July 15, 2026
Director, Site Performance & Strategy - Cardiology
Senior • Hybrid
Southlake, TX
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.
As Director of Site Performance & Strategy- Cardiology at Iterative Health, you will lead the strategy, performance, and continuous improvement of our centralized site support services while driving activation and randomization performance across our cardiology network.
Serving as the operational owner of our centralized site solutions—including pre-screening, regulatory support, and eSource—you will partner cross-functionally to optimize workflows, scale capabilities, and improve site and sponsor outcomes. This is a role for someone who wants to own a P&L-scale problem with real stakes, not simply oversee a function. You'll leverage data to identify performance gaps, implement scalable solutions, and drive operational excellence across a complex clinical research environment. You will own the strategic solutions roadmap for our sites and own the pull through cross-functionally with our site-facing staff to ensure our sites have the capabilities, processes, infrastructure, and technology to meet our performance targets.
This role is ideal for a strategic, data-driven leader who thrives on solving complex problems, building high-performing teams, and creating systems that deliver measurable business impact. If you've spent years building frameworks for other people's businesses in consulting, or running ops at a startup where you had to build the plane while flying it, this is where that skill set gets applied to a mission that matters: accelerating clinical trials that bring new treatments to patients faster.
Where You'll Drive Impact
Network Performance and Strategy Ownership
- Own activation and randomization performance across IH's cardiology site network as the single accountable leader.
- Build and run the performance monitoring system that catches trends and risks before they escalate and become problems.Identify and understand the key levers that drive enrollment performance and ensure they are being optimized consistently and systematically across the network.
- Diagnosing root causes when performance dips, and being the driving force to develop a clear plan of action and fix the issue through resolution
- Own roadmap for how to continually improve and measure site solutions impact and partner cross-functionally, including with Product to improve our solutions offerings to our sites.
Operating Model Ownership
- Serve as the accountable owner for IH's cardiology central research support services, including regulatory support, pre-screening, and eSource.
- Own the design, execution, and continuous improvement of the operating model for each service, treating them as products with clear performance standards and measurable outcomes.
- Define and track service-level KPIs for each function; use performance data to surface improvement opportunities and raise the quality bar.
- Develop scalable workflows and best practices that can be deployed consistently across the network.
- Serve as the connective tissue between site-level performance trends and central service teams, ensuring the right resources are allocated where they will have the greatest impact.
- Collect and synthesize site feedback to inform service improvements and partner with cross-functional teams to implement solutions.
Team Leadership & Development
- Directly manage and develop a multidisciplinary team of clinical research specialists, eSource specialists, pre-screeners, and regulatory specialists.
- Set clear goals and performance expectations for each function; provide ongoing coaching and development and foster a high-performance team culture.
- Ensure each team is properly resourced, trained, and equipped to deliver services at the standard required to drive strong site outcomes.
- Performs related job duties
How We Work
- Collaborative and low-ego team environment
- Fast-moving and highly iterative culture
- Strong focus on ownership and accountability
- Mission-driven and patient-centered mindset
- Open communication and continuous learning
- Comfortable navigating evolving business needs
What You Bring to the Team
- BA/BS required; MBA or other advanced degree a plus.
- 10+ years of experience in management consulting, a high-growth startup operating role, or a similarly demanding strategic/operational environment.
- Demonstrated ability to structure ambiguous problems, build frameworks from scratch, and translate analysis into a concrete operating plan.
- Strong quantitative fluency — comfortable building and interrogating performance dashboards and using data to diagnose root causes and drive decisions.
- Experience designing or overhauling operating models, processes, or service delivery functions, ideally in a fast-paced or scaling environment.
- Proven people management experience with a track record of leading, developing, and holding accountable a multidisciplinary team.
- Ability to manage multiple priorities, meet deadlines, and operate effectively in a fast-paced, evolving environment with limited precedent.
Preferred Qualifications
- Experience at a top-tier management consulting firm, or as an early operator or generalist at a startup (e.g., Chief of Staff, Head of Operations, BizOps).
- Prior exposure to healthcare, life sciences, or clinical research — a plus but not required.
- Experience owning a P&L, KPI set, or operational performance metric at a program or network level.
- Demonstrated ability to ramp quickly into new domains without deep subject-matter expertise on day one.
