About the Role

We are seeking a Senior Commercial Program Manager to drive operational excellence across the Commercial organization. This role will focus on building scalable processes, improving cross-functional workflows, and ensuring consistent operating rhythms that enable the business to execute effectively against revenue goals.

The ideal candidate combines strong analytical thinking with pragmatic execution skills. They are highly organized, comfortable working across multiple stakeholders, and skilled at translating business priorities into structured processes, clear metrics, and efficient workflows to increase speed, predictability, and efficiency.

This individual will work closely with commercial leadership to run our operating cadences, eliminate friction across cross-functional workflows, and build the infrastructure that lets the business scale. 

Key Responsibilities

Process Design & Workflow Optimization

• Evaluate existing commercial workflows and identify opportunities to streamline processes and reduce friction in partnership with the Commercial team
• Design and implement scalable processes that improve efficiency
• Standardize documentation, handoffs, and communication channels to improve cross-functional alignment
• Reduce manual work and improve repeatability of core commercial processes

Metrics, Reporting & Insights

• Partner with Analytics  to define and maintain key commercial metrics
• Analyze performance trends to identify opportunities for improvement
• Ensure leadership has clear visibility into pipeline health, performance against goals, and operational risks
• Translate data into actionable insights that support decision-making

Cross-Functional Program Leadership

• Drive alignment across Commercial and Operations teams
• Support execution of key commercial initiatives and strategic priorities
• Ensure dependencies are clearly identified and managed
• Help teams stay organized and focused on delivering outcomes

Continuous Improvement

• Identify structural issues that slow execution or create ambiguity
• Proactively propose solutions that improve clarity, accountability, and speed
• Build frameworks that scale with company growth
• Serve as a thought partner to commercial leadership on operational improvements

Commercial Operating Rhythm

• Support the execution of cadences across the Commercial organization, including leadership meetings, quarterly planning, and goal tracking
• Ensure agendas, priorities, and action items are clearly defined and followed through
• Identify opportunities to improve meeting effectiveness and decision-making clarity
• Help leadership maintain focus on highest-impact initiatives

Qualifications

Required

• 6–10 years of experience in program management, business operations, strategy & operations, or commercial operations
• Demonstrated experience improving business processes and operational workflows
• Strong organizational skills and attention to detail
• Experience working with leadership teams to drive execution against strategic priorities
• Strong analytical skills and comfort working with metrics and dashboards
• Excellent communication skills, including ability to synthesize complex topics clearly
• Ability to influence without authority across multiple stakeholders
• Experience supporting structured operating cadences

Preferred

• Experience supporting Sales, Marketing, or Customer Success organizations
• Familiarity with CRM and analytics tools (e.g., Salesforce, HubSpot, Looker)
• Experience working in high-growth or scaling organizations

Position Overview

We are seeking a detail-oriented Director, Compliance to join Iterative Health's growing team in New York, NY or Cambridge, MA. This role will be instrumental in leading the strategic development of compliance programs to ensure our clinical trial optimization solutions meet all regulatory requirements across healthcare, clinical trials, and data privacy domains. The ideal candidate will have deep expertise in healthcare compliance frameworks and the ability to operationalize complex regulatory requirements in a fast-paced health tech environment.

Key Responsibilities

Regulatory Compliance & Risk Management

• Experienced with the compliance aspects of clinical trial & clinical research
• Maintain comprehensive compliance with GDPR, HIPAA, and other applicable data privacy regulations
• Lead SOC 2 Type II audit preparation and ongoing compliance, including controls documentation and evidence collection
• Develop and implement compliance policies and procedures specific to clinical trial technologies and healthcare AI solutions
• Ensure adherence to Anti-Kickback Statute, Stark Law, and PhRMA Code requirements in all business relationships
• Monitor evolving AI regulations and their impact on clinical trial optimization platforms

Quality Management & Documentation

• Oversee Quality Management System (QMS) in partnership with other team members, for maintenance and contractual compliance 
• Establish and maintain comprehensive record retention policies across clinical, regulatory, and business functions
• Manage document control processes for clinical protocols, compliance documentation, and regulatory correspondence
• Coordinate with clinical operations team to ensure GCP compliance in trial management and data collection

Contract & Vendor Compliance

• Review and negotiate compliance terms in customer agreements, vendor contracts, and clinical trial agreements
• Conduct vendor risk assessments and ongoing compliance monitoring for third-party service providers
• Ensure contract compliance with healthcare customer requirements, including BAAs and data processing agreements
• Support commercial team with compliance aspects of customer onboarding and due diligence processes

Training & Cross-Functional Support

• Develop and deliver compliance training programs for employees across all functions
• Serve as primary compliance liaison with external auditors, regulators, and certification bodies
• Collaborate with legal, clinical, and product teams on regulatory strategy and risk mitigation
• Maintain compliance calendar and ensure timely completion of regulatory filings and renewals

Required Qualifications

Education & Experience

• Bachelor’s degree in Life Sciences, Business, or a related field plus 8+ years of compliance experience in healthcare, biotech, or clinical research organizations; advanced degree preferred
• OR Juris Doctor (JD) or other advanced degree plus 5+ years of compliance experience in healthcare, biotech, or clinical research organizations
• Direct experience with clinical trial regulations and GCP requirements
• Proven track record managing compliance programs in regulated industries

Technical Expertise

• Employment law and HR compliance expertise, including workplace privacy, salary transparency, employee data protection, and regulatory training requirements
• Corporate governance and general business compliance including anti-corruption, export controls, and corporate record-keeping requirements
• Privacy program management across all business functions, including vendor privacy assessments and cross-border data transfer compliance
• Financial compliance awareness including regulatory reporting requirements
• Deep knowledge of GDPR and HIPAA requirements and implementation
• Hands-on experience with SOC 2 audits and information security compliance frameworks
• Familiarity with clinical research regulations (GCP, ICH guidelines, 21 CFR Part 11)
• Understanding of AI/ML regulatory landscape in healthcare and clinical trials

