis across the consolidated group and at the individual entity level. Manage cost accounting and project-based reporting, cost tracking, invoicing, and government-required reporting and multi-entity accounting and group-level reporting. Support budgeting, multi-year forecasting, and rolling cash flow projections at the entity and consolidated group level, with KPI dashboards and variance reporting. Develop and implement frameworks for AI adoption and automation within finance operations, leveraging tools such as Claude, ChatGPT, Power BI, and Tableau to modernize workflows. Demonstrated experience leveraging AI tools and advanced Excel capabilities — including Power Query, Power Pivot, and automated workflows — to streamline financial processes, reduce manual effort, and improve reporting efficiency. Enhance and maintain accounting policies and internal controls ensuring compliance with U.S. GAAP, and government contracting standards; support external audits inquiries. Mentor and develop Junior Associate-level team members while collaborating cross-functionally with operations, finance, and executive leadership to build scalable financial infrastructure. Qualifications Education & Experience Bachelor's degree in Accounting, Finance, or a related field. Master's degree in Accounting, Finance, or a related field; Preferred CPA, and/or CMA certification; Preferred 3-5 years of accounting and finance experience with exposure to multi-entity structures, government contracting, or investment entities; public accounting background preferred Strong working knowledge of U.S. GAAP, including Consolidation, Revenue Recognition, and Leases, Cost Accounting, and DCAA compliance; familiarity with SEC reporting concepts is preferred Systems & Tools — Preferred/Required Microsoft Excel (advanced) — pivot tables, financial modeling, and complex formula proficiency. Deltek Costpoint or Deltek Vantagepoint; Preferred. QuickBooks Online and/or QuickBooks Enterprise Suite; Preferred. Power BI or Tableau for financial dashboards and data visualization; Preferred. AI productivity tools including Claude and ChatGPT integrated into finance workflows; Preferred. Additional ERP exposure (e.g., Microsoft Dynamics 365 Business Central) preferred Soft Skills & Professional Attributes Demonstrated initiative and ownership mindset; comfortable operating in a fast-moving, multi-entity environment with high attention to detail and commitment to accuracy. Strong communicator who can translate financial insights for both technical and non-technical audiences; collaborative, self-directed, and comfortable championing AI and automation tools. Integrity, confidentiality, and sound professional judgment in handling sensitive multi-entity and government contracting financial data. This role sits at the intersection of government contract accounting and modern finance operations — with real ownership over how both are built and run. Benefits We Offer: 100% Medical, Dental & Vision Coverage for Employees Educational Benefits for Career Growth Paid Time Off (Including Holidays) Employee Referral Bonus 401K Matching Flexible Spending Accounts: Healthcare (FSA) Parking Reimbursement Account (PRK) Dependent Care Assistant Program (DCAP) Transportation Reimbursement Account (TRN) Salary Range $75,000—$90,000 USD