Global Clinical Research Budget Strategist

Iterative Health; New York (NY); Hybrid; USD 85,000 - 120,000; Full time

Benefits offered by this job

Hybrid work environment

Medical, dental, and vision coverage

401(k) company match

Wellness stipend

Job summary

Iterative Health is seeking a Clinical Research Budgets Specialist to join its growing domestic and international network. You will own the development, review, and negotiation of site budgets and contract payment terms across U.S.

and international research sites. The role sits at the intersection of site operations, finance, and sponsor relationships, requiring someone who can interpret complex study protocols, navigate country-specific financial considerations, and drive budget discussions to

Qualifications

• 2+ years of site-level clinical research budgeting or trial finance experience.
• Strong understanding of site-level clinical trial operations.
• Ability to make informed, sound judgments in ambiguous situations.
• Strong communication and stakeholder management across internal and external partners.
• Ability to manage multiple priorities across regions simultaneously.

Responsibilities

• Develop, review, and negotiate site-level 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.
• Ensure budgets capture all site costs, including per-patient procedures, startup activities, administrative fees, and pass-through expenses.
• Review and manage budget and payment amendments as studies evolve.
• Account for currency, tax/VAT, payment cadence, and local site practices.
• Serve as a primary point of contact for sponsor and CRO budget discussions.
• Maintain audit-ready records throughout the budget lifecycle.
• Identify gaps, inconsistencies, or missing cost considerations and proactively propose solutions.
• Collaborate with site leadership, research coordinators, regulatory teams, and finance partners to navigate competing priorities while supporting timely study start-up.
• Build structure and scalable processes in a fast-paced, evolving environment with shifting priorities and frequent ambiguity.

Skills

Site budgeting

Stakeholder management

Budget negotiation

Communication

Education

Bachelor's degree or equivalent

Tools

CTMS RealTime

Billing systems

Job description

Iterative Health is seeking a Clinical Research Budgets Specialist to join its growing domestic and international network. You will own the development, review, and negotiation of site budgets and contract payment terms across U.S.

and international research sites. The role sits at the intersection of site operations, finance, and sponsor relationships, requiring someone who can interpret complex study protocols, navigate country-specific financial considerations, and drive budget discussions to