Core Competencies

• Strong analytical and problem-solving skills with ability to translate complex regulations into actionable policies
• Excellent written and verbal communication skills for regulatory correspondence and training delivery
• Project management experience with ability to manage multiple compliance initiatives simultaneously
• Detail-oriented approach with strong documentation and process improvement capabilities

Preferred Qualifications

• Professional certifications (CIPP, CISA, CCEP, CHRC, or similar compliance credentials)
• Experience with international regulations (EU Clinical Trials Regulation, other global markets)
• Background in clinical research or pharmaceutical compliance
• Familiarity with AI ethics and algorithmic bias considerations in healthcare
• Experience with healthcare technology or SaaS compliance programs

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

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.

Location: Cambridge, MA

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

• Education: Bachelor’s degree in Accounting, Finance, or Business Administration.
• Experience: 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.

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 Responsibilities

Strategic 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.

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

About the Role

Iterative Health is redefining how clinical trials are conducted in IBD, and we’re looking for a commercial leader to help scale that impact. As Director of Life Sciences, you will drive the next chapter of Iterative Health’s growth in the biopharma and biotech ecosystem, owning and expanding relationships with our most important sponsors.

This is a high-visibility, client-facing role for a builder - someone who thrives on creating value in complex partnerships, influencing senior stakeholders, and driving outcomes that matter. You’ll be the connective tissue between sponsors and Iterative’s internal teams, ensuring we deliver on every commitment while shaping how we evolve our solutions to meet the future of clinical research.

This role is ideal for a relationship-driven commercial leader who thrives in high-growth environments and enjoys building deep, strategic partnerships in the life sciences space. 

Responsibilities

• Own Strategic Partnerships: Serve as the primary relationship lead for major biopharma and biotech sponsors — building trust, credibility, and alignment at senior and executive levels
• Drive Growth & Retention: Develop and execute account strategies that deepen partnerships, secure renewals, and expand engagement across studies, indications, and services
• Lead Account Strategy & Planning: Partner with cross-functional teams to forecast, analyze performance, and deliver joint business plans that unlock shared growth
• Ensure Operational Excellence: Work cross-functionally with internal teams (product, operations, clinical) on timelines, deliverables, and performance standards to consistently exceed sponsor expectations
• Shape Commercial Strategy: Translate sponsor insights into actionable recommendations that influence pricing, go-to-market approaches, and Iterative Health’s evolving value proposition
• Represent Iterative Health: Serve as a senior representative at industry conferences, sponsor forums, and advisory boards — positioning the company as a trusted, innovative partner in clinical research
• Monitor and Optimize Account Health: Track satisfaction and performance metrics to proactively address risks and surface new opportunities

What We’re Looking For

Required Qualifications

• 8–10+ years of experience in life sciences with a focus on enterprise account management, strategic partnerships and clinical trials.
• Proven success in managing and growing enterprise-level sponsor accounts in the biotech and biopharma space.
• Skilled in relationship management, executive-level communication, and strategic account planning.
• Strong track record of delivering against growth targets in a high-growth, fast-paced environment.
• Entrepreneurial mindset with a high level of ownership and accountability.
• Ability to collaborate effectively across internal functions and navigate cross-functional ambiguity.
  
  

Preferred Qualifications

• Deep understanding of the clinical trials and sponsor landscape.
• Prior managerial experience.
• Advanced degree in healthcare or business (MBA, MPH, PhD).

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.

About the Role

We're looking for a driven, detail-oriented Clinical Contracts Specialist to join our small but mighty Legal team. In this role, you will manage and negotiate clinical trial agreements with sponsors and biotech partners, serving as a key point of contact throughout the contract lifecycle. Through your organization, communication skills, and daily dedication, you will have a meaningful impact on the success of our clinical partnerships and, ultimately, on the patients we serve.

Responsibilities

• Draft, review, and negotiate clinical trial agreements (CTAs), confidentiality agreements (CDAs), and related documents with sponsors and biotech partners
• Serve as the primary point of contact for external parties on contract status, redlines, and execution timelines
• Manage the contract lifecycle in Ironclad, including tracking pending agreements, maintaining version control, and ensuring timely follow-ups
• Route finalized agreements for signature and maintain organized records of executed contracts
• Collaborate with clinical, business development, and finance teams to align contract terms with operational and budgetary requirements
• Identify and escalate contractual issues or non-standard terms to the Director of Legal for resolution
• Drive excellence and efficiency by maintaining templates, playbooks, and standard operating procedures for clinical contracting
• Support audit and compliance requests by ensuring contract documentation is complete and accessible

What We're Looking For

• Bachelor's degree in Life Sciences, Legal Studies, Business, or a related field
• 3+ years of experience negotiating or administering clinical trial agreements, preferably within a sponsor, CRO, or healthcare technology company
• Proficiency with contract lifecycle management systems (Ironclad preferred; Agiloft, Concord, or similar acceptable)
• Strong understanding of clinical research processes and regulatory considerations (e.g., ICH-GCP, HIPAA)
• Excellent written and verbal communication skills with the ability to manage multiple external stakeholders
• You are highly organized and adept at managing time-sensitive work streams and competing priorities
• You are a team player who dives head first into accepting diverse and challenging assignments with rigor and tenacity
• You have high integrity and excellent judgment

What We Offer

• Medical, dental, and vision insurance
• Life and disability insurance
• Parental leave
• Stock options
• Flexible work hours
• Unlimited paid time off

Our Commitment to Diversity

At Iterative Health, we're building a team that reflects the diversity of the patients we serve. We are committed to fostering an inclusive and equitable workplace, including our hiring process. If you require accommodations during the application or interview process, please reach out to: CandidateAccommodations@iterative.health.