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 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, 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 believe great people drive innovation. If you're excited about helping transform the future of clinical research while building scalable people strategies that support growth and impact, we encourage you to apply.
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.
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If you've spent years building frameworks for other people's businesses in consulting, or running ops at a startup where you had to build the plane while flying it, this is where that skill set gets applied to a mission that matters: accelerating clinical trials that bring new treatments to patients faster. Where You'll Drive Impact Network Performance and Strategy Ownership Own activation and randomization performance across IH's cardiology site network as the single accountable leader. Build and run the performance monitoring system that catches trends and risks before they escalate and become problems.Identify and understand the key levers that drive enrollment performance and ensure they are being optimized consistently and systematically across the network. 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You will own the full business development lifecycle—from market engagement and opportunity identification through proposal development, contract negotiation, and partnership expansion. This individual will collaborate closely with clinical operations, product, scientific, and executive leadership teams to develop commercial strategies that drive revenue growth and strengthen Iterative Health's position as a trusted partner in driving innovations in specialty research. Where You'll Drive Impact Serve as a primary commercial representative of Iterative Health to prospective and existing biopharma, biotech, and clinical research partners. Develop and execute strategic business development plans to drive sponsor engagement, revenue growth, and long-term partnerships. Build, manage, and expand relationships with key decision-makers across clinical development, clinical operations, medical affairs, and strategic outsourcing functions. Lead the full sales cycle, including prospecting, qualification, proposal development, pricing strategy, contract negotiation, and deal execution. Collaborate with internal stakeholders to develop tailored clinical trial solutions that align with sponsor needs and organizational capabilities. Partner with clinical operations and delivery teams to ensure successful execution and ongoing client satisfaction. Gather and communicate market intelligence, competitive insights, and sponsor feedback to inform commercial strategy and product development. Contribute to the development and refinement of Iterative Health's value proposition, positioning, and go-to-market strategy. Represent Iterative Health at industry conferences, scientific meetings, and business development events. Maintain accurate opportunity forecasting and pipeline management within CRM systems. Performs related job duties How We Work Collaborative and low-ego team environment Fast-moving and highly iterative culture Strong focus on ownership and accountability Mission-driven and patient-centered mindset Open communication and continuous learning Comfortable navigating evolving business needs What You Bring to the Team Bachelor's degree in Life Sciences, Healthcare, Business, or a related field. 8+ years of progressive experience in business development, strategic partnerships, clinical research, life sciences, or related commercial roles. Demonstrated success developing and closing partnerships with biotechnology and pharmaceutical organizations. Strong understanding of the clinical trial ecosystem, including sponsors, CROs, site networks, and research operations. Established network of industry contacts and decision-makers within the biopharma sector. Proven ability to negotiate complex commercial agreements and manage enterprise-level relationships. Exceptional communication, presentation, and relationship-building skills. Strong business acumen, strategic thinking, and ability to influence cross-functional stakeholders. Ability to thrive in a fast-paced, growth-oriented environment with evolving priorities. Preferred Qualifications Experience supporting clinical trials within cardiology, gastroenterology, hepatology, obesity, , immunology, or related therapeutic areas. Experience within a CRO, site network, clinical trial technology company, healthcare technology organization, or sponsor organization. Knowledge of decentralized, technology-enabled, or AI-driven clinical research solutions. Advanced degree such as MBA, MPH, MS, PharmD, or PhD. Experience managing strategic accounts and driving expansion opportunities within existing partnerships. 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 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, 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! New York pay range$180,000—$250,000 USDAt 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.
