Senior Clinical Research Finance Specialist

The Senior Clinical Research Finance Specialist is a critical member of Iterative Health's growing Finance team, partnering closely with the Research Finance Manager to own end-to-end accounts receivable operations across sponsor-funded clinical studies and internal research sites. This role sits at the intersection of finance and clinical research — ensuring accurate billing, timely cash application, and prompt resolution of outstanding balances across a complex, multi-site research environment. The ideal candidate is a detail-driven finance professional who thrives on balancing hands-on execution with cross-functional collaboration and is energized by finding smarter, more efficient ways to get the work done. 

• Own day-to-day AR operations for sponsor-funded studies and internal sites, ensuring accurate tracking of balances and timely collections.
• Monitor and reconcile study-level balances and payment activity, proactively identifying discrepancies and driving resolution with internal and external stakeholders.
• Accurately post cash receipts and payment details in RealTime CTMS and related financial systems.
• Prepare and issue invoices for study activities and services in coordination with sponsor communications and internal teams.
• Analyze AR aging and payment trends, escalating risks and recommending actions to improve collections and cash flow.

• Serve as a key point of contact for sponsors and CROs regarding billing inquiries, payment status, and outstanding balances.
• Collaborate cross-functionally with Clinical Operations, Site Finance, and Accounting teams to clarify billing terms, milestone triggers, and contract deliverables.

• Prepare AR aging schedules, financial summaries, and operational reports for finance leadership.
• Support internal audits, financial reviews, and documentation related to accounts receivable and billing activities.

• Identify opportunities to improve AR workflows, reporting, and system utilization to increase efficiency and financial transparency.
• Contribute to finance process documentation and help implement best practices across the organization.

• Performs related duties as requested

• 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