About the Role

We are seeking a highly motivated Finance Analyst to join our growing team. In this role, you’ll partner closely with the Finance, Accounting and operational teams, as well as cross-functional stakeholders, to support strategic decision-making and optimize financial operations across the business. This is a high-impact role where you’ll gain hands-on experience supporting the financial operations of a rapidly scaling healthcare technology company. You will also play a key role in evolving our financial systems and infrastructure, particularly as we expand our joint venture (JV) partnerships and build for scale.

Responsibilities

• Develop and maintain robust financial models to evaluate revenue performance, key business metrics, and strategic growth initiatives
• Prepare and present monthly reports to key business stakeholders, offering clear insights and transparency into financial performance
• Support the automation and accuracy of reports as the company builds out an EDW and implements Adaptive Insights
• Provide strategic analysis and actionable recommendations to support decision-making across the business 
• Enhance forecast accuracy through deep understanding of financial and operational drivers
• Strengthen financial infrastructure and reporting processes to support scalability, efficiency, and accuracy
• Foster strong collaboration between finance and business partners; work closely with operational teams to define department-level KPIs and identify opportunities for performance improvement
• Contribute to high-impact financial initiatives, including board materials, investor communications, and other core finance functions

What We’re Looking For

Required Qualifications

• 2–3 years of experience in investment banking, consulting, or in a corporate finance / FP&A related role at a high-growth startup
• Strong financial modeling, analytical and problem-solving skills, with attention to detail
• Familiarity with accounting principles and financial reporting
• Demonstrated interest in corporate finance and business operations
• Proficiency in Excel and PowerPoint, with strong presentation skills and the ability to communicate financial insights clearly to both technical and non-technical audiences
• Strong written, verbal, and interpersonal communication skills
• Proven ability to work independently and manage cross-functional projects
• High level of ownership and a desire to learn and grow

Preferred Qualifications

• Prior experience with accounting systems (e.g., NetSuite)
• Accounting experience or relevant certification (e.g., working towards CFA certification)

About the Role

The Manager, Pre-Screening owns the top of the patient funnel for Iterative Health studies, including leading indicators on screenings, randomizations, and funnel volume / health. They will manage a team who performs EHR chart review to identify potential candidates for trial enrollment and are responsible for ensuring that every trial Iterative Health supports receives the right pre-screening support. 

Responsibilities

• Execute human-in-the-loop component of EHR chart review and patient identification
• Develop and standardize EHR chart review processes and define metrics to measure quality
• Read and understand assigned study protocols to develop pre-screening approach and train team against
• Own strategy to increase impact of EHR chart review 
• Ensure team achieves high performance on key success metrics and make recommendations on how to scale team capacity 
• As needed, provide coverage for team and perform EHR chart review 
• Support team members by resolving immediate issues and providing first-level guidance
• Own requirement development with Product team related to technologies developed for pre-screening 

What We’re Looking For

Required Qualifications

• Experience managing a team
• Familiarity with clinical research protocols and manuscripts
• Experience with Electronic Health Records systems 
• Exceptional attention to detail and follow-up skills
• Ability to handle and interact with confidential data securely and compliantly.
• Proficiency in software such as internet browsers, Adobe, Microsoft Office Suite (Word, Excel, PowerPoint, Outlook, Teams), and Salesforce

Preferred Qualifications

• Clinical Research sector experience preferred
• Familiarity with reading and understanding clinical research manuscripts and protocols
• Familiarity with reviewing electronic health record data
• Past experience working with Product teams to develop user requirements
• Experience within a healthcare start-up preferred

What We Offer

• Medical, dental, and vision insurance
• Life and disability insurance
• Parental leave
• Stock options
• Flexible work hours
• Unlimited paid time off
  
  

Our Commitment to Diversity
At Iterative Health, we’re building a team that reflects the diversity of the patients we serve. We are committed to fostering an inclusive and equitable workplace, including our hiring process. If you require accommodations during the application or interview process, please reach out to: CandidateAccommodations@iterative.health.

About the Role

We are seeking a highly motivated Director of Operational Finance & Analytics to join our growing team. In this role, you will partner closely with executive leadership, finance, and operational teams to own the operational finance for our growing number of research sites and enterprise analytics capabilities of the company, ensuring the accuracy, consistency, and governance of key metrics and a true single source of truth.

This role will play a critical part in building and scaling the company’s Enterprise Data Warehouse (EDW) and implementing Adaptive Insights, leveraging these key systems to deliver reliable reporting and forecasting in order to support operational decision-making. This is a hands-on leadership role with the opportunity to drive significant impact as the company scales.

Responsibilities

• Serve as the primary finance partner to the operations team, linking financial performance to operational decisions
• Own site level financial reporting and analysis, with a view on margins, cost drivers, productivity, and performance by location
• Develop an advanced understanding of the business and work closely with the operational teams to develop, maintain and update reporting dashboards
• Define and maintain standardized financial metrics, documentation, and reconciliation processes to ensure a single source of truth
• Support the implementation and optimization of Adaptive Insights and the design, buildout and management of the Enterprise Data Warehouse
• Partner closely with regional directors and site-level leaders to deliver scalable, self-service reporting that supports local decision-making while maintaining governance ensuring data integrity and consistency across source systems (EDW, NetSuite, Adaptive, and operational tools)
  
  

