July 15, 2026
Accounts Payable Specialist
Mid • Hybrid
Cambridge, MA
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 Accounts Payable Specialist is a key member of the Accounting team, reporting to the Manager, Accounting . This role is responsible for ensuring the accuracy, efficiency, and integrity of Iterative Health's accounts payable operations while supporting broader accounting and financial close activities.
The ideal candidate is an accountant who brings strong accounts payable and accounting experience, exceptional attention to detail, and a passion for process improvement. This individual will serve as a critical partner across Finance, Procurement, and business teams to ensure vendor payments are processed accurately, financial records remain audit-ready, and accounting operations scale effectively alongside the organization.
Where You'll Drive Impact
- Support the full accounts payable lifecycle, including invoice receipt, coding, approval routing, and payment processing.
- Review invoices for accuracy and appropriate supporting documentation.
- Process vendor payments accurately and on time while ensuring compliance with company policies and internal controls.
- Reconcile accounts payable transactions and vendor statements, identifying and resolving discrepancies promptly.
- Maintain vendor records and ensure proper onboarding, tax documentation, and compliance requirements.
- Support annual 1099 preparation and reporting activities.
- Partner with internal stakeholders to ensure timely invoice approvals and resolution of payment-related inquiries.
- Utilize NetSuite to support day-to-day accounting operations, vendor management, reporting, and general ledger activities.
- Manage purchase order requests, invoice matching, and approval workflows through ZIP Procurement.
- Monitor procurement and payment workflows to ensure efficiency, accuracy, and compliance.
- Assist with system enhancements, testing, and process improvements related to accounts payable and procurement operations.
- Serve as a resource for employees regarding procurement and invoice processing procedures.
- Assist with month-end and year-end close activities, including journal entries, accruals, and account reconciliations.
- Support the preparation of financial reports and schedules.
- Assist with external audits by preparing supporting documentation and responding to audit requests.
- Ensure transactions are recorded accurately and in accordance with accounting policies and procedures.
- Collaborate with Accounting and Finance team members to support financial reporting, budgeting, and cost analysis initiatives.
- Identify opportunities to improve processes, strengthen internal controls, and increase operational efficiency.
- Help develop and maintain accounting policies, procedures, and documentation.
- Participate in special projects and other accounting initiatives as needed.
- Performs related duties as requested
What You Bring to the Team
- Bachelor's degree in Accounting, Finance, or a related field.
- 2–3 years of accounting experience, with a strong focus on accounts payable.
- Experience working with NetSuite ERP or a similar enterprise accounting system.
- Experience using procurement platforms such as ZIP Procurement, Coupa, or similar tools.
- Strong Microsoft Excel skills, including pivot tables, lookups, and data analysis.
- Knowledge of accounts payable processes, accounting principles, and internal controls.
- Strong attention to detail with the ability to manage multiple priorities and deadlines.
- Excellent communication and interpersonal skills.
Preferred Qualifications
- Experience supporting month-end close activities and audit preparation.
- Experience in healthcare, healthcare technology, biotechnology, or other highly regulated industries.
- Familiarity with procurement operations and vendor management best practices.
- Proven ability to identify and implement process improvements.
- Experience working in a fast-paced, high-growth environment.
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 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'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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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.
Technology

Iterative Health
Director, Life Sciences (Business Development)
Senior
Hybrid
Cambridge, MA
🏢 Summary: Director, Life Sciences role focused on driving business development and strategic partnerships within clinical research and biopharma. The position manages the full sales lifecycle, collaborates cross-functionally on clinical trial solutions, and supports revenue growth through sponsor engagement and partnership expansion. The offer includes a hybrid work model, comprehensive healthcare coverage, unlimited PTO, and professional development support. 🗂️ Requirements: Bachelor's degree in Life Sciences, Healthcare, Business, or related field, 8+ years of experience in business development, strategic partnerships, clinical research, or life sciences, Experience developing and closing partnerships with biotechnology and pharmaceutical organizations, Strong understanding of the clinical trial ecosystem, Ability to negotiate complex commercial agreements, Experience managing enterprise-level relationships, Strong communication and presentation skills, Ability to work in a fast-paced, growth-oriented environment 📃 Skills: CRM, AI, ClinicalResearch, Biopharma, Biotechnology, Sales, Negotiation, Forecasting, Cardiology, Gastroenterology, Hepatology, Immunology 🏢 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. As a Director, Life Sciences at Iterative Health you will play a pivotal role in accelerating growth across our clinical trials business. This highly visible, external-facing role will be responsible for identifying, developing, and expanding partnerships with biopharmaceutical and biotechnology sponsors, helping bring innovative therapies to patients through cutting-edge clinical research. 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.
