About the Role

As the Director, Site Performance & Solutions (Cardiology), you will report to the VP, Growth and own the performance of Iterative Health’s central clinical services that are delivered to our cardiology research sites as performance-enabling solutions, including pre-screening, regulatory support, and eSource. Your two core mandates are: owning the operating model for the central research support services we deliver to sites, and ensuring the network consistently hits and improves its activation and randomization targets.

This is a role for someone who is deeply grounded in research operations, relentlessly data-driven, and capable of diagnosing performance improvement opportunities quickly and implementing solutions at a high standard. You will serve as a “product owner” for our suite of site solutions, continuously improving how they are designed and delivered. When performance gaps emerge, you will be the person who figures out what is wrong and drives the fix.

Responsibilities

Network Performance Ownership

• Own activation and randomization performance across IH’s cardiology site network as the single accountable leader.
• Monitor site and network-level performance metrics continuously, identifying trends, risks, and gaps before they escalate.
• Understand the key levers that drive enrollment performance and ensure they are being optimized, consistently and systematically, across the network.
• When performance falls short, diagnose root causes quickly, develop a clear plan of action, and drive execution until the issue is resolved.

Operating Model & Solution 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 & Management

• Directly manage and develop a multidisciplinary team of clinical research specialists, e-source 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 their services at the standard required to drive strong site outcomes

Required Qualifications

• BS/BA or higher degree
• 10+ years of clinical research experience, with deep familiarity with research operations and trial execution
• Demonstrated proficiency with clinical research systems and tools, including CTMS and pre-screening workflows
• Proven ability to use data to diagnose performance problems, identify improvement opportunities, and drive decisions
• Track record of building and improving operating models or service delivery processes in a clinical research context
• Proven people management experience, with a track record of leading, developing, and holding accountable clinical research teams
• Ability to manage multiple priorities, meet deadlines, and operate effectively in a fast-paced, evolving environment

Preferred Qualifications

• Prior experience in a director-level or senior management role within a site network, CRO, or health tech organization
• Experience owning enrollment or operational performance metrics at a network or program level
• Cardiology-specific clinical research experience

About the Role

As the Director, Strategy & Operations - Growth, you will report to the VP, Growth and serve as the leader of Iterative Health's biological specimen collections business. This is a senior, highly autonomous role for an operator who is equally comfortable setting strategy and rolling up their sleeves to execute. You will own the go-to-market strategy, lead the full build-out of the business, and hold accountability for performance. You will also lead and develop the team that runs the day-to-day of collections operations. The ideal candidate brings a strong strategic and analytical foundation from management consulting or a high-growth startup environment, paired with the operational horsepower and ownership mindset to build something from the ground up.

Responsibilities

Go-to-Market Strategy

• Own the go-to-market strategy for Iterative Health's biological specimen collections business — defining the service offering, target customer segments, competitive positioning, and path to scale
• Define what we sell and how we sell it: Work with Business Development to scope the collections service model, establish pricing frameworks, and develop the materials and narrative needed to bring the offering to market
•  Identify and size the resourcing, infrastructure, and capability requirements needed to support the strategy and inform investment decisions

Business Build-Out

•  Lead the end-to-end build-out of the biological specimen collections business — standing up operational capabilities, and establishing the processes and infrastructure needed to execute at scale
• Own vendor contracting and relationships, including selection, negotiation, onboarding, and ongoing performance management for all collections-related vendors
• Partner with the Business Development team to develop and progress a pipeline of collections studies, supporting sponsor engagement and proposal development
• Work cross-functionally with site operations leaders to identify and onboard the right site network to support collections studies

Business Performance Ownership

• Own execution quality and sponsor satisfaction on active collections studies, serving as the senior point of escalation and ensuring trials are delivered to the highest standard
• Define and track KPIs across the business; use performance data to identify gaps, course-correct quickly, and communicate progress to senior leadership

Team Leadership

• Lead, develop, and hold accountable a team that includes pre-screeners, central Clinical Research Coordinators, and a Clinical Operations Manager — setting clear performance targets and maintaining a high-performance culture
• Train team members on workflows, protocols, and quality standards, and ensure the team has the tools, processes, and support needed to execute at pace
• Set the operational tempo for the team — running structured operations, maintaining visibility into study and team performance, and driving accountability at every level

