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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, enabling faster access to novel therapeutics.
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 with real stakes.
**Key Responsibilities:**
**Network Performance & Strategy:** Own activation and randomization performance across the cardiology site network as the single accountable leader. Build and operate the performance monitoring system that identifies 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 clear action plans to resolution. Own the roadmap for continuous improvement of site solutions and partner cross-functionally with Product to enhance offerings.
**Operating Model Ownership:** Serve as accountable owner for cardiology central research support services, including regulatory support, pre-screening, and eSource. Own design, execution, and continuous improvement of 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. Act as connective tissue between site-level performance trends and central service teams, ensuring optimal resource allocation. 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 company operates with a collaborative, low-ego team environment, fast-moving iterative culture, strong ownership and accountability focus, mission-driven patient-centered mindset, and open communication.
**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 and drive decisions
- 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 (e.g., Chief of Staff, Head of Operations, BizOps)
- Prior exposure to healthcare, life sciences, or clinical research
- Experience owning 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
