Director, Site Performance & Strategy - Cardiology

Overview

Iterative Health is a healthcare technology and services company dedicated to accelerating clinical research to improve patient outcomes. The company operates a network of 100+ sites globally, focusing on gastrointestinal, hepatology, obesity, and cardiology research. Based in Cambridge, Massachusetts, and New York City, Iterative Health employs over 250 professionals worldwide.

About the role

As Director of Site Performance & Strategy - Cardiology, you will lead the strategy, performance, and continuous improvement of Iterative Health’s centralized site support services, driving activation and randomization performance across the cardiology network. You will also serve as the operational owner of central services including pre-screening, regulatory support, and eSource, optimizing workflows and improving site and sponsor outcomes.

Responsibilities

• Own activation and randomization performance across Iterative Health’s cardiology site network as the single accountable leader.
• Build and run the performance monitoring system to catch trends and risks before they escalate.
• Identify and understand the key levers that drive enrollment performance and ensure they are being optimized consistently and systematically across the network.
• Diagnose root causes when performance dips and develop a clear plan of action to resolve issues.
• Own the strategic solutions roadmap for site solutions and partner cross-functionally with Product to improve offerings to sites.
• Serve as the accountable owner for Iterative Health’s cardiology central research support services, including regulatory support, pre-screening, and eSource.
• 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.
• Collect and synthesize site feedback to inform service improvements and partner with cross-functional teams to implement solutions.
• Directly manage and develop a multidisciplinary team of clinical research specialists, eSource specialists, pre-screeners, and regulatory specialists.
• Set clear goals and performance expectations for each function; provide ongoing coaching and develop a high-performance team culture.
• Ensure each team is properly resourced, trained, and equipped to deliver services at the standard required to drive strong site outcomes.

Requirements

• A Bachelor’s Degree (BA/BS) required; MBA or other advanced degree a plus.
• 10+ years of experience in management consulting, a high-growth startup operating role, or a similarly demanding strategic/operational environment.
• Demonstrated ability to structure ambiguous problems, build frameworks from scratch, and translate analysis into a concrete operating plan.
• Strong quantitative fluency—comfortable building and interrogating performance dashboards and using data to diagnose root causes and drive decisions.
• Experience designing or overhauling operating models, processes, or service delivery functions, ideally in a fast-paced or scaling environment.
• Proven people management experience with a track record of leading, developing, and holding accountable a multidisciplinary team.
• Ability to manage multiple priorities, meet deadlines, and operate effectively in a fast-paced, evolving environment with limited precedent.

Preferred Qualifications

• Experience at a top-tier management consulting firm, or as an early operator or generalist at a startup (e.g., Chief of Staff, Head of Operations, BizOps).
• Prior exposure to healthcare, life sciences, or clinical research—a plus but not required.
• Experience owning a P&L, KPI set, or operational performance metric at a program or network level.
• Demonstrated ability to ramp quickly into new domains without deep subject-matter expertise on day one.

Benefits

• Hybrid work environment with in-office collaboration two days per week in either our NYC or Boston office.
• Comprehensive medical, dental, and vision coverage, with up to 80% of premiums covered by Iterative Health.
• Mental health and wellness support through Spring Health.
• Health HSA or FSA options, and commuter FSA contributions supported by Iterative Health.
• Unlimited PTO, 12 company holidays, and a company-wide shutdown between Christmas and New Years.
• 401(k) program with a company match of up to 3% (up to $3,000 annually).
• Weekly in-office lunch benefit every Tuesday.
• Annual wellness and professional development stipend to support your health and growth.
• 100% company-paid short-term and long-term disability coverage.