About the role
Iterative Health is a healthcare technology and services company powering the acceleration of clinical research to transform patient outcomes. We built a leading performance-driven network of 100+ sites across the US, Europe, India, and Australia, conducting research directly in the communities where care is delivered across gastrointestinal, hepatology, obesity, and cardiology. By combining deep clinical trial expertise with cutting-edge AI, we connect sponsors' scientific ambitions with high-performing research teams that expedite and expand access to novel therapeutics for patients in need. Today, Iterative Health is headquartered in Cambridge, Massachusetts, and New York City with 250+ employees world-wide. The Research Finance Manager is a senior leader at the intersection of finance, clinical operations, and sponsor partnerships. This role owns clinical trial budgeting, contracting, and financial performance across Iterative Health's global research network — overseeing a team of Budget Specialists while serving as the key escalation point for complex negotiations with sponsors, CROs, and research sites. The ideal candidate is a seasoned clinical research finance professional who brings sharp negotiation instincts, strong team leadership, and the operational rigor to keep study startup moving efficiently at scale. Where You’ll Drive Impact Clinical Trial Budgeting & Contracting 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. Serve as the primary escalation point for complex budget, contract, and study startup issues involving sponsors, CROs, research sites, and internal stakeholders. 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. Team Leadership & Development Manage and mentor Clinical Trial Budget Specialists and Contract Administrators responsible for study budgeting and contracting activities. Provide coaching, training, and performance management to ensure high-quality execution and professional development across