Required Qualifications

• BS/BA or higher degree; advanced degree (MBA, MPH, or equivalent) strongly preferred
• 7+ years of experience in a strategic and operational role, with meaningful exposure to building or scaling a business — prior experience in management consulting, a high-growth startup, or a general management capacity is strongly preferred
• Experience leading cross-functional build-outs — standing up new capabilities, managing vendors, and driving commercial pipelines
• Proven people leadership experience with the ability to recruit, develop, and hold accountable a high-performing team
• Exceptional organizational and project management skills with the ability to manage multiple high-stakes workstreams simultaneously
• Strong executive presence and communication skills — able to represent the business credibly with sponsors, vendors, and senior internal stakeholders
• Comfortable operating with significant autonomy and building structure in ambiguous, fast-moving environments

Preferred Qualifications

• Experience in life sciences, clinical research, or healthcare services — particularly in biological specimen collections studies

At Iterative Health, we are pioneering the application of powerful, proprietary artificial intelligence tools to the practice of cardiology and drug development.  We’ve set out to drastically improve clinical decision-making while meaningfully improving patient lives through better diagnosis, disease management, and treatment, leading to better health outcomes.

As the Senior Clinical Research Specialist I, you will report to the Head of Cardiology and Growth and work closely with the Director of Clinical Research (Cardiology), and work to integrate Iterative Health (IH) services and AI solutions at cardiology-based, clinical research sites throughout the US. This external-facing role will require strong communication, customer engagement and deep expertise in clinical research, in addition to a strong strategic skill set.  You’ll work directly with your portfolio of sites by using our standard methodology to assess their  current state. You’ll then work with your assigned sites to deliver customized training and day-to-day support that encourages research best practices, drives the adoption of IH services and products, and ensures our sites achieve their research goals. 

Key Responsibilities: 

• Demonstrate advanced knowledge of clinical research processes and tools, such as CTMS, pre-screening, and/or feasibility, and enhance these processes and outputs to effectively support our sites or internal teams. 
• Serve as a subject matter expert on clinical research workflows, in line with specific requirements of each protocol, optimized with Iterative  Health (IH) services and AI solutions
• Manage customer relationships with a high degree of professionalism and expertise ensuring timely responses, escalations of site issues, and building trust needed to help sites achieve IH goals
• Leverage IH solutions and services to help build best practice research sites, accelerate clinical trials, and build capacity at IH sites to execute high-quality clinical trials. 
• Deliver customized training for different clinical research user groups and devise process  maps/workflows, tools, and techniques to help sites incorporate IH services
• Travel to customer sites to support study site activation, drive patient screening, and  standby support for randomization activities 
• Collect, analyze, and communicate the voice of IH customer successes, concerns, and  product adoption issues/competency gaps and collaborate with IH cross-functional teams to  design and deliver solutions 
• Monitor personal and site goals and KPIs and flag areas where additional support or assistance is needed

Required skills: 

• BS/BA or higher degree. 
• Minimum 4 years of clinical research coordinator experience.  
• At least 8 years of experience with phase 2-4 pharma-sponsored clinical trials, including  study start-up, CDA, feasibility, regulatory/standard operating procedures, study  protocols, and regulations governing clinical research 
• Experience coordinating, evaluating, and following patients’ participation through clinical trials.
• Fluent in the use of Microsoft Office/Google Apps products. 
• Ability to navigate ambiguity and willingness to be flexible/adapt to changing work environments. 
• Desire to work with new tools and technology. 
• Ability to manage multiple projects, meet deadlines, and adjust priorities appropriately. ● Willingness to travel to customer sites (~30%) 

Preferred skills: 

• 5+ years as a Clinical Research Coordinator (CRC) working with cardiology trials or equivalent experience.
• General understanding of the evaluation and diagnosis of common cardiac disorders and diseases. 

