Research Revenue & Payments Specialist

Company Description

Istios Health collaborates with independent specialty practices to build a unified, technology-enabled specialty network. The organization supports hospitals in closing care gaps by providing virtual specialty coverage and empowers community-based clinicians to participate in a nationwide clinical research network. This network expands access to clinical trials and accelerates medical discoveries, driving advancements in specialized healthcare and research.

Role Description

This role is responsible for end-to-end revenue operations across the clinical research site network, including study-level financial setup, invoicing, collections, reconciliation, and reporting. This individual will own the integrity of the revenue cycle and ensure that all trial-related payments are accurately tracked, billed, collected, and reconciled in alignment with clinical trial agreements.

Key Responsibilities

• Own the full clinical trial revenue lifecycle from study startup through closeout across all sites within the network
• Translate clinical trial agreements (budgets, payment terms, milestones) into actionable billing plans within the CTMS and accounting systems
• Configure and maintain study financials in the CTMS to ensure accurate tracking of procedures, milestones, and sponsor/CRO payment triggers
• Generate and manage all sponsor/CRO invoicing, including milestone-based, pass-through, and recurring fees
• Oversee accounts receivable, including proactive follow-up on outstanding invoices, aging reports, and collections
• Perform detailed revenue reconciliation between CTMS, contracts/budgets, and accounting system (QuickBooks) to identify and resolve discrepancies
• Lead study closeout financial reconciliation to ensure all earned revenue is invoiced and collected
• Maintain accurate revenue recognition tracking and support month-end close activities, including reporting and variance analysis
• Partner with operations, site staff, and leadership to ensure accurate capture of billable activities and alignment with protocol and budget
• Serve as the primary point of contact for sponsors, CROs, and internal stakeholders on all payment-related inquiries and discrepancies
• Drive process improvements, automation, and system optimization across CTMS and accounting workflows
• Support forecasting and revenue projections based on study pipelines and enrollment activity

Qualifications

• Bachelor’s degree in Accounting, Finance, Business, or related field preferred
• 2 years of experience in clinical research finance, site operations, or study coordination with direct exposure to budgets and payments
• Hands-on experience with a CTMS (e.g., CRIO, RealTime, Clinical Conductor, or similar) required
• Experience with QuickBooks or similar
• Strong understanding of clinical trial budgets, payment terms, and sponsor/CRO billing structures
• Demonstrated experience managing invoicing, accounts receivable, and financial reconciliation processes
• High attention to detail with the ability to audit and validate financial data across multiple systems
• Strong organizational and follow-through skills; able to manage multiple studies and deadlines simultaneously
• Excellent communication skills with the ability to confidently manage external financial discussions with sponsors and CROs