Director, Site & Strategy - Cardiology

Director, Site Performance & Strategy - Cardiology

NYC, Cambridge or Dallis HQ

Iterative Health is a healthcare technology and services company powering the acceleration of clinical research to transform patient outcomes.

We built a leading performance-driven network of 100+ sites across the US, Europe, India, and Australia, conducting research directly in the communities where care is delivered across gastrointestinal, hepatology, obesity, and cardiology. By combining deep clinical trial expertise with cutting‑edge AI, we connect sponsors’ scientific ambitions with high-performing research teams that expedite and expand access to novel therapeutics for patients in need.

Today, Iterative Health is headquartered in Cambridge, Massachusetts, and New York City with 250+ employees worldwide.

As Director of Site Performance & Strategy – Cardiology, you will lead the strategy, performance, and continuous improvement of our centralized site support services while driving activation and randomization performance across our cardiology network.

Serving as the operational owner of our centralized site solutions—including pre‑screening, regulatory support, and eSource—you will partner cross‑functionally to optimize workflows, scale capabilities, and improve site and sponsor outcomes. This is a role for someone who wants to own a P&L‑scale problem with real stakes, not simply oversee a function. You will leverage data to identify performance gaps, implement scalable solutions, and drive operational excellence across a complex clinical research environment.

You will own the strategic solutions roadmap for our sites and own the pull‑through cross‑functionally with our site‑facing staff to ensure our sites have the capabilities, processes, infrastructure, and technology to meet our performance targets.

This role is ideal for a strategic, data‑driven leader who thrives on solving complex problems, building high-performing teams, and creating systems that deliver measurable business impact. If you’ve spent years building frameworks for other people’s businesses in consulting, or running ops at a startup where you had to build the plane while flying it, this is where that skill set gets applied to a mission that matters: accelerating clinical trials that bring new treatments to patients faster.

• Own activation and randomization performance across IH’s cardiology site network as the single accountable leader.
• Build and run the performance monitoring system that catches trends and risks before they escalated and become problems.
• Identify and understand the key levers that drive enrollment performance and ensure they are being optimized consistently and systematically across the network.
• Diagnose root causes when performance dips, and drive the development of a clear plan of action and fix the issue through resolution.
• Own roadmap for continually improving and measuring site solutions impact and partner cross‑functionally, including with Product to enhance our solutions for the sites.
• 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.
• 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…