Senior Research Budget Specialist - Ex-US

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

• 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.

• 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!