Senior Clinical Research Budget Specialist

Overview

Senior Clinical Research Budget Specialist — New York City, NY;
Cambridge, MA

Iterative Health is a healthcare technology and services company powering the acceleration of clinical research to transform patient outcomes. The Iterative Health Site Network is a premier network of 70+ clinical research sites across the US and Europe accelerating the path to market for gastrointestinal (GI) and hepatology novel therapies. Our focus is on driving the success and growth of our partner sites by empowering them with tech-enabled services.

By combining deep expertise in clinical trials with cutting-edge AI, we empower research teams and study sponsors to expand and expedite access to novel therapeutics for patients in need.

The Clinical Research Budgets Specialist supports site-side clinical research operations by owning the development, review, and negotiation of clinical trial budgets and contract payment terms on behalf of domestic and international research sites within the Iterative Health Site Network. This role requires comfort operating in a fast-paced, evolving environment with shifting priorities, limited standardization, and frequent ambiguity. The ideal candidate is a proactive problem-solver who can independently assess situations, make sound judgment calls, and drive budget and payment-related issues to resolution while partnering with internal site teams and external sponsors/CROs across multiple geographies.

• 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
• Account for country-specific considerations such as currency, tax/VAT, payment cadence, and local site practices
• Identify gaps, inconsistencies, or missing cost considerations and proactively propose solutions
• Ensure budgets appropriately capture site costs, including per-patient procedures, startup activities, administrative fees, and pass-through expenses
• Collaborate with site leadership, research coordinators, regulatory teams, and finance partners
• Navigate competing priorities while supporting timely study start-up
• Support alignment between CTAs and negotiated budget/payment terms
• Review and manage budget and payment amendments
• Serve as a primary point of contact for sponsor/CRO budget discussions
• Maintain clear documentation and audit-ready records

• Comfort with ambiguity, moving targets, and frequent pivots
• Self-starter who builds structure or expands on limited structure
• Strong ownership and accountability
• Adaptable and resourceful with sound judgement

• Bachelor’s degree or equivalent experience
• 2+ years of site-side clinical research budgeting or trial finance experience
• Strong understanding of site-level trial operations
• Ability to make informed decisions in ambiguous situations
• Strong communication and stakeholder management skills
• Ability to manage multiple priorities across regions

• Experience supporting international clinical research sites
• Familiarity with VAT, currency exchange, and regional payment norms
• Startup or high-growth environment experience
• Experience using CTMS (Real Time)
• MCA or billing compliance familiarity
• Experience building processes or tools from scratch

New York pay range: $100,000 - $120,000 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 Candidate Accommodationslth.

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