Global Clinical Budget Architect

Iterative Health; Southlake (TX); Hybrid; USD 65,000 - 90,000; Full time

Benefits offered by this job

Hybrid work environment

Medical, dental, and vision coverage

Mental health support (Spring Health)

HSA or FSA options

Unlimited PTO

Company holidays

401(k) match

Weekly in-office lunch

Disability coverage

Wellness and development stipend

Job summary

Iterative Health is seeking a Clinical Research Budgets Specialist to lead budget development, review, and negotiations for U.S. and international sites.

This role sits at the crossroads of site operations, finance, and sponsor relationships, requiring strong communication and problem-solving across geographies. The ideal candidate will have a bachelor’s degree or equivalent with 2+ years in site budgeting or trial finance, the ability to navigate ambiguity, and a track record of building

Qualifications

• 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.

Responsibilities

• Develop, review, and negotiate budgets and payment terms for U.S. and international sites.
• Interpret study protocols, schedules of assessments, and evolving study requirements to build accurate budgets.
• Ensure budgets capture all site costs, including procedures, startup activities, admin fees, and pass-through costs.
• Review and manage budget amendments as studies evolve.
• Account for country-specific considerations such as currency, tax/VAT, payment cadence, and local site practices.
• Serve as primary contact for sponsor and CRO budget discussions.
• Align CTAs with negotiated budgets and terms.
• Maintain audit-ready budget documentation.
• Identify gaps and propose solutions.
• Collaborate with site leadership, coordinators, regulatory teams, and finance partners.
• Build scalable processes in a fast-paced environment.
• Perform related duties.

Skills

Budgeting

Budget negotiations

Stakeholder management

Communication

Prioritization

Ambiguity handling

Ownership

Education

Bachelor's degree or equivalent

Tools

RealTime CTMS

MCA knowledge

Job description

Iterative Health is seeking a Clinical Research Budgets Specialist to lead budget development, review, and negotiations for U.S. and international sites.

This role sits at the crossroads of site operations, finance, and sponsor relationships, requiring strong communication and problem-solving across geographies. The ideal candidate will have a bachelor’s degree or equivalent with 2+ years in site budgeting or trial finance, the ability to navigate ambiguity, and a track record of building