Technology

Iterative Health
Talent Acquisition Sourcing Specialist
Mid
Hybrid
New York, NY
🏢 Summary: Talent Acquisition Sourcer role focused on building and engaging talent pipelines across clinical research, operations, and corporate functions in a fast-growing healthcare technology environment. The position involves sourcing passive candidates, supporting employer branding initiatives, leveraging recruiting technologies, and partnering with hiring teams to meet workforce planning goals. The role offers a hybrid work environment, comprehensive benefits, and opportunities to support strategic talent growth initiatives. 🗂️ Requirements: 3+ years of sourcing, recruiting, talent acquisition, or talent engagement experience, Experience building talent pipelines and sourcing passive candidates, Experience using LinkedIn Recruiter and recruiting tools, Strong networking and relationship-building skills, Strong communication and organizational skills, Ability to manage multiple priorities in a fast-paced environment, Experience supporting healthcare, biotech, clinical research, or health tech organizations, Experience with ATS platforms such as Greenhouse 📃 Skills: LinkedIn, Greenhouse, ATS, Sourcing, Recruiting, Networking, EmployerBranding, TalentAcquisition 🏢 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. As Iterative Health continues to scale, we are seeking a proactive and relationship-driven Talent Acquisition Sourcer to help build and engage high-quality talent pipelines across the organization. This role will play a critical part in supporting the company's long-term hiring strategy by identifying, attracting, and nurturing talent across clinical research, operations and corporate. This is an ideal opportunity for someone who is passionate about networking, relationship-building, employer branding, and creating meaningful candidate connections within the healthcare, clinical research, and technology space. You will help strengthen Iterative Health's presence in the market while building pipelines that support both immediate and future talent needs. Where You'll Drive Impact Build and maintain proactive talent pipelines across operations and clinical research functions to support current and future hiring needs Develop and execute innovative sourcing strategies to identify and engage top talent in competitive markets Act as a brand ambassador for Iterative Health by creating meaningful candidate connections and delivering a positive candidate experience throughout the sourcing and engagement process Partner closely with Talent Acquisition Partners and TA leadership teams to align sourcing strategies with business priorities and workforce planning needs Build relationships within the healthcare, clinical research, biotech, and health tech communities through networking, industry associations, conferences, and events Lead and support employer branding initiatives across platforms including LinkedIn, Glassdoor, Indeed, and other talent channels to strengthen Iterative Health's market presence and candidate engagement Manage job board strategy to support effective talent attraction efforts Represent Iterative Health at recruitment events, networking events, industry conferences, career fairs, and association events to build brand awareness and cultivate strong talent communities Help build and activate Iterative Health's Employer Value Proposition in partnership with Marketing and cross-functional teams Host and attend recruiting and networking events and conferences that support talent engagement, pipeline development, and employer brand visibility Leverage sourcing tools, recruiting technologies, market insights, and talent intelligence to identify and attract diverse, high-quality talent Maintain strong engagement with passive candidates and cultivate long-term relationships within key talent communities Partner with the Talent Acquisition team to continuously improve sourcing strategies, candidate outreach, and talent engagement practices Track sourcing activity, pipeline health, and recruiting metrics to support data-driven decision-making and continuous improvement Stay informed on industry trends, competitive talent landscapes, and emerging recruiting best practices Collaborate cross-functionally with Marketing on talent attraction initiatives and recruiting projects Support additional talent initiatives and responsibilities that align with organizational growth and evolving business needs 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 3+ years of sourcing, recruiting, talent acquisition, or talent engagement experience Experience building talent pipelines and sourcing passive candidates across multiple functions Strong networking and relationship-building skills with the ability to engage candidates and industry professionals authentically Experience utilizing LinkedIn Recruiter, sourcing platforms, talent communities, and recruiting tools Passion for employer branding, talent engagement, and candidate experience Strong communication and organizational skills with attention to detail and follow-through Ability to manage multiple priorities in a fast-paced, growth-oriented environment Resourceful, proactive, and solutions-oriented mindset Experience supporting healthcare, biotech, clinical research, health tech, or high-growth organizations is strongly preferred Experience with Greenhouse or similar ATS platforms is preferred 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$80,000—$110,000 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
Accounts Receivable (AR) Manager