Healthcare

Iterative Health
Research Site Manager
Senior
On-site
Orlando, FL
🏢 Summary: Clinical Research Site Manager role focused on overseeing daily clinical trial operations, managing research staff, ensuring compliance, and driving enrollment and site performance across research sites. The position requires hands-on clinical research coordination experience, operational leadership, and collaboration with sponsors, CROs, and investigators in a fast-paced healthcare research environment. 🗂️ Requirements: Bachelor's degree or equivalent experience, Minimum 3 years experience as a senior Clinical Research Coordinator, Ability to manage clinical research site operations, Experience with EMR and CTMS platforms, Strong written and verbal communication skills, Ability to interpret research protocols and clinic policies, Ability to manage multiple priorities and meet deadlines, Strong problem-solving and decision-making skills, Professional collaboration with investigators, sponsors, and staff, Willingness to travel between facility sites 📃 Skills: EMR, CTMS, Salesforce, GCP, ClinicalResearch, Biology, Chemistry 🏢 Description: 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 Research Site Manager at Iterative Health is the operational backbone of our clinical research sites. This role owns the day-to-day execution of clinical trial activities — managing site staff, driving enrollment performance, and ensuring every study runs with the quality, compliance, and efficiency our patients and sponsors depend on. The ideal candidate is an experienced clinical research professional who is equally comfortable leading a team, solving operational problems, and rolling up their sleeves as a backup CRC when the team needs it. If you thrive in a fast-paced, high-ownership environment and are energized by building something that works, this role is for you. Where You'll Drive Impact Manage day-to-day activities across research site(s), including staff management, problem-solving, and operational planning. Create and implement standardized, well-documented clinic workflows that drive operational excellence and support site goal achievement. Attend all site selection visits and site initiation visits (SIVs). Oversee inventory of study supplies and ensure adequate stock levels at all times. Manage site-level purchasing and expenses in line with cost guidelines and profitability goals. Act as assigned or backup CRC as needed to manage team workloads while prioritizing site leadership responsibilities. Own the full employee lifecycle for site staff (CRCs and RAs), including hiring, onboarding, assignments, development, performance reviews, and offboarding. Ensure timely completion of tasks in EMR and CTMS by CRCs and RAs. Lead onsite training of clinical operations staff, including onboarding and study initiation visits. Monitor timelines and address issues when performance standards are not met. Review, approve, and submit timesheets. Work closely with Iterative Health management to develop strategies to meet performance targets around study enrollment, timeliness, and overall site health. Meet assigned productivity and quality metrics; meet regularly with coordinators to ensure they meet goals and escalate systemic barriers to the Iterative Health central team. Follow up on all monitoring visit action items in a timely manner. Maintain effective and ongoing communication with CROs and sponsors. Work closely with Principal Investigators and referring physicians to build understanding and enthusiasm for research opportunities for patients. Maintain effective communication between site staff, Principal Investigators, and Iterative Health management, including conducting regular site research meetings to discuss study progress and enrollment. Identify and manage appropriate third-party vendors; partner with the central Iterative Health team to ensure contracts are fully executed prior to study activation. Protect the rights and welfare of all human research participants involved in research. Cooperate with Iterative Health research compliance and monitoring efforts regarding the access, use, and disclosure of PHI; report instances of noncompliance to the appropriate compliance office. Assess problem situations to identify causes, gather and process relevant information, generate possible solutions, and make recommendations to management. Performs related duties as requested What You Bring to the Team Bachelor's degree from an accredited institution; science disciplines (biology, chemistry, etc.) preferred, or an equivalent combination of education and experience. Minimum 3 years of experience as a senior Clinical Research Coordinator; some management experience preferred. Strong written and verbal communication skills. Ability to read, interpret, and apply clinic policies and research protocols. Proficiency in standard office software; experience with EMR and CTMS platforms preferred. Highly organized with the ability to manage multiple priorities and meet deadlines with or without direct supervision. Strong problem-solving skills and ability to make sound decisions under pressure. Ability to interact professionally with staff, investigators, sponsors, and cross-functional partners. Willingness to travel across facility sites and occasionally to company meetings. Preferred Qualifications GI and hepatology clinical trial experience. Prior experience in a site management or team leadership role within a clinical research environment. Familiarity with Iterative Health tools including CTMS, EMR systems, and Salesforce. Experience working within a research site network or multi-site clinical trial environment. Knowledge of GCP guidelines and human subject research regulations. 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 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.
