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July 15, 2026
Accounts Receivable (AR) Manager
Senior • On-site
Cambridge, MA
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.
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:
- Bachelor's degree in Accounting, Finance, or Business Administration.
- 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
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Hybrid
Cambridge, MA
🏢 Summary: Clinical research finance role focused on managing ex-US clinical trial budgets, contracts, and financial operations across international research sites. The position collaborates with clinical operations, finance, legal, and site leadership to support study startup, sponsor negotiations, and operational readiness in a global environment. 🗂️ Requirements: Bachelor's degree in Business, Finance, Healthcare Administration, Life Sciences, or related field, 5+ years of experience in clinical trial budgeting, contracting, or clinical research finance, Experience negotiating clinical trial budgets and contracts with sponsors, CROs, and international research sites, Knowledge of clinical trial operations, study startup processes, and research financial management, Ability to work starting at 6:00AM ET to support European time zones, Strong analytical, negotiation, and communication skills, Ability to manage multiple priorities and deadlines in a fast-paced global environment 📃 Skills: Finance, Budgeting, Contracting, ClinicalResearch, Negotiation, Pricing, Analysis, Invoicing, Procurement, Compliance 🏢 Description: Iterative Health is seeking a Research Budget Specialist - Ex-US to manage clinical trial budgeting, contracting, and financial performance across an international research site network. Description As the Research Budget Specialist - Ex-US, you will partner with Clinical Operations, Finance, Legal, Business Development, and site leadership to support global research operations and maintain sponsor relationships. 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. - Perform related duties as requested. Requirements - 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 - Hybrid work environment with in-office collaboration two days per week in either the NYC or Boston office. - Comprehensive medical, dental, and vision coverage, with up to 80% of premiums covered. - Mental health and wellness support through Spring Health. - Health HSA or FSA options, and commuter FSA contributions. - Unlimited PTO, 12 company holidays, and a company-wide shutdown between Christmas and New Years. - 401(k) program with company match. - Weekly in-office lunch benefit every Tuesday. - 100% company-paid short-term and long-term disability coverage. - Annual wellness and professional development stipend. - And more! The organization is committed to building an equitable and inclusive culture and provides accommodations for candidates during the hiring process.
Healthcare
New offer

Iterative Health
Senior Research Budget Specialist - Ex-US
Senior
Hybrid
Southlake, TX
🏢 Summary: Clinical research finance role focused on managing and negotiating ex-US clinical trial budgets, contracts, and financial operations across a global research site network. The position collaborates with clinical operations, legal, finance, and site leadership to support study startup, sponsor relationships, and international research expansion. 🗂️ Requirements: Bachelor's degree in Business, Bachelor's degree in Finance, Bachelor's degree in Healthcare Administration, Bachelor's degree in Life Sciences, 5+ years of clinical trial budgeting experience, Experience with clinical trial contract negotiations, Experience working with sponsors and CROs, Knowledge of clinical trial operations, Knowledge of study startup processes, Research financial management experience, Ability to support European time zones starting at 6:00AM ET, Strong analytical skills, Strong negotiation skills, Strong communication skills, Ability to manage multiple priorities in a fast-paced environment 📃 Skills: Finance, Budgeting, Contracting, CTA, ClinicalResearch, Negotiation, Forecasting, Analysis, Procurement, Compliance, Healthcare, Biotech 🏢 Description: As the Research Budget Specialist - Ex-US, you will manage global clinical trial budgeting, contracting, and financial performance across an international research site network, with a primary focus on ex-US markets. This role partners closely with Clinical Operations, Finance, Legal, Business Development, and site leadership to support study startup, operational readiness, and sponsor relationships. Quick Facts - Hybrid work environment with in-office collaboration two days per week in either the NYC or Boston office - Focus on ex-US clinical trial budgeting and contracting - Collaboration across international research sites and European time zones 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. - Perform 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 - Comprehensive medical, dental, and vision coverage, with up to 80% of premiums covered - Mental health and wellness support through Spring Health - Health HSA or FSA options, and commuter FSA contributions - Unlimited PTO, 12 company holidays, and a company-wide shutdown between Christmas and New Years - 401(k) program with company match - Weekly in-office lunch benefit every Tuesday - 100% company-paid short-term and long-term disability coverage - Annual wellness and professional development stipend - And more
