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July 15, 2026

Senior Research Budget Specialist - Ex-US

Senior • Hybrid

Southlake, TX

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

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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. 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. 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 - Unlimited PTO and 12 company holidays - 401(k) program with company match - Annual wellness and professional development stipend Where You'll Drive Impact - Serve as a primary commercial representative 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 - Partner with clinical operations and delivery teams to ensure successful execution and client satisfaction - Gather and communicate market intelligence, competitive insights, and sponsor feedback - Contribute to go-to-market strategy and value proposition refinement - Represent the organization at industry conferences and business development events - Maintain accurate opportunity forecasting and pipeline management within CRM systems 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 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 and strategic thinking - Ability to thrive in a fast-paced, growth-oriented environment 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 - Comprehensive medical, dental, and vision coverage, with up to 80% of premiums covered - Mental health and wellness support through Spring Health - HSA, FSA, and commuter FSA options - Unlimited PTO and company-wide shutdown between Christmas and New Years - Weekly in-office lunch benefit - 100% company-paid short-term and long-term disability coverage - Annual wellness and professional development stipend - 401(k) program with company match

Technology

New offer

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. 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. Quick Facts 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. - 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 - 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 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! New York pay range: $90,000—$135,000 USD. 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.

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

Technology

New offer

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 seeking an Accounts Payable Specialist to support accounts payable operations and broader accounting activities. This role reports to the Manager, Accounting and is responsible for ensuring the accuracy, efficiency, and integrity of accounts payable processes while supporting financial close activities. The ideal candidate brings strong accounts payable and accounting experience, exceptional attention to detail, and a passion for process improvement. This individual will partner across Finance, Procurement, and business teams to ensure vendor payments are processed accurately, financial records remain audit-ready, and accounting operations scale effectively. Quick Facts - Hybrid work environment with in-office collaboration two days per week in either the NYC or Boston office - Comprehensive medical, dental, and vision coverage - Unlimited PTO and 12 company holidays - 401(k) program with company match - Annual wellness and professional development stipend 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 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 - 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 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 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 - 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 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 of up to 3% - 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