Healthcare

Iterative Health
Research Site Manager
Senior
On-site
Beaumont, TX
🏢 Summary: Clinical Research Site Manager role focused on overseeing daily clinical trial operations, managing site staff, ensuring compliance and enrollment performance, and supporting multi-site research activities. The position requires hands-on clinical research coordination experience, operational leadership, and collaboration with sponsors, investigators, and CROs in a fast-paced healthcare research environment. 🗂️ Requirements: Bachelor's degree or equivalent experience, Minimum 3 years of experience as a senior Clinical Research Coordinator, Ability to manage clinical research site operations, Experience with EMR and CTMS platforms, Strong written and verbal communication skills, Ability to interpret research protocols and clinic policies, Strong organizational and multitasking skills, Ability to work with investigators, sponsors, and cross-functional teams, Willingness to travel across facility sites 📃 Skills: EMR, CTMS, Salesforce, GCP, Biology, Chemistry 🏢 Description: 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 Research Site Manager at Iterative Health is the operational backbone of our clinical research sites. This role owns the day-to-day execution of clinical trial activities — managing site staff, driving enrollment performance, and ensuring every study runs with the quality, compliance, and efficiency our patients and sponsors depend on. The ideal candidate is an experienced clinical research professional who is equally comfortable leading a team, solving operational problems, and rolling up their sleeves as a backup CRC when the team needs it. If you thrive in a fast-paced, high-ownership environment and are energized by building something that works, this role is for you. Where You'll Drive Impact Manage day-to-day activities across research site(s), including staff management, problem-solving, and operational planning. Create and implement standardized, well-documented clinic workflows that drive operational excellence and support site goal achievement. Attend all site selection visits and site initiation visits (SIVs). Oversee inventory of study supplies and ensure adequate stock levels at all times. Manage site-level purchasing and expenses in line with cost guidelines and profitability goals. Act as assigned or backup CRC as needed to manage team workloads while prioritizing site leadership responsibilities. Own the full employee lifecycle for site staff (CRCs and RAs), including hiring, onboarding, assignments, development, performance reviews, and offboarding. Ensure timely completion of tasks in EMR and CTMS by CRCs and RAs. Lead onsite training of clinical operations staff, including onboarding and study initiation visits. Monitor timelines and address issues when performance standards are not met. Review, approve, and submit timesheets. Work closely with Iterative Health management to develop strategies to meet performance targets around study enrollment, timeliness, and overall site health. Meet assigned productivity and quality metrics; meet regularly with coordinators to ensure they meet goals and escalate systemic barriers to the Iterative Health central team. Follow up on all monitoring visit action items in a timely manner. Maintain effective and ongoing communication with CROs and sponsors. Work closely with Principal Investigators and referring physicians to build understanding and enthusiasm for research opportunities for patients. Maintain effective communication between site staff, Principal Investigators, and Iterative Health management, including conducting regular site research meetings to discuss study progress and enrollment. Identify and manage appropriate third-party vendors; partner with the central Iterative Health team to ensure contracts are fully executed prior to study activation. Protect the rights and welfare of all human research participants involved in research. Cooperate with Iterative Health research compliance and monitoring efforts regarding the access, use, and disclosure of PHI; report instances of noncompliance to the appropriate compliance office. Assess problem situations to identify causes, gather and process relevant information, generate possible solutions, and make recommendations to management. Performs related duties as requested What You Bring to the Team Bachelor's degree from an accredited institution; science disciplines (biology, chemistry, etc.) preferred, or an equivalent combination of education and experience. Minimum 3 years of experience as a senior Clinical Research Coordinator; some management experience preferred. Strong written and verbal communication skills. Ability to read, interpret, and apply clinic policies and research protocols. Proficiency in standard office software; experience with EMR and CTMS platforms preferred. Highly organized with the ability to manage multiple priorities and meet deadlines with or without direct supervision. Strong problem-solving skills and ability to make sound decisions under pressure. Ability to interact professionally with staff, investigators, sponsors, and cross-functional partners. Willingness to travel across facility sites and occasionally to company meetings. Preferred Qualifications GI and hepatology clinical trial experience. Prior experience in a site management or team leadership role within a clinical research environment. Familiarity with Iterative Health tools including CTMS, EMR systems, and Salesforce. Experience working within a research site network or multi-site clinical trial environment. Knowledge of GCP guidelines and human subject research regulations. 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 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.
