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Iterative Health is a healthcare technology and services company accelerating clinical research across gastrointestinal, hepatology, obesity, and cardiology. The company operates a network of 100+ research sites across the US, Europe, India, and Australia, combining clinical trial expertise with AI to connect sponsors with high-performing research teams. Headquartered in Cambridge, Massachusetts and New York City with 250+ employees worldwide.
The Research Site Manager serves as the operational backbone of clinical research sites, owning day-to-day execution of clinical trial activities. This role manages site staff, drives enrollment performance, and ensures studies run with the quality, compliance, and efficiency required by patients and sponsors.
Key responsibilities include:
- Managing day-to-day site operations, staff management, problem-solving, and operational planning
- Creating and implementing standardized, documented clinic workflows to drive operational excellence
- Attending site selection visits and site initiation visits (SIVs)
- Overseeing study supply inventory and maintaining adequate stock levels
- Managing site-level purchasing and expenses aligned with cost guidelines and profitability goals
- Acting as assigned or backup Clinical Research Coordinator (CRC) as needed
- Owning the full employee lifecycle for site staff (CRCs and Research Assistants), including hiring, onboarding, assignments, development, performance reviews, and offboarding
- Ensuring timely completion of tasks in EMR and CTMS systems
- Leading onsite training of clinical operations staff
- Monitoring timelines and addressing performance issues
- Reviewing and approving timesheets
- Developing strategies with Iterative Health management to meet enrollment, timeliness, and site health targets
- Meeting assigned productivity and quality metrics
- Following up on monitoring visit action items
- Maintaining effective communication with CROs, sponsors, Principal Investigators, and referring physicians
- Conducting regular site research meetings to discuss study progress and enrollment
- Identifying and managing third-party vendors
- Protecting rights and welfare of human research participants
- Cooperating with research compliance and monitoring efforts regarding PHI access and disclosure
- Assessing problem situations and generating solutions
The ideal candidate is an experienced clinical research professional comfortable leading a team, solving operational problems, and rolling up their sleeves as a backup CRC when needed. The role thrives in a fast-paced, high-ownership environment.
Company culture emphasizes collaborative and low-ego teamwork, high ownership and accountability, fast-paced and iterative growth, open communication and continuous learning, mission-driven focus on improving patient outcomes, and comfort navigating evolving business priorities.
REQUIREMENTS:
- Bachelor's degree from an accredited institution; science disciplines (biology, chemistry, etc.) preferred, or equivalent combination of education and experience
- Minimum 3 years of experience as a senior Clinical Research Coordinator
- Some management experience preferred
- Strong written and verbal communication skills
- Ability to read, interpret, and apply clinic policies and research protocols
- Proficiency in standard office software; experience with EMR and CTMS platforms preferred
- Highly organized with ability to manage multiple priorities and meet deadlines with or without direct supervision
- Strong problem-solving skills and ability to make sound decisions under pressure
- Ability to interact professionally with staff, investigators, sponsors, and cross-functional partners
- Willingness to travel across facility sites and occasionally to company meetings
PREFERRED QUALIFICATIONS:
- GI and hepatology clinical trial experience
- Prior experience in a site management or team leadership role within a clinical research environment
- Familiarity with Iterative Health tools including CTMS, EMR systems, and Salesforce
- Experience working within a research site network or multi-site clinical trial environment
- Knowledge of GCP guidelines and human subject research regulations
