Manager, Revenue Cycle

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 Manager, Revenue Cycle Management at Iterative Health has end-to-end ownership of revenue cycle management across sponsor-funded clinical studies and our research site network.

This pivotal role is responsible for ensuring accurate billing, timely cash application, and proactive management of accounts receivable to optimize cash flow across a complex, multi-site clinical research environment. You will partner closely with cross-functional teams to drive financial performance while supporting the growth of our research network.

You will also lead the onboarding of newly acquired sites onto our real-time eCTMS platform, standardizing processes and helping scale research finance operations as the organization grows. Success in this role requires a hands-on, detail-oriented leader who enjoys building efficient processes, solving operational challenges, and identifying smarter, more scalable ways of working.

 

Where You’ll Drive Impact 

• Lead, coach, and develop members of the revenue cycle team, establishing priorities, driving accountability, and supporting professional growth.
• Own the end-to-end revenue cycle for sponsor-funded studies and internal sites, ensuring accurate tracking of balances and timely collections.
• Serve as the point person leading financial migrations for newly acquired sites — transferring active studies from paper-based processes and other eCTMS platforms (such as CRIO) onto our real-time eCTMS.
• Lead all AR recovery efforts for balances aging beyond 90 days, owning escalation strategy, resolution, and root-cause remediation.
• Monitor and reconcile study-level balances and payment activity, proactively identifying discrepancies and driving resolution with internal and external stakeholders.
• Analyze AR aging and payment trends, escalating risks and recommending actions to improve collections and cash flow.

• Serve as a key point of contact for sponsors and CROs regarding billing inquiries, payment status, and outstanding balances.
• Partner cross-functionally with Clinical Operations, Site Finance, and Accounting teams to clarify billing terms, milestone triggers, and contract deliverables.

• Prepare AR aging schedules, financial summaries, and operational reports for finance leadership.
• Lead internal audits, financial reviews, and documentation related to accounts receivable and billing activities.

• Define and improve AR and RCM workflows, reporting, and system utilization to increase efficiency and financial transparency.
• Own finance process documentation and drive adoption of best practices across the organization.

• Performs related duties as requested

 

What You’ll Bring 

• Bachelor's degree in Finance, Accounting, Business, or a related field; or equivalent practical experience.
• 5–7+ years of experience in accounts receivable, revenue cycle management, billing operations, or finance within a complex or multi-entity environment, including experience owning a function or leading process improvement.
• Demonstrated experience leading system implementations, migrations, or the onboarding of new sites/entities onto a shared platform.
• Track record of driving AR recovery and reducing aged balances across a complex receivables portfolio.
• Strong proficiency in Microsoft Excel, including data analysis, reconciliation, and financial reporting.
• Demonstrated ability to manage multiple priorities and stakeholders while maintaining strong attention to detail and accuracy.
• Strong written and verbal communication skills, with the ability to work effectively with internal stakeholders and external partners including sponsors and CROs.
• Proven ability to independently own operational finance processes, lead cross-functional efforts, and resolve issues proactively.

Preferred Qualifications

• Hands-on experience with RealTime eCTMS, CRIO, or similar clinical trial management and billing systems.
• Experience migrating or onboarding clinical research sites from paper-based or legacy eCTMS systems onto a unified platform.
• Background in healthcare revenue cycle management, clinical research, or clinical trial finance.
• Familiarity with clinical trial billing structures, sponsor contracts, and study-level financial reconciliation.
• Experience working in high-growth, multi-site, or acquisitive organizations.

How We Work 

• Collaborative and low-ego team environment
• High ownership and accountability culture
• Fast-paced and highly iterative growth environment
• Open communication and continuous learning mindset
• Mission-driven organization focused on improving patient outcomes
• Comfortable navigating evolving business priorities and opportunities

 

Benefits That Support You 

We believe great teams do their best work when they feel supported — professionally and personally.

• Hybrid work environment with in-office collaboration two days per week in either our NYC or Boston office
• Comprehensive medical, dental, and vision coverage, with up to 75% 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, and a 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 to support your health and growth
• And more!

At Iterative Health, we’re actively working towards creating an environment that is representative of the diversity of patients our technology serves. We are focused on building an equitable and inclusive culture, and by extension, hiring process. If you require any accommodations to make the application process or interviewing experience more accessible to you, please contact CandidateAccommodations@iterative.health.