Senior
On-site
Cambridge, MA
🏢 Summary: Seeking an Accounts Receivable Manager to lead AR operations for clinical research projects, focusing on collections, milestone-based contracts, financial reporting, and process optimization. The role requires expertise in NetSuite, Real Time software, and healthcare or clinical research accounting environments. Responsibilities include managing AR functions, improving KPIs, supporting audits, and collaborating cross-functionally with finance and project teams. 🗂️ Requirements: Bachelor's degree in Accounting, Finance, or Business Administration, 5+ years of progressive AR/accounting experience, 2+ years in a managerial or supervisory role, 2+ years of healthcare industry experience, Experience managing milestone-based contracts with partial payments, Clinical research industry AR experience, Proficiency in NetSuite, Experience with Real Time software, Advanced Microsoft Excel skills 📃 Skills: NetSuite, Excel, VLOOKUP, PivotTables, Accounting, Finance, Collections, Billing, Invoicing, Reconciliation, Forecasting, KPIs, Auditing 🏢 Description: About the Role We are seeking a highly organized and experienced Accounts Receivable (AR) Manager to lead our AR operations with a focus on clinical research projects. The ideal candidate will have 5+ years of AR experience, including NetSuite proficiency, a strong background in collections management, and expertise in long-term, milestone-based contracts with partial payment structures. Experience in Real Time software and advanced Excel capabilities are also essential. Responsibilities Accounts Receivable & Collections Management: - Run monthly AR reports, consolidate and prepare global aging by customer, location and business. - Develop and maintain executive AR dashboards including aging, DSO and other AR KPIs. - Manage the AR reconciliation process between the GL and Real Time. - Partner with project management and contract teams to align invoicing and collections with project milestones. - Review and propose AR reserves. - Prepare collections forecast reports. - Leverage NetSuite to manage AR operations and generate financial reports. - Use Real Time software to help track project data and integrate AR activities where appropriate. - Ensure timely and accurate application of customer payments against open invoice within NetSuite. - Oversee all AR functions including billing, invoicing, cash applications, and collections from an accounting perspective, partnering with the RCM team to ensure clinical research related receivables are properly recorded and reconciled. - Manage collections for long-term contracts that include milestone-based and partial payments. Team Leadership & Process Optimization: - Supervise, mentor, and develop the AR function, coordinating with the RCM team as needed to improve performance and efficiency. - Establish KPIs for the AR function and drive process improvements to reduce aging and bad debt exposure. - Collaborate with other departments including Finance, Project Management, and Legal to resolve billing issues and support customer relationships. - Lead AR-related audits and prepare supporting documentation as needed. Industry-Specific Focus: - Apply knowledge of clinical research billing practices and revenue cycle requirements. - Ensure AR practices align with clinical study timelines, contracts, and regulatory requirements. - Collaborate with other team members to ensure accurate financial reporting and support cost analysis initiatives. What We're Looking For Required Qualifications - Bachelor's degree in Accounting, Finance, or Business Administration. - 5+ years of progressive AR/accounting experience, with at least 2 years in a managerial or supervisory role. - Minimum 2 years of experience working within the healthcare industry. - Proven track record managing collections on milestone-based contracts with partial payment structures. - Experience in clinical research industry AR is required. - Proficient in NetSuite and Real Time software. - Strong knowledge of Microsoft Excel (pivot tables, VLOOKUP, etc.). Preferred Qualifications - Exceptional attention to detail and organizational skills. - Strong analytical and problem-solving abilities. - Excellent communication and interpersonal skills. - Ability to work independently and collaboratively in a fast-paced environment. New York pay range: $95,000—$135,000 USD
Healthcare

Iterative Health
Director, Site Performance & Strategy - Cardiology
Senior
Hybrid
New York, NY
🏢 Summary: Leadership role focused on optimizing cardiology clinical research site performance, centralized support services, and operational strategy across a global network. The position drives activation and enrollment outcomes through data-driven process improvements, cross-functional collaboration, and team leadership in a fast-paced healthcare research environment. 🗂️ Requirements: BA/BS degree, 10+ years in management consulting, startup operations, or strategic operational roles, Experience building operating models and scalable workflows, Strong quantitative and data analysis skills, Experience managing multidisciplinary teams, Ability to manage multiple priorities in fast-paced environments, Experience developing performance dashboards and KPIs 📃 Skills: AI, eSource, KPIs, Dashboards, Cardiology, Regulatory, Pre-screening, Operations, Analytics, P&L 🏢 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. 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.New York pay range$170,000—$215,000 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.