Senior Clinical Research Finance Specialist

Iterative Health is a healthcare technology and services company powering the acceleration of clinical research to transform patient outcomes. The Senior Clinical Research Finance Specialist is a critical member of the Finance team, responsible for managing accounts receivable operations for sponsor-funded clinical studies and ensuring accurate billing and collections.

Responsibilities:

• 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