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Iterative Health is a healthcare technology and services company accelerating clinical research through a network of 100+ research sites across the US, Europe, India, and Australia. The company combines clinical trial expertise with AI to connect pharmaceutical sponsors with high-performing research teams conducting trials in gastrointestinal, hepatology, obesity, and cardiology.
The Clinical Research Budgets Specialist is a critical operational partner to sites within Iterative Health's growing domestic and international network, owning the development, review, and negotiation of clinical trial budgets and contract payment terms. This role sits at the intersection of site operations, finance, and sponsor relationships, requiring someone who can interpret complex study protocols, navigate country-specific financial considerations, and drive budget discussions to resolution across multiple geographies simultaneously.
Key responsibilities include:
- Develop, review, and negotiate site-level clinical trial budgets and payment terms with sponsors and CROs for U.S. and international research sites
- Interpret study protocols, schedules of assessments, and evolving study requirements to ensure accurate and defensible site budgets
- Ensure budgets appropriately capture all site costs, including per-patient procedures, startup activities, administrative fees, and pass-through expenses
- Review and manage budget and payment amendments as studies evolve
- Account for country-specific considerations such as currency, tax/VAT, payment cadence, and local site practices
- Serve as a primary point of contact for sponsor and CRO budget discussions
- Support alignment between Clinical Trial Agreements (CTAs) and negotiated budget and payment terms
- Maintain clear documentation and audit-ready records throughout the budget lifecycle
- Identify gaps, inconsistencies, or missing cost considerations and proactively propose solutions
- Collaborate with site leadership, research coordinators, regulatory teams, and finance partners to navigate competing priorities while supporting timely study start-up
- Build structure and scalable processes in a fast-paced, evolving environment with shifting priorities and frequent ambiguity
The ideal candidate is a proactive, self-directed problem-solver who thrives in ambiguity, builds structure where little exists, and brings strong ownership to every budget they touch.
Iterative Health operates a hybrid work environment with in-office collaboration two days per week in NYC, Cambridge, or Southlake offices. The company offers comprehensive benefits including medical, dental, and vision coverage (up to 80% premium coverage), mental health support through Spring Health, HSA/FSA options, unlimited PTO, 12 company holidays, a company-wide shutdown between Christmas and New Years, 401(k) with up to 3% match, weekly in-office lunch on Tuesdays, 100% company-paid disability coverage, and annual wellness and professional development stipends.
REQUIREMENTS:
- Bachelor's degree or equivalent experience
- 2+ years of site-side clinical research budgeting or trial finance experience
- Strong understanding of site-level clinical trial operations
- Ability to make informed, sound judgment calls in ambiguous situations with limited precedent
- Strong communication and stakeholder management skills across internal and external partners
- Ability to manage multiple priorities across regions simultaneously
- Self-starter with strong ownership, accountability, and the ability to build or expand on limited structure
- Adaptable and resourceful, with a bias toward action and resolution
PREFERRED QUALIFICATIONS:
- Experience supporting international clinical research sites
- Familiarity with VAT, currency exchange, and regional payment norms
- Experience using CTMS platforms, particularly RealTime
- Familiarity with Medicare Coverage Analysis (MCA) or billing compliance
- Experience building processes or tools from scratch in a startup or high-growth environment
