Global Clinical Research Budget Specialist

Iterative Health; Cambridge (MA); Hybrid; USD 85,000 - 125,000; Full time

Benefits offered by this job

Hybrid work environment

Medical, dental, and vision coverage

Unlimited PTO

401(k) match

Wellness stipend

Job summary

Iterative Health, based in Cambridge, MA, is seeking a Clinical Research Budgets Specialist to own budgets and payment terms across U.S. and international sites. The role sits at the intersection of site operations, finance, and sponsor relationships.

You will interpret protocols, ensure all costs are captured, and manage amendments while aligning CTAs with budgets. Hybrid work, with in-office days in Cambridge or NYC, supports a fast-paced startup mindset.

Qualifications

• 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.

Responsibilities

• Develop, review, and negotiate site budgets and payment terms with sponsors and CROs.
• Interpret study protocols and schedules to ensure accurate budgets.
• Ensure budgets capture all site costs, including per-patient procedures and startup activities.
• Review and manage budget amendments as studies evolve.
• Account for 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 records.
• Identify gaps and propose cost solutions.
• Collaborate with site leadership and finance to balance priorities during study start-up.
• Build structured, scalable processes in a fast-paced environment.
• Performs related duties.

Skills

Budgeting

Budget Negotiation

Communication

Cross-functional

Project Management

Attention to Detail

Education

Bachelor's degree or equivalent experience

Tools

RealTime CTMS

Job description

Iterative Health, based in Cambridge, MA, is seeking a Clinical Research Budgets Specialist to own budgets and payment terms across U.S. and international sites. The role sits at the intersection of site operations, finance, and sponsor relationships.

You will interpret protocols, ensure all costs are captured, and manage amendments while aligning CTAs with budgets. Hybrid work, with in-office days in Cambridge or NYC, supports a fast-paced startup mindset.