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Salary: USD 170,000 - 215,000 / annual
Iterative Health is a healthcare technology and services company accelerating clinical research through a performance-driven network of 100+ research sites across the US, Europe, India, and Australia. The company combines clinical trial expertise with AI to connect pharmaceutical sponsors with high-performing research teams, with headquarters in Cambridge, MA and New York City and 250+ employees worldwide.
As Director, Strategy & Operations (Site Performance), you will lead strategy, performance, and continuous improvement of centralized site support services while driving activation and randomization performance across the cardiology network. This is a P&L-scale ownership role requiring both strategic vision and hands-on operational execution.
Key responsibilities include:
**Network Performance & Strategy Ownership:**
- Own activation and randomization performance across the cardiology site network as the single accountable leader
- Build and run performance monitoring systems to catch trends and risks before escalation
- Identify and optimize key levers driving enrollment performance consistently across the network
- Diagnose root causes of performance dips and drive resolution
- Own the roadmap for continuous improvement of site solutions and partner cross-functionally with Product
**Operating Model Ownership:**
- Serve as accountable owner for cardiology central research support services (regulatory support, pre-screening, eSource)
- Design, execute, and continuously improve operating models for each service, treating them as products with clear performance standards
- Define and track service-level KPIs; use performance data to surface improvement opportunities
- Develop scalable workflows and best practices deployable consistently across the network
- Serve as connective tissue between site-level performance trends and central service teams
- Collect and synthesize site feedback to inform service improvements
**Team Leadership & Development:**
- Directly manage and develop a multidisciplinary team of clinical research specialists, eSource specialists, pre-screeners, and regulatory specialists
- Set clear goals and performance expectations; provide ongoing coaching and foster high-performance culture
- Ensure teams are properly resourced, trained, and equipped to deliver at required standards
The role is ideal for a strategic, data-driven leader who thrives solving complex problems and building high-performing teams. The company values collaborative, low-ego environments; fast-moving, iterative culture; strong ownership and accountability; mission-driven mindset; open communication; and comfort navigating evolving business needs.
Workplace: Hybrid with in-office collaboration two days per week in either NYC or Boston office.
**Requirements:**
- BA/BS required; MBA or other advanced degree a plus
- 10+ years of experience in management consulting, high-growth startup operating role, or similarly demanding strategic/operational environment
- Demonstrated ability to structure ambiguous problems, build frameworks from scratch, and translate analysis into concrete operating plans
- Strong quantitative fluency—comfortable building and interrogating performance dashboards and using data to diagnose root causes
- Experience designing or overhauling operating models, processes, or service delivery functions, ideally in fast-paced or scaling environments
- Proven people management experience with track record of leading, developing, and holding accountable multidisciplinary teams
- Ability to manage multiple priorities, meet deadlines, and operate effectively in fast-paced, evolving environment with limited precedent
**Preferred Qualifications:**
- Experience at top-tier management consulting firm or as early operator/generalist at startup (Chief of Staff, Head of Operations, BizOps)
- Prior exposure to healthcare, life sciences, or clinical research
- Experience owning a P&L, KPI set, or operational performance metric at program or network level
- Demonstrated ability to ramp quickly into new domains without deep subject-matter expertise on day one