What We’re Looking For

Required Qualifications

• 8+ years of experience in operational finance, FP&A, or finance-embedded BI roles within high-growth companies
• Demonstrated experience owning operational and financial metrics, reporting, and dashboards used by executives and operators
• Solid understanding of accounting principles, financial statements, and reconciliation to the general ledger
• Working knowledge of Adaptive Insights, modern BI tools (PowerBI, Tableau, etc.), and Enterprise Data Warehouses with the ability to partner effectively with data teams
• Advanced analytical and problem-solving skills with the ability to work through ambiguous or imperfect data
• Proficiency in Excel and PowerPoint, with the ability to clearly communicate financial insights to both technical and non-technical stakeholders
• Proven ability to lead cross-functional initiatives and partner effectively across Finance, Operations, and Data
• High degree of ownership, sound judgment, and comfort operating in a hands-on, fast-moving environment
• Excellent written, verbal, and interpersonal communication skills
  
  

Preferred Qualifications

• Experience in healthcare or multi-site organizations
• Experience with Workday Adaptive Planning and NetSuite, preferred
• Experience with Power BI dashboards, preferred

About the Role

We are seeking a motivated and detail-oriented Clinical Research Finance Specialist to join our growing Finance team. This role partners closely with the Finance Manager to support end-to-end accounts receivable operations across sponsor-funded clinical studies and internal research sites.

You will own core transactional AR workflows, including monitoring sponsor and site-level accounts, supporting timely collections, posting cash in RealTime CTMS, and assisting with invoicing as needed. This role requires close collaboration with internal teams, research sites, and sponsors and CROs to ensure accurate billing, timely cash application, and prompt resolution of outstanding balances.

The ideal candidate thrives in a fast-paced clinical research environment and enjoys balancing hands-on execution with cross-functional collaboration and continuous process improvement.

Key Responsibilities

• Support day-to-day accounts receivable operations, including monitoring sponsor and site-level balances and assisting with timely collections
• Reconcile study-level balances and payment activity, identifying discrepancies and partnering with stakeholders to resolve issues
• Accurately post cash receipts and payment details in RealTime CTMS and related financial systems
• Prepare and issue invoices for study activities and services in coordination with sponsor communications and internal teams
• Communicate professionally with sponsors and CROs regarding billing questions, payment status, and outstanding balances
• Assist in the preparation of AR aging schedules, financial summaries, and internal reporting
• Support audits and financial reviews related to accounts receivable and billing activity
• Collaborate cross-functionally with Clinical Operations, Site Finance, and Accounting to clarify billing terms and deliverables
• Contribute to ongoing process improvements to enhance AR efficiency, accuracy, and visibility
• Provide general finance support as needed to ensure smooth AR operations

Required Qualifications

• Bachelor’s degree in Finance, Accounting, Business, or a related field (or equivalent practical experience)
• 2+ years of experience in accounts receivable, billing, or finance operations
• Strong proficiency in Microsoft Excel, including data analysis and reporting
• High attention to detail with the ability to manage multiple priorities and deadlines
• Excellent written and verbal communication skills, with a professional approach to external stakeholders

Preferred Qualifications 

• Experience with RealTime CTMS or similar clinical trial management and billing systems
• Background in healthcare, clinical research, or multi-site organizations
• Familiarity with sponsor contracts, clinical trial invoicing, or study-level financial reconciliation

About the Role

Accelerating clinical research is one of the defining challenges in healthcare. Promising therapies exist that patients can't access because the operational infrastructure to run clinical trials efficiently doesn't exist yet. We're building it. That means designing technology systems that bring order to a fragmented landscape of clinical data sources, automating the operational work that slows trials down, and turning real-world clinical data into a foundation for predictive intelligence.

We're building a uniquely valuable data asset: real-world patient and research data flowing across 80+ trial sites, spanning dozens of EHRs and clinical systems, focused on patient populations that are chronically underserved by existing clinical research infrastructure. Your job is to build the pipelines, data models, and AI infrastructure that make this asset real, from ingestion and normalization through to the systems that power predictions on top of it. You'll own data quality and observability as foundational engineering problems. You'll also have a direct hand in shaping how this data drives our AI strategy, what we model, what we predict, and what becomes possible.

This is an opportunity for someone who wants to be part of a small, fast-moving engineering team at a formative stage. You'll shape what gets built, how decisions get made, and what the team becomes.

Responsibilities

• Own the data layer and architecture:  the models, schemas, and infrastructure decisions that everything downstream depends on
• Build and operate the pipelines and transformations that move data from ingestion through normalization, enrichment, and into the formats that support analytics, ML training, and production model serving
• Own data quality and observability: build the systems that make data issues visible and correctable before they compound
• Partner with ML and engineering teams to identify what's modelable, define training data requirements, and build the data foundations for new predictive capabilities
• Define how clinical and operational data is governed across the system
• Evaluate and select the tools and technologies that make up the data stack, with a clear point of view on build vs. buy
• Help shape the engineering culture of a small, growing team: how technical decisions get made, how problems get debated, what rigor looks like in practice

What We’re Looking For

Required Qualifications

• 10+ years of experience in data engineering or related roles, with significant time spent building data systems
• Experience with healthcare data strongly preferred (HL7, FHIR, claims, EHR extracts) or other complex, regulated data domains
• Deep experience modeling and integrating data from multiple heterogeneous sources with inconsistent schemas and quality
• Experience applying AI and LLMs to data engineering problems: extraction, normalization, classification, entity resolution
• Strong understanding of how data infrastructure supports ML workflows from feature engineering to training data pipelines to model serving
• Fluent in SQL and at least one modern programming language (Python, Java, Scala, Go), with experience across modern data infrastructure - distributed processing, streaming, cloud-native storage, orchestration, and transformation frameworks
• Have built data systems from early stages, making foundational decisions with incomplete information
• Naturally raise the quality of the engineering around you through code review, design guidance, and honest technical conversation

Preferred Qualifications

• Experience building data infrastructure that directly supports ML model training and evaluation
• Familiarity with clinical trial operations, EDC systems, or life sciences data
• SOC 2, HIPAA or similar compliance experience baked into engineering practice
• A track record of building or improving data systems that others had given up on making reliable

Program Manager II, Integrations

About the Role

We are seeking a Program Manager II, Integrations to support the end-to-end integration of acquired companies and new partnerships. This role is responsible for executing integration activities within defined timelines, proactively identifying and resolving blockers, and contributing to the continuous improvement of integration workflows to increase speed, predictability, and impact.