Healthcare

Iterative Health
Research Site Manager
Senior
On-site
Southlake, TX
🏢 Summary: Clinical Research Site Manager role overseeing daily clinical trial operations, site staff, enrollment performance, and compliance across research sites. The position combines operational leadership with hands-on clinical research coordination in a fast-paced, multi-site environment focused on improving study execution and patient access to therapies. 🗂️ Requirements: Bachelor's degree or equivalent experience, Minimum 3 years experience as a senior Clinical Research Coordinator, Experience managing clinical trial operations, Ability to interpret research protocols and clinic policies, Proficiency with EMR platforms, Proficiency with CTMS platforms, Strong written and verbal communication skills, Ability to manage multiple priorities and deadlines, Strong problem-solving and decision-making skills, Willingness to travel across facility sites 📃 Skills: EMR, CTMS, Salesforce, GCP, Biology, Chemistry 🏢 Description: 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 Research Site Manager at Iterative Health is the operational backbone of our clinical research sites. This role owns the day-to-day execution of clinical trial activities — managing site staff, driving enrollment performance, and ensuring every study runs with the quality, compliance, and efficiency our patients and sponsors depend on. The ideal candidate is an experienced clinical research professional who is equally comfortable leading a team, solving operational problems, and rolling up their sleeves as a backup CRC when the team needs it. If you thrive in a fast-paced, high-ownership environment and are energized by building something that works, this role is for you. Where You'll Drive Impact Manage day-to-day activities across research site(s), including staff management, problem-solving, and operational planning. Create and implement standardized, well-documented clinic workflows that drive operational excellence and support site goal achievement. Attend all site selection visits and site initiation visits (SIVs). Oversee inventory of study supplies and ensure adequate stock levels at all times. Manage site-level purchasing and expenses in line with cost guidelines and profitability goals. Act as assigned or backup CRC as needed to manage team workloads while prioritizing site leadership responsibilities. Own the full employee lifecycle for site staff (CRCs and RAs), including hiring, onboarding, assignments, development, performance reviews, and offboarding. Ensure timely completion of tasks in EMR and CTMS by CRCs and RAs. Lead onsite training of clinical operations staff, including onboarding and study initiation visits. Monitor timelines and address issues when performance standards are not met. Review, approve, and submit timesheets. Work closely with Iterative Health management to develop strategies to meet performance targets around study enrollment, timeliness, and overall site health. Meet assigned productivity and quality metrics; meet regularly with coordinators to ensure they meet goals and escalate systemic barriers to the Iterative Health central team. Follow up on all monitoring visit action items in a timely manner. Maintain effective and ongoing communication with CROs and sponsors. Work closely with Principal Investigators and referring physicians to build understanding and enthusiasm for research opportunities for patients. Maintain effective communication between site staff, Principal Investigators, and Iterative Health management, including conducting regular site research meetings to discuss study progress and enrollment. Identify and manage appropriate third-party vendors; partner with the central Iterative Health team to ensure contracts are fully executed prior to study activation. Protect the rights and welfare of all human research participants involved in research. Cooperate with Iterative Health research compliance and monitoring efforts regarding the access, use, and disclosure of PHI; report instances of noncompliance to the appropriate compliance office. Assess problem situations to identify causes, gather and process relevant information, generate possible solutions, and make recommendations to management. Performs related duties as requested What You Bring to the Team Bachelor's degree from an accredited institution; science disciplines (biology, chemistry, etc.) preferred, or an equivalent combination of education and experience. Minimum 3 years of experience as a senior Clinical Research Coordinator; some management experience preferred. Strong written and verbal communication skills. Ability to read, interpret, and apply clinic policies and research protocols. Proficiency in standard office software; experience with EMR and CTMS platforms preferred. Highly organized with the ability to manage multiple priorities and meet deadlines with or without direct supervision. Strong problem-solving skills and ability to make sound decisions under pressure. Ability to interact professionally with staff, investigators, sponsors, and cross-functional partners. Willingness to travel across facility sites and occasionally to company meetings. Preferred Qualifications GI and hepatology clinical trial experience. Prior experience in a site management or team leadership role within a clinical research environment. Familiarity with Iterative Health tools including CTMS, EMR systems, and Salesforce. Experience working within a research site network or multi-site clinical trial environment. Knowledge of GCP guidelines and human subject research regulations. 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 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.