Healthcare
New offer

Iterative Health
Regional Director, Sites
Senior
On-site
Cambridge, MA
🏢 Summary: Regional Director role overseeing performance and operations across multiple GI-focused clinical research sites, ensuring compliance, enrollment success, data quality, and team development. The position focuses on strategic operational leadership, KPI optimization, resource allocation, and collaboration with investigators to improve clinical trial execution and patient access to therapies. Offers comprehensive benefits including insurance, stock options, flexible hours, and unlimited paid time off. 🗂️ Requirements: Knowledge of clinical trial operations and protocol review, Ability to manage change and adapt operational strategies, Strong problem-solving and solution implementation skills, Strategic planning and operational growth experience, Ability to analyze data, identify trends, and draw conclusions, Project and people management experience, Professional communication skills, Working knowledge of CTMS and eDC systems, Ability to travel up to 30%, Experience managing multi-site clinical research operations 📃 Skills: CTMS, eDC, ClinicalTrials, ProjectManagement, DataAnalysis, Compliance, Gastroenterology, Hepatology 🏢 Description: About the Role The Regional Director is responsible for owning and optimizing site-level performance across a portfolio of GI-focused clinical research sites. This role ensures operational excellence by aligning teams around key performance goals, elevating site capabilities, and maintaining consistency in trial execution. As a strategic operations leader, the Regional Director plays a central role in connecting site-level performance with broader business objectives. Responsibilities - Manages staff across multiple sites, ensuring execution is aligned with protocol, regulatory requirements, and standards. - Owns overall performance of assigned sites, including enrollment, data quality, compliance, and team culture. - Ensures sites are set up for success, including staffing, equipment, and training, and recommends resource allocation based on business needs. - Builds strong relationships and collaborates with Principal Investigators to align engagement with study goals and operational strategy. - Influences study portfolio optimization for profitability and patient value. - Identifies and manages issues, concerns, and problems related to site performance. - Leads and develops CRCs and other site-based research staff through coaching and development. - Serves as a visible, hands-on people manager who builds high-performing teams. - Identifies opportunities to drive site-level KPIs through monitoring performance trends and escalating issues appropriately. - Implements corrective actions and process improvements as needed. - Serves as the primary operational liaison between site staff and central functions. - Drives a culture of ownership, collaboration, and continuous improvement across assigned sites. What We're Looking For Required Qualifications - Knowledge of the critical elements for success in clinical trials, including protocol and program review. - Ability to influence change management and demonstrate flexibility. - Strong problem-solving and solution implementation skills. - Strategic planning abilities for short-, medium-, and long-term operational success. - Ability to use data to identify trends and draw conclusions. - Demonstrated project and people management experience. - Proactive problem-solving abilities and strong follow-through. - Professionalism and integrity in all actions. - Excellent written and verbal communication skills. - Working knowledge of CTMS, eDC, and other core research systems. - Ability to travel up to 30% for operational oversight and meetings. Preferred Qualifications - Experience managing a large clinical research site network. - Experience with gastroenterology and/or hepatology studies. What We Offer - Medical, dental, and vision insurance - Life and disability insurance - Parental leave - Stock options - Flexible work hours - Unlimited paid time off
Technology
New offer

Iterative Health
Talent Acquisition Sourcing Specialist
Mid
Hybrid
New York, NY