This role requires a strong operator who can manage complex details and cross-functional dependencies day-to-day, while also contributing to systemic process improvements. Working closely with the Senior Program Manager, Integrations, the Program Manager II will develop deep expertise across the integration lifecycle – with a clear growth path toward independently owning and driving end-to-end integrations for single-site acquisitions.

Key Responsibilities

Program Execution & Coordination

• Support the end-to-end M&A integration process, from pre-close planning through post-close execution, managing timelines, dependencies, and risks across multiple concurrent workstreams
• Build and maintain comprehensive project plans detailing integration tasks, milestones, timelines, and responsible parties
• Ensure integration milestones are met within defined SLAs, escalating risks and delays proactively with clear context, impact, and recommended solutions
• Lead recurring integration workstream meetings, ensuring pre-meeting briefings, post-meeting action items, and project plans are continuously updated and shared with relevant stakeholders

Cross-Functional Coordination

• Coordinate across cross-functional partners including clinical operations, regulatory, legal, finance, and commercial teams
• Identify cross-functional integration dependencies and work to alleviate bottlenecks
• Drive alignment and follow-through across stakeholders with differing priorities
• Help teams prioritize tasks across multiple concurrent integration activities

Process Improvement & Documentation

• Identify bottlenecks and inefficiencies in the integration lifecycle using data and operational insights
• Contribute to the development and maintenance of the integration playbook and standardized templates
• Support the standardization of processes and operating rhythms to support scale, with an eye toward automation
• Maintain clear integration documentation and reporting artifacts

Metrics & Reporting

• Maintain and update the integration reporting dashboard for leadership visibility
• Track key performance indicators to measure the success of integration efforts
• Use data to inform prioritization and process improvements

Required Qualifications

• 3–5 years of experience in program management, operations, M&A integration, or project management
• Proven track record of managing complex, cross-functional projects with tight timelines and multiple stakeholders
• Strong execution skills with exceptional attention to detail and organizational ability
• Experience facilitating efficient meetings and ensuring accountability for results
• Excellent written and verbal communication skills, including the ability to simplify complex topics
• High degree of ownership, judgment, and comfort operating independently

Preferred Qualifications

• Experience contributing to or executing acquisition integration projects
• Experience in healthcare technology, clinical research, or life sciences
• Familiarity with change management methodologies
• Experience scaling or maturing operational programs in growing organizations

At Iterative Health, we are pioneering the application of powerful, proprietary artificial intelligence tools to the practice of gastroenterology, 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.

The Clinical Data Specialist  is responsible for supporting our clinical trial service operations through performing EHR chart review to identify patients who are candidates for clinical trials. 

What you’ll be doing:

• Support research sites within the Iterative Health network by reviewing the electronic health records 
• Building a database of potential study candidates
• Read and understand each assigned protocol to understand the applicable protocols and criteria of studies to determine specific patient population needs
• Maintain documentation to track findings from Patient Pre-Screening
• Attend project meetings as needed
• Perform administrative duties in conformity with company policies and procedures

Required Skills:

• Experience and competency in common office tools such as internet browsers, Adobe Acrobat, Microsoft Office (Word, Excel, PowerPoint), Google Workspace (Email, Drive, Sheets, Docs) and messaging platforms (Slack)
• Ability to quickly learn new systems and platforms such as Electronic Health Record systems, Customer Relationship Management systems (Salesforce) and clinical trial management systems (ie CTMS)
• Thrives when working within a high-paced, fluid environment
• Excellent time management, planning, and organizational skills are required
• Attention to detail and thorough follow-up skills
• Capable of handling and interacting with data in a confidential and compliant manner
• Excellent written and verbal communication skills
• High level of tact, integrity, and professionalism

Preferred Qualifications:

• Clinical Research sector experience preferred
• Familiarity with reading and understanding clinical research manuscripts and protocols
• Familiarity with reviewing electronic health record data
• Familiarity with GCP guidelines
• Experience within a healthcare start-up preferred

We are seeking an energetic, highly organized and detail-oriented individual to fill a full-time, Payroll Specialist role. The ideal candidate is an enthusiastic self-starter who is motivated to set and  achieve goals and take initiative within the workplace. They are organized, professional  and demonstrate excellent attention to detail. The successful candidate will be critical in reducing manual processing risks, ensuring regulatory compliance, systems automatizations and day-to-day payroll operations. This position will give you the opportunity  to grow your payroll and accounting knowledge and experience.  This role plays a key part in ensuring the accuracy and efficiency of our financial operations and will support broader financial reporting and compliance initiatives.

Key Responsibilities

• Process and finalize payroll runs (Semi-Monthly, Bi-Weekly, Weekly, and specialized off-cycle runs) for all employees using our primary payroll platforms, Rippling and ADP.
• Verify all timecards, wage computation, statutory deductions, benefits deductions, garnishments, and employee changes for accuracy and compliance.
• Manage end-to-end processing, including reconciling final payroll previews and submitting funding requests.
• Serve as the primary subject matter expert for payroll and HRIS systems including Rippling, ADP, and BambooHR.

• Prepare payroll-related General Ledger (GL) entries into the NetSuite accounting system, ensuring accurate cost center allocations.
• Reconcile payroll accounts on a monthly basis.
• Monitor and reconcile bank account transactions related to payroll disbursements.