• Experience with CTMS systems - preferably RealTime, Clinical Conductor, or CRIO

About the Role

As the Manager, Growth, you will play a critical operational role at the center of Iterative Health's two core growth engines in Cardiology: expanding our sponsor portfolio and scaling our site network. This is a high-visibility, high-impact role for a sharp operator who thrives on process ownership, cross-functional coordination, and getting things done in a fast-moving environment. You will own the internal mechanics of business development — keeping the pipeline moving, deals progressing, and sponsors well-served — while simultaneously driving the operational build-out of new clinical research sites from contract execution through first study activation. The ideal candidate brings a strategic and operational mindset, is energized by variety, and is able to manage multiple workstreams with rigor and speed.

Responsibilities

Sponsor Growth: Business Development & Alliance Management Support

• Own the end-to-end internal business development process from initial sponsor engagement through contract execution, serving as the single internal touchpoint for new contracts
• Keep the business development pipeline organized and visible by maintaining up-to-date reporting on opportunity status, next steps, and deal progression
• Support the Director of Research Partnerships in preparing for key sponsor interactions — developing pitches and proposals, building conference materials, and ensuring the team shows up well-prepared for high-stakes meetings
• Support sponsor account meetings through internal data gathering, performance reporting, and post-meeting follow-through
• Continuously identify opportunities to streamline and improve the business development process to accelerate deal pull-through and reduce time to contract close

Site Network Growth: De Novo Site Builds 

• Partner with the Director of Clinical Research to support the end-to-end process of standing up de novo clinical research sites 
• Serve as the operational connective tissue during site stand-up, tracking progress, surfacing blockers, and ensuring all cross-functional inputs come together on schedule
• Work with the Director of Clinical Research to continuously evaluate and improve the site stand-up process — identifying inefficiencies, building out playbooks, and creating repeatable frameworks that scale as the network grows

Required Qualifications

•  BS/BA or higher degree
• 4+ years of experience in a strategic and operational role, such as management consulting, business operations, or growth/strategy at a high-growth startup
• Demonstrated ability to own and manage complex, cross-functional processes end-to-end with strong attention to detail
•  Excellent organizational skills with experience managing multiple projects and workstreams simultaneously in a fast-paced environment
• Strong communicator with the ability to synthesize information, build materials, and engage effectively with internal and external stakeholders
• Comfortable working with ambiguity and building structure where it doesn't yet exist

Preferred Qualifications

• Experience in life sciences, clinical research, or healthcare 
• Familiarity with clinical trial operations, site networks, or sponsor/CRO relationships

As the Clinical Operations Manager, you will report to the VP, Growth and work closely with our Clinical Research and Life Sciences teams to integrate Iterative Health (IH) services and AI solutions at clinical research sites throughout the US. This external-facing role will require strong communication, customer engagement and deep expertise in clinical research, in addition to a strong strategic skill set. You will engage with partners such as sponsors, CROs and key sites to drive executive operational alignment, providing strategic recommendations both internally and externally with a focus on improving research operations focused on biological sample collections trials. You’ll also be working directly with your portfolio of sites to deliver day-to-day support that encourages research best practices, drives the adoption of IH services and products, and ensures our sites achieve their research goals. 

Key Responsibilities: 

• Own end-to-end clinical research operations for biological sample collections trials, serving as the primary accountable party for trial execution quality and sponsor satisfaction outcomes
• Build and manage DCT (decentralized clinical trial) vendor relationships, including performance management, metrics tracking, and oversight to ensure biological sample collections trial delivery
• Own the information flow between sites and sponsors - including internal study education, site engagement protocols, and issue escalation pathways
• Serve as leading sponsor-facing owner for active studies - leading alliance management meetings by providing study updates, reviewing metrics, discussing site accomplishments and ongoing issues, and gathering information to relay to site-based staff, driving sponsor satisfaction, and owning escalation resolution
• Drive direct QC enforcement with site CRCs/staff, including data quality expectations-setting and direct communication on compliance gaps
• Own site performance improvement through metrics, change management, and direct intervention - proactively identifying and resolving performance gaps before sponsor escalation
• Demonstrate advanced knowledge of clinical research processes and tools, such as CTMS, pre-screening, and/or feasibility, and enhance these processes and outputs to effectively support our sites or internal teams. 
• Serve as a subject matter expert on clinical research workflows, in line with specific requirements of each protocol, optimized with Iterative Health (IH) services and AI solutions
• Support and lead weekly meetings with site-based staff to review enrollment progress, address operational issues, and provide guidance for performance improvement.
• Manage customer relationships with a high degree of professionalism and expertise ensuring timely responses, escalations of site issues, and building trust needed to help sites achieve IH goals
• Leverage IH solutions and services to help build best practice research sites, accelerate clinical trials, and build capacity at IH sites to execute high-quality clinical trials. 
• Deliver customized training for different clinical research user groups and devise process maps/workflows, tools, and techniques to help sites incorporate IH services
• Travel to customer sites to support study site activation, drive patient screening, and standby support for randomization activities 
• Collect, analyze, and communicate the voice of IH customer successes, concerns, and product adoption issues/competency gaps and collaborate with IH cross-functional teams to design and deliver solutions 