🏢 Summary: Talent Acquisition Sourcer role focused on building and engaging talent pipelines across clinical research, operations, and corporate functions in a fast-growing healthcare technology environment. The position involves sourcing passive candidates, supporting employer branding initiatives, leveraging recruiting technologies, and partnering with hiring teams to meet workforce planning goals. The role offers a hybrid work environment, comprehensive benefits, and opportunities to support strategic talent growth initiatives. 🗂️ Requirements: 3+ years of sourcing, recruiting, talent acquisition, or talent engagement experience, Experience building talent pipelines and sourcing passive candidates, Experience using LinkedIn Recruiter and recruiting tools, Strong networking and relationship-building skills, Strong communication and organizational skills, Ability to manage multiple priorities in a fast-paced environment, Experience supporting healthcare, biotech, clinical research, or health tech organizations, Experience with ATS platforms such as Greenhouse 📃 Skills: LinkedIn, Greenhouse, ATS, Sourcing, Recruiting, Networking, EmployerBranding, TalentAcquisition 🏢 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. As Iterative Health continues to scale, we are seeking a proactive and relationship-driven Talent Acquisition Sourcer to help build and engage high-quality talent pipelines across the organization. This role will play a critical part in supporting the company's long-term hiring strategy by identifying, attracting, and nurturing talent across clinical research, operations and corporate. This is an ideal opportunity for someone who is passionate about networking, relationship-building, employer branding, and creating meaningful candidate connections within the healthcare, clinical research, and technology space. You will help strengthen Iterative Health's presence in the market while building pipelines that support both immediate and future talent needs. Quick Facts • Hybrid work environment with in-office collaboration two days per week in either the NYC or Boston office • Salary range: $80,000—$110,000 USD Where You'll Drive Impact • Build and maintain proactive talent pipelines across operations and clinical research functions to support current and future hiring needs • Develop and execute innovative sourcing strategies to identify and engage top talent in competitive markets • Act as a brand ambassador by creating meaningful candidate connections and delivering a positive candidate experience throughout the sourcing and engagement process • Partner closely with Talent Acquisition Partners and leadership teams to align sourcing strategies with business priorities and workforce planning needs • Build relationships within healthcare, clinical research, biotech, and health tech communities through networking, associations, conferences, and events • Lead and support employer branding initiatives across LinkedIn, Glassdoor, Indeed, and other talent channels • Manage job board strategy to support effective talent attraction efforts • Represent the organization at recruitment events, networking events, industry conferences, career fairs, and association events • Help build and activate the Employer Value Proposition in partnership with Marketing and cross-functional teams • Host and attend recruiting and networking events and conferences that support talent engagement and employer brand visibility • Leverage sourcing tools, recruiting technologies, market insights, and talent intelligence to identify and attract diverse, high-quality talent • Maintain strong engagement with passive candidates and cultivate long-term relationships within key talent communities • Partner with the Talent Acquisition team to continuously improve sourcing strategies and candidate outreach • Track sourcing activity, pipeline health, and recruiting metrics to support data-driven decision-making • Stay informed on industry trends and emerging recruiting best practices • Collaborate cross-functionally with Marketing on talent attraction initiatives and recruiting projects • Support additional talent initiatives aligned with organizational growth and business needs 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 • 3+ years of sourcing, recruiting, talent acquisition, or talent engagement experience • Experience building talent pipelines and sourcing passive candidates across multiple functions • Strong networking and relationship-building skills • Experience utilizing LinkedIn Recruiter, sourcing platforms, talent communities, and recruiting tools • Passion for employer branding, talent engagement, and candidate experience • Strong communication and organizational skills with attention to detail • Ability to manage multiple priorities in a fast-paced, growth-oriented environment • Resourceful, proactive, and solutions-oriented mindset • Experience supporting healthcare, biotech, clinical research, health tech, or high-growth organizations preferred • Experience with Greenhouse or similar ATS platforms preferred Benefits That Support You • Comprehensive medical, dental, and vision coverage • Mental health and wellness support through Spring Health • Health HSA or FSA options and commuter FSA contributions • Unlimited PTO and 12 company holidays • Company-wide shutdown between Christmas and New Years • 401(k) program with company match • Weekly in-office lunch benefit • Company-paid short-term and long-term disability coverage • Annual wellness and professional development stipend