• Ensure timely and accurate processing of all federal, state, and local tax remittances, including quarterly and year-end reporting (W-2s, 1099s, 941a reports).
• Manage new state registrations for employees and quarterly Workers' Compensation (WC) tax reporting.
• Administer 401K contribution processing. 
• Support the annual 401K audit..
• Respond to and resolve employee inquiries regarding pay, deductions, and tax forms, reducing the administrative burden on the Accounting Manager.

Required Qualifications

• Education: Associate’s degree in Accounting, Finance, or a related field; Bachelor’s degree preferred.
• Experience: 2+ years of dedicated payroll processing experience, ideally managing high-frequency (monthly, bi-weekly, weekly) and multi-state payroll.
• System Proficiency: Proven, hands-on expertise with major systems including ADP, Rippling, Fidelity 401K, NetSuite, and advanced Microsoft Excel skills.
• Skills: Exceptional attention to detail, strong analytical and problem-solving skills, and ability to handle confidential information with discretion.

Preferred Qualifications

• Familiarity with ADP, Rippling, Bamboo, NetSuite.
• Professional certification (e.g., Fundamental Payroll Certification (FPC) or Certified Payroll Professional (CPP)).
• WorkDay Experience

About the Role

Accelerating clinical research is one of the defining challenges in healthcare. Promising therapies exist that patients can't access because the operational infrastructure to run clinical trials efficiently doesn't exist yet. We're building it. That means designing technology systems that bring order to a fragmented landscape of clinical data sources, automating the operational work that slows trials down, and turning real-world clinical data into a foundation for predictive intelligence.

We're looking for a Staff Data Scientist to be the person who understands our data deeply enough to know what's possible and curious enough to prove it. We have a truly unique data set within the industry, connecting clinical data (emr, endoscopic video, etc…) to trial data across 80+ trial sites. We're looking for someone who wants to dig deeply into this data - to understand its structure, its gaps, what it can tell us - and connect that understanding to real outcomes for sites and patients. The landscape is evolving rapidly, and the right person will have a point of view on how to apply new capabilities to our specific data and problems as they emerge.You'll work hands-on with the data, structure experiments, evaluate what's modelable, and directly influence what we build and how. This role sits at the intersection of data science, product strategy, and ML: you'll lay the foundation for our predictive capabilities and shape what that function becomes.

This is an opportunity for someone who wants to be part of a small, fast-moving engineering team at a formative stage. You'll shape what gets built, how decisions get made, and what the team becomes.

Responsibilities

• Work with clinical, video, and clinical trial operational data to understand what's there, what's meaningful, and how we can use it to drive a more efficient clinical trial system
• Design and run experiments that determine what's worth building
• Stay close to the evolving ML and model landscape and bring a point of view on how new capabilities apply to our data and problems
• Define the path from raw data to product and operationalization: what to model, how to evaluate it, and when it's ready to ship
• Partner with product and engineering to translate findings into concrete product decisions
• Identify opportunities where our data creates unique predictive advantages
• Evaluate where we should build, where we should partner, and where existing approaches fall short
• Help shape the engineering culture of a small, growing team: how technical decisions get made, how problems get debated, what rigor looks like in practice

What We’re Looking For

Required Qualifications

• 5+ years of experience in data science, applied ML, or quantitative research, with significant time spent hands-on with data
• Experience with healthcare data, clinical research, or life sciences
• A deep curiosity to understand data and connect it to the real world
• Deep experience designing and running experiments: you know how to structure a question, test it honestly, and draw conclusions that hold up
• Strong statistical foundations and the judgment to know when a result is meaningful versus interesting
• Fluent in Python and SQL, comfortable working across the data stack from exploratory analysis through to production-ready pipelines
• Experience working across data science, product, and engineering: you can influence what gets built, not just analyze what exists
• Have worked with complex, messy, real-world data and know how to make it useful without pretending it's clean
• Knowledgeable about ML capabilities and frameworks, with the judgment to know when something is genuinely applicable versus hype
• Can communicate findings clearly to technical and non-technical audiences, and make a persuasive case for what to build next

Preferred Qualifications

• Experience working at growth stage startups (strongly preferred)
• Experience with medical imaging or video data
• Familiarity with clinical trial operations, disease classification, or patient identification problems
• Experience building or defining the roadmap for an ML function from early stages
  • A track record of data science work that directly changed product direction

About the Role

Accelerating clinical research is one of the defining challenges in healthcare. Promising therapies exist that patients can't access because the operational infrastructure to run clinical trials efficiently doesn't exist yet. We're building it. That means designing technology systems that bring order to a fragmented landscape of clinical data sources, automating the operational work that slows trials down, and turning real-world clinical data into a foundation for predictive intelligence.

We're looking for a Staff Software Engineer to own the design and implementation of the core systems that make this possible. This means building robust integrations across a complex, fragmented landscape of EHRs, CTMS platforms, and clinical data sources, each with its own data models, access patterns, and operational constraints. It also means building the data infrastructure that powers our predictive capabilities: the pipelines, feature stores, and training infrastructure that allow us to move from raw clinical data to models that meaningfully improve trial execution. This is a generalist role for someone who thinks in systems. You'll move between architecture and implementation, between integration engineering and ML infrastructure, between defining technical strategy and writing the code that proves it out. The problems are genuinely hard, largely unsolved, and what you build will matter.

This is an opportunity for someone who wants to be a part of a small, fast moving engineering team at a formative stage. You'll shape what gets built, how decisions get made, and what the team becomes.