Required skills: 

• BS/BA or higher degree. 
• Minimum 4 years of clinical research coordinator experience
• At least 8 years of experience with biological sample collection trials and/or phase 2-4 pharma-sponsored clinical trials, including study start-up, CDA, feasibility, regulatory/standard operating procedures, study protocols, and regulations governing clinical research 
• Experience coordinating, evaluating, and following patients’ participation through clinical trials.
• Fluent in the use of Microsoft Office/Google Apps products. 
• Ability to navigate ambiguity and willingness to be flexible/adapt to changing work environments. 
• Desire to work with new tools and technology
• Ability to manage multiple projects, meet deadlines, and adjust priorities appropriately.
• Willingness to travel to customer sites (~30%) 

Preferred skills: 

• 5+ years as a Clinical Research Coordinator (CRC) working with biological sample collections trials or equivalent experience
• Experience with CTMS systems - preferably RealTime, Clinical Conductor, or CRIO

Iterative Health is pioneering the use of artificial intelligence-based precision medicine in cardiology, with the aim of helping to optimize clinical trials. Ultimately, the company aims to establish more meaningful endpoints to serve as better predictors of both therapeutic response and disease outcomes. This is an exciting time in the Clinical Research industry! Our team is driving the advancement of research by implementing streamlined processes, with a mission of getting treatment options to patients in a faster, more efficient way.

The Clinical Research Systems Specialist is responsible for supporting our clinical trial service operations through the development, maintenance, and quality assurance of administrative clinical trial materials. 

What you’ll be doing: 

• Perform and maintain study builds within CTMS system(s) 
• Support clinical research sites within their CTMS 
• Support Clinical Research Specialists & clinical research sites in EHR prescreening and management of Patient Findings Report 
• Conduct quality review and user acceptance testing of study builds to ensure alignment with protocol, sponsor requirements, and internal standards
• Maintain databases/spreadsheets as necessary to facilitate tracking/documentation of departmental activities 
• Provide QC support for budget and contract team 
• Attend project meetings as needed 
• Read and understand each assigned protocol 
• Provide regular reports to advise leadership of quality issues and to guide process corrections & improvements 
• Perform administrative duties in conformity with company policies and procedures
• Partner cross-functionally with clinical operations, regulatory, finance, and site teams to support study launch and execution.

Required Skills: 

• Clinical Research Coordinator experience
• Experience with CRIO, RealTime CTMS or similar clinical research technology platforms
• Attention to detail and thorough follow-up skills 
• Capable of handling and interacting with data in a confidential and compliant manner 
• Ability to competently use and learn software such as internet browsers, Adobe, Microsoft Office (Word, Excel, PowerPoint, Outlook, Teams) and clinical trial management system (CTMS) 
• Intellectually curious 
• Hardworking, forward-thinking, credible, conscientious, and creative 
• Thrives when working within a high-paced, fluid environment 
• Excellent time management, planning, and organizational skills are required 
• Excellent written and verbal communication skills 
• High level of tact, integrity, and professionalism 

Preferred Qualifications: 

• Experience within a healthcare start-up preferable 
• Experience reading and understanding clinical research manuscripts and protocols
• Experience with vendor management 
• Familiarity with ICH GCP/GDP guidelines
• Familiarity with the following study documents: Budgets, CTAs, eCRF guidelines, lab manuals, pharmacy manuals, informed consent forms, annotated CRFs, etc.