Healthcare

Iterative Health
Regional Director, Sites
Senior
On-site
Cambridge, MA
🏢 Summary: Regional Director role overseeing performance and operations across multiple GI-focused clinical research sites, ensuring compliance, enrollment success, data quality, and team development. The position focuses on strategic operational leadership, KPI optimization, resource allocation, and collaboration with investigators to improve clinical trial execution and patient access to therapies. Offers comprehensive benefits including insurance, stock options, flexible hours, and unlimited paid time off. 🗂️ Requirements: Knowledge of clinical trial operations and protocol review, Ability to manage change and adapt operational strategies, Strong problem-solving and solution implementation skills, Strategic planning and operational growth experience, Ability to analyze data, identify trends, and draw conclusions, Project and people management experience, Professional communication skills, Working knowledge of CTMS and eDC systems, Ability to travel up to 30%, Experience managing multi-site clinical research operations 📃 Skills: CTMS, eDC, ClinicalTrials, ProjectManagement, DataAnalysis, Compliance, Gastroenterology, Hepatology 🏢 Description: 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. About the Role The Regional Director is responsible for owning and optimizing site-level performance across a portfolio of GI-focused clinical research sites. This role ensures operational excellence by aligning teams around key performance goals, elevating site capabilities, and maintaining consistency in trial execution. As a strategic operations leader, the Regional Director plays a central role in connecting site level performance with broader business objectives. Responsibilities Manages staff across multiple sites, ensuring execution is aligned with protocol, regulatory requirements, and IH standards. Owns overall performance of assigned sites, including enrollment, data quality, compliance, and team culture. Ensures sites are set up for success (i.e. staffed appropriately and equipped with the appropriate equipment and training) and makes recommendations to allocate resources based on business needs. Builds strong relationships and collaborates with PIs to align their engagement with study goals and operational strategy. Influences study portfolio, optimizing for profitability and value to patients. Identifies and manages issues, concerns and problems related to site performance. Leads and develops CRCs, and other site-based research staff through clear expectations, performance coaching, and team development. Serves as a visible, hands-on people manager who builds high-performing, accountable teams. Identifies levers to drive site level KPIs through monitoring KPIs and performance trends, escalating to appropriate parties. Implements corrective actions or process improvements as needed. Serves as the primary operational liaison between site staff and central functions. Drives a culture of ownership, collaboration, and continuous improvement across all assigned sites. What We're Looking For Required Qualifications Knowledgeable about the critical elements for success in clinical trials: Ability to review protocols, programs, and assess the success of a project. Ability to influence change management and model flexibility Problem-Solving Skills: Ability to identify problems, develop and implement solutions. Strategic Planning: Ability to plan for short, medium and long term success and make recommendations for growth Ability to use data as a tool, identify trends, and draw conclusions. Project Management: Demonstrated ability to successfully manage people/projects. Proactive problem-solving abilities and follow-through. Practices professionalism and integrity in all actions. Communication Skills: Excellent written and verbal communication skills. Working knowledge of CTMS, eDC and other core research systems. Ability to travel: Up to 30% travel to provide operational oversight, hold team meetings, and attend other professional meetings/conferences as needed. Preferred Qualifications Experience in managing a large site network and demonstrated success in achieving targets and optimizing operations. Experience with gastroenterology and/or hepatology studies. What We Offer Medical, dental, and vision insurance Life and disability insurance Parental leave Stock options Flexible work hours Unlimited paid time off 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.
Technology

Iterative Health
People Business Partner
Senior
On-site
Cambridge, MA
🏢 Summary: Strategic People Business Partner role supporting a fast-growing healthcare services and clinical research organization through workforce planning, talent management, organizational design, and change initiatives. The position partners with leadership to align HR strategies with operational goals in a distributed, high-growth, M&A-driven environment. Responsibilities include employee relations, leadership coaching, performance management, and HR integration activities. 🗂️ Requirements: 7–10+ years of progressive HR experience, Experience in fast-scaling, high-growth startup environments, Experience in healthcare, clinical research, medtech, life sciences, or related industries, Experience supporting distributed multi-site organizations, Organizational design experience, Change management experience, Talent strategy experience, Data-driven and analytical decision-making skills, Strong business acumen, Leadership coaching and stakeholder management skills, Knowledge of employment laws and HR policies 📃 Skills: HR, Analytics, Workforce, Planning, Coaching, Compliance, Compensation, Succession, Leadership, Change, Integration, Performance, EmployeeRelations, OrganizationalDesign 🏢 Description: 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. We are seeking a strategic and data-driven People Business Partner role to partner closely with leaders across corporate functions and site-based operational teams in support of a high performing, highly distributed healthcare services organization. This role will act as a trusted advisor, aligning