Responsibilities

• Own the technical architecture for our core systems and build the foundational abstractions and interfaces that everything else is built on top of
• Build reliable integrations with dozens of external clinical data systems (EHRs, CTMS, eSource, labs), treating this as a hard systems design problem, not just an ingestion problem
• Build and evolve the infrastructure that supports model training and predictive capabilities, from ingestion through feature engineering and serving
• Move fast by prototyping to drive experimentation; derisk ideas quickly to keep the team building what works
• Evaluate and choose the technologies we build on: make build vs. buy decisions, select vendors, and shape our long-term infrastructure strategy
• Make the key technical tradeoffs between speed and durability, between generality and shipping
• Work across product, clinical operations, and data science to make sure you're solving the right problems, not just the interesting ones
• Help shape the engineering culture of a small, growing team: how technical decisions get made, how problems get debated, what rigor looks like in practice

What We’re Looking For

Required Qualifications

• Have 10+ years of software engineering experience, with significant time spent designing and building systems not just features
• Experience with healthcare data systems (HL7, FHIR, EHR/EMR integrations) or other highly regulated data environments
• Have 2+ years experience working in a high-growth startup environment
• Have deep experience with system integration, particularly across unreliable or heterogeneous external data sources
• Can think through and explain the full picture of a complex system while still being effective at the implementation level
• Experience using AI tooling and frameworks as part of your engineering workflow
• Have built data pipelines and infrastructure that support analytical or ML workloads in production
• Strong across the backend stack (Python, SQL, cloud infrastructure) and can pick up new tools and systems quickly
• Have built systems from early stages, making foundational decisions with incomplete information, not just extending established infrastructure
• Naturally raise the quality of the engineering around you through code review, architecture guidance, and honest technical conversation

Preferred Qualifications

• Experience building ML training infrastructure or feature platforms
• Familiarity with clinical operations, systems, or life sciences data
• SOC 2, HIPAA or similar compliance experience baked into engineering practice
• A track record of building systems that had to work correctly under real operational constraints, scale and complexity

About the Role

The Chief of Staff (CoS) will work closely with the CEO, serving as a trusted advisor, gatekeeper, problem solver and strategic partner to develop and implement strategies that advance our mission. It is a fast-track role to become an Executive in the company, and you will be a member of the Executive Team. In this role you will have both internal and external-facing responsibilities, and will provide strategic oversight to operational and communication needs across the company. 

As the CoS, you will have to handle complex situations and multiple responsibilities simultaneously, mixing long term projects with the urgency of immediate demands. This role is a front seat to all the action in getting a startup off the ground and a terrific opportunity to leverage your broad visibility into the organization to identify challenges, develop solutions, and be an integral part of executing critical workflows. This is an ideal role for a top-performer who thrives at the intersection of strategy and execution, enjoys solving ambiguous problems, and wants accelerated exposure to executive-level decision making. 

This role is part of the Office of the CEO and will directly manage the current Strategy and Operations team. You'll be onboarding with the current Chief of Staff, and reporting to our CEO once ramped.

Responsibilities

Strategic Partnership to the CEO

• Serve as a trusted advisor and strategic thought partner, helping the CEO prioritize, sequence, and drive the company’s most critical decisions
• Act as an extension of the CEO’s capacity - amplifying insight, synthesizing information, and ensuring the CEO’s time is leveraged for the highest-impact activities
• Prepare executive communications, board narratives, leadership offsites, and strategic briefings.

Organizational Alignment & Operating Rhythm

• Own the company’s operating cadence, including Executive Team meetings, quarterly planning, reviews, and cross-functional forums
• Ensure organizational alignment on priorities, metrics, and accountability frameworks
• Drive clarity across teams by translating strategic goals into executable plans

Decision Support & Insight Generation

• Structure analyses that distill complex data into actionable insights for the CEO and leadership team.
• Provide decision support for strategic opportunities, including market assessments, product expansion initiatives, partnership evaluation, or financial modelingIncrease the quality and speed of decision-making across the company through high-quality strategic research

Execution Leadership for Strategy and Operations function

• Lead and project manage multi-threaded, high-stakes company initiatives that span clinical operations, site network growth, product development, commercial strategy, and people operations.
• Build frameworks, workflows, and playbooks that improve organizational performance and scale
• Lead and manage the Strategy and Operations team (currently 1 direct report)

Internal and External Communications

• Support CEO communication with employees, the Board, investors, partners, and key customersEnsure information flows seamlessly across teams and that the CEO is prepared for all engagements
  
  

What We’re Looking For

Required Qualifications

• 6-8 years of experience in management consulting, strategy, business operations, or a comparable high-performance environment.
• Strong business acumen with familiarity in healthcare, life sciences, digital health, or tech-enabled services
• Proven ability to structure problems, build analytical frameworks, and generate concise, insight-rich recommendations
• Exceptional project management skills: ability to run multiple initiatives, align stakeholders, and drive outcomes independently
• Strong executive presence with the ability to earn trust quickly and communicate with clarity and influence
• Experience thriving in fast-paced, high-growth, ambiguous environments
• Willingness to be in our NYC or Cambridge office 2+ days per week
• Willingness to travel ~15% for customer, partner, or conference engagement

Preferred Qualifications

• Experience in health-tech, clinical research, or AI-driven healthcare solutions
• Exposure to C-suite advising, board engagement, or executive-level decision support
• Prior experience working inside a scaling startup or operator role

About the Role

We are seeking a detail-oriented and commercially driven Manager of Business Development Operations to own end-to-end BD execution across our IBD, broader GI, and hepatology portfolio. This is a highly cross-functional role that sits at the intersection of commercial strategy, site operations, and sponsor partnerships. Reporting to the Director of Business Development, you will serve as the primary internal point of contact for new contracts and play a critical role in ensuring seamless execution from lead to signed study. You will own the processes, metrics, and relationships that keep our BD pipeline moving — and ultimately help bring new therapies to patients faster.

