Research Budget Specialist - Cardiology

The role

The Clinical Research Budgets Specialist develops, reviews, and negotiates clinical trial budgets and payment terms for domestic and international research sites. This role involves interpreting study protocols and managing budget amendments to ensure all site costs are captured.

What you will do

• Develop, review, and negotiate site-level clinical trial budgets and payment terms with sponsors and CROs.
• Interpret study protocols, schedules of assessments, and evolving study requirements.
• 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 country-specific considerations such as currency, tax/VAT, payment cadence, and local site practices.
• Serve as a primary point of contact for sponsor and CRO budget discussions.
• Support alignment between Clinical Trial Agreements (CTAs) and negotiated budget and payment terms.
• Maintain clear documentation and audit-ready records.
• Identify gaps, inconsistencies, or missing cost considerations and propose solutions.
• Collaborate with site leadership, research coordinators, regulatory teams, and finance partners.

Required 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.

Nice to have

• Experience supporting international clinical research sites.
• Familiarity with VAT, currency exchange, and regional payment norms.
• Experience using CTMS platforms, particularly RealTime.
• Familiarity with Medicare Coverage Analysis (MCA) or billing compliance.
• Experience building processes or tools from scratch in a startup or high-growth environment.

Benefits

• Comprehensive medical, dental, and vision coverage, with up to 80% of premiums covered by Iterative Health
• Mental health and wellness support through Spring Health
• Health HSA or FSA options, and commuter FSA contributions supported by Iterative Health
• Unlimited PTO
• 12 company holidays
• Company-wide shutdown between Christmas and New Years
• 401(k) program with a company match of up to 3% (up to $3,000 annually)
• Weekly in-office lunch benefit every Tuesday
• 100% company-paid short-term and long-term disability coverage
• Annual wellness and professional development stipend

About the company

Iterative Health is a healthcare technology and services company powering the acceleration of clinical research to transform patient outcomes. The company has a network of 100+ sites across the US, Europe, India, and Australia.