people strategies with business priorities to support growth, scalability, and performance across the organization. Operating in a high-growth, M&A driven environment, this role requires a strong balance of strategic thinking and hands-on execution. The People Business Partner will play a key role driving organizational effectiveness, enabling leadership and supporting change initiatives while fostering a high-performing, mission-driven culture. This individual must be comfortable pivoting between both a strategic and hands-on level of engagement, with a strong focus on change and performance management,talent/leadership development, organizational design, employee relations and integration.Key ResponsibilitiesStrategic Business Partnership● Serve as a trusted advisor, coach and thought partner to department, team and operational leaders, providing guidance on organizational strategy, workforce planning, employee relations issues and talent implications of business decisions● Translate business priorities into actionable HR strategies that drive growth, scalability, and operational excellence to enable a high performing and engaged workforce.● Develop a deep understanding of IH business units, financial drivers, and market industry dynamics to proactively shape people initiatives that help transform the business as we grow and scale our infrastructure.● Serve as a strategic liaison and advisor between the business and People Team Center of Excellence's (COE) to align HR service delivery with business priorities● Identify opportunities to implement data-informed people strategies that strengthen organizational health, culture and maturity while directly impacting leadership effectiveness and team performance● Lead workforce planning with business partners, anticipating skills and capabilities needed to scale the organization beyond current state – develop plans in conjunction with TA to identify talent profiles and succession bench ready for promotion to increased level of scope and responsibility Talent and Performance Management● Drive talent and performance management processes that reinforce accountability, ownership and high standards of behaviors / values alignment to support our high-performance culture● Partner with leaders on succession planning, leadership development, compensation strategies and retention initiatives across the enterprise● Use data and insights to inform talent decisions and effectively balance business needs with employee advocacy● Coach and develop leaders to engage, motivate and lead high performing teams, identifying least effective performance and partnering with team leaders to address performance issues early on.Change Management and Culture● Lead change management efforts across our growing and evolving teams/structures to support effective communication, accountability and alignment to our strategic priorities● Champion a culture of innovation, collaboration, and continuous improvement aligned with Iterative Health's mission● Support leaders in navigating ambiguity and leading through transformational change as an organization, providing insights and serving as a "thought partner" on operational and people challenges that dynamic growth brings. Employee Relations and Coaching● Provide expert coaching on employee relations, leadership effectiveness, and team dynamics to enable a highly engaged, productive workforce while maintaining consistency and alignment to IH policies and procedures.● Support positive culture building initiatives and drive employee engagement initiatives with team leaders to build highly engaged, motivated team members.● Ensure compliance with employment laws and company policies – identify opportunities to improve, create and implement policies and procedures that balance business needs with operational realities M&A HR Integration● Partner with internal stakeholders including People COE's on due diligence, integration planning, and execution as part of pre and post-acquisition integration process● Support organizational design, talent assessment, and cultural integration efforts to ensure seamless onboarding of acquired entities and team members to IH● Anticipate, identify and mitigate people-related risks associated with rapid growth and change, including supporting HR initiatives focused on harmonization of system, processes and policies across the growing enterprise. HR Program Execution● Partner with COE to deliver best-in-class HR transformational initiatives to support a growing and scaling workforce● Own HR projects in support of strategic HR agenda focused on employee engagement, leadership development, performance management, and operationalizing best in class people initiatives and infrastructure that will attract, develop and retain talent.Qualifications● 7–10+ years of progressive HR experience, including working in a fast-scaling, high-growth, complex and ambiguous start-up environment● Experience in healthcare, clinical research, medtech, life sciences, or related industries strongly preferred● Experience supporting a highly distributed, growing multi-site location network both domestically and globally is strongly preferred● Demonstrated experience across a wide range of HR functional domains● Strong business acumen with the ability to link HR strategy to financial and operational outcomes● Proven ability to communicate and influence senior leaders as well as operate as a strategic partner, understanding the operational and strategic priorities of the business and how people strategies can make an impact● Experience in organizational design, change management, and talent strategy● Data-driven, analytical mindset with comfort leveraging data and analytics to inform decisions● Excellent communication, coaching, and stakeholder management skills● Comfort navigating through ambiguity and managing multiple competing priorities● A builder and inventor mindset – orientation towards thinking outside the box to pilot and test programs and initiatives to iterate before applying a one-size fits all approach.New York pay range$110,000—$145,000 USDAt 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.