Responsibilities

• 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
• Lead the cross-functional scoping and pricing process for new study opportunities
• Keep the business development pipeline organized and visible by maintaining up-to-date reporting on where each opportunity stands
• Support the Director of Business Development in preparing for key sponsor interactions, including developing pitches and proposals, building conference materials, and ensuring the team shows up well-prepared for high-stakes meetings
• Continuously identify opportunities to streamline and improve the business development process to accelerate deal pull-through and reduce time to contract close

Required Qualifications

• 4–7+ years of experience in life sciences, clinical trials, business development, or enterprise partnerships
• Experience managing end-to-end commercial processes, from scoping and pricing through contract execution
• Strong cross-functional collaborator with a track record of working effectively across clinical, operations, and legal teams
• Highly organized with strong attention to detail and ability to manage multiple deals and workstreams simultaneously
• Excellent communication and relationship management skills
• Comfortable working in a fast-paced, high-growth environment with competing priorities

Preferred Qualifications

• Experience in gastroenterology, hepatology, or adjacent therapeutic areas
• Deep understanding of the clinical trials landscape
  • Advanced degree in healthcare or business (MBA, MPH, or equivalent)

We are seeking an MBA Marketing Intern for a 3-month summer internship who thrives in a high-growth, fast-paced environment. This role will support the Marketing team while gaining exposure to a wide range of strategic and executional marketing initiatives. This is a highly cross-functional role, working closely with Operations, Product, Commercial, Medical Affairs, and Brand/Creative teams. Reporting to the Head of Marketing, you will contribute across multiple areas, including messaging and positioning, content development, campaign execution, customer insights, digital marketing, and brand strategy.

Specific Duties

• Own & Deliver a Marketing Capstone Project

• Lead a high-impact marketing project from scoping through execution and final presentation

• Partner with cross-functional stakeholders to define objectives, synthesize insights, pilot the program, track learnings, and deliver actionable recommendations

• Present findings to leadership at the conclusion of the internship

• Support Marketing Campaigns & Execution

• Assist in building and executing integrated marketing campaigns across channels

• Support white-glove in-person or digital event planning 

• Support content creation efforts, including thought leadership, sales enablement materials, and digital assets

• Support Customer & Market Insights

• Conduct market research, competitive intelligence, and customer analysis

• Synthesize secondary research to inform strategy and decision-making

• Support Marketing Operations & Performance

• Assist in tracking campaign performance and marketing KPIs

• Help maintain marketing systems, processes, and reporting frameworks to improve team efficiency

• Support Web, Digital & Social Media

• Contribute to website updates, SEO/SEM initiatives, and digital content optimization

• Support social media planning, content development, and performance tracking

We Value GRIT, So You’ll Fit In if:

• G — Growth: You are an avid learner and challenge yourself 

• R — Responsibility: You take immense pride in your work and follow through on your work, small or large 

• I — Impact: You are excited to roll up your sleeves and work on projects with true business meaning, and not just observe

• T — Team: You collaborate and communicate effectively with team members of different backgrounds and perspectives

Required Qualifications 

• Bachelor's degree in marketing, business, or a related field required

• Active MBA student pursuing Masters in Marketing, or related field 

Preferred Qualifications

• Familiarity with CRM and marketing automation tools, especially HubSpot

• Prior experience in healthcare

Travel: 

• Location: Hybrid role at Cambridge, MA headquarters 

• No other travel anticipated 

About the Role

Iterative Health is looking for a Sr Manager, Analytics to be the primary analytics partner to our operations and go-to-market teams. You will own how we define, measure, and improve performance across the business, turning raw data into clear insights that drive smarter decisions and faster execution.

This is a hands-on, high-impact role for someone who loves digging into data, building scalable reporting, and influencing strategy. You’ll work closely with Operations, Sales, and our Finance team to ensure leaders have the metrics and insights they need to grow efficiently.

Responsibilities

Own our metrics

• Define and standardize KPIs across sales, marketing, professional services and product
• Establish trusted definitions and a single source of truth for performance data
• Ensure teams are aligned on what “good” looks like and how it’s measured

Deliver insights that drive decisions

• Conduct deep-dive and ad hoc analyses to identify trends, bottlenecks, and growth opportunities
• Translate business questions into structured analyses and actionable recommendations
• Support planning, prioritization, and leadership reviews with clear data storytelling

Build scalable reporting

• Design and maintain dashboards and automated reporting in SQL and BI tools
• Replace manual spreadsheets with reliable, self-serve analytics
• Make data accessible and easy to use for non-technical stakeholders

Forecast and model performance

• Develop forecasts and models for sales performance, capacity planning, and operational targets
• Run scenario analyses to evaluate trade-offs and risks
  
  

Partner on data infrastructure

• Work closely with the Business Intelligence team on reporting architecture and analytics tooling
• Collaborate with Finance, who owns the Enterprise Data Warehouse, to ensure clean and reliable upstream data
• Improve data quality, documentation, and governance practices

Raise the bar on analytics

• Mentor teammates on best practices and enable self-serve reporting
• Champion a metrics-driven culture across the organization

What we’re looking for

Required Qualifications

• 6–9+ years in data analytics, business intelligence, or similar roles in a fast-paced or high-growth environment
• Advanced SQL and comfort working directly with large, messy datasets
• Strong experience with BI tools (Power BI, Looker, Tableau, etc.)
• Proven track record building dashboards, defining KPIs, and automating reporting
• Experience translating ambiguous business problems into structured analyses
• Excellent communication skills - able to influence leaders and explain insights simply
• Highly self-directed and comfortable owning problems end-to-end
  
  

Preferred Qualifications

• Experience with Salesforce or sales/revenue analytics
• Python or R for advanced analysis
• Experience working with modern data warehouses (Snowflake, BigQuery, Redshift)