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Iterative Health is a healthcare technology and services company that powers clinical research acceleration across multiple therapeutic areas. The company operates a network of 100+ research sites globally, with deep expertise in gastrointestinal, hepatology, obesity, and cardiology research. Iterative Health combines clinical trial expertise with AI to connect pharmaceutical sponsors with high-performing research teams.
As VP of US Site Management & Operations for Cardiology, you will lead the performance, growth, and operational excellence of Iterative Health's cardiology clinical research site network across the United States. You will be accountable for the P&L and performance of a growing network of 10+ US-based cardiology sites, driving research revenue as a meaningful growth engine while building operational excellence that makes these sites the preferred destination for running clinical trials.
Key responsibilities include:
**Site Performance & Management:**
Own site health, revenue, P&L, and operational performance across the US Cardiology network. Establish clear reporting, performance benchmarks, and action plans to drive continuous improvement and sustainable growth. Proactively identify performance gaps and partner across functions to address barriers to revenue, productivity, capacity, and study execution. Own staffing strategy across the network in partnership with the People Team. Oversee day-to-day site operations, capacity, and study portfolio management to maximize enrollment and research revenue. Identify opportunities to expand site capabilities and research volume. Drive enrollment, data quality, compliance, and study execution against premium network benchmarks. Oversee new site builds and organic growth strategy. Ensure teams are aligned, resourced, and accountable for delivering commitments and operational targets. Own the site operations workstream for M&A integrations, assessing operational readiness, integrating acquired sites and teams, aligning processes and systems, and ensuring seamless transition into the Iterative Health operating model. Partner closely with Site Solutions, Study Success, Life Sciences, Finance, People, Product, and other stakeholders to align site strategy with broader company objectives.
**Deep Site Relationships & People Management:**
Build deep relationships with key Principal Investigators and establish consistent PI engagement standards across the network. Build relationships with broader practice leadership to drive engagement and buy-in to research. Build a culture of ownership, accountability, development, and retention through strong leadership, training, and career development for site-level staff.
You will lead a team of site-based staff including Site Directors, Site Managers, Clinical Research Coordinators, Research Assistants, and other research professionals, along with above-site clinical research staff, while partnering closely with Principal Investigators and organizational leaders.
The role is hands-on executive leadership with direct accountability for results in a high-growth, mission-driven environment focused on improving patient outcomes.
**Requirements:**
- 12+ years of progressive leadership experience in healthcare, clinical research, healthcare services, or related field in a multi-site organization
- Bachelor's degree required; advanced degree in healthcare, business, life sciences, or related field preferred
- Proven experience building, scaling, or transforming a healthcare service line, business unit, or multi-site operation in a high-growth environment
- Demonstrated ownership of P&L, revenue growth, operational performance, and resource allocation
- Experience participating in M&A, acquisitions, integrations, or organizational transformation strongly preferred
- Strong understanding of clinical research and/or healthcare operations; Cardiology experience a plus
- Proven ability to translate strategy into execution and drive measurable results across distributed organizations
- Exceptional people leadership skills with experience building teams, developing leaders, and fostering accountability and high performance
- Strong track record of building trusted relationships with clinicians and senior stakeholders and driving alignment across diverse groups
- Demonstrated success partnering cross-functionally across Operations, Finance, Commercial/Business Development, and People to build and scale a business
- Entrepreneurial, hands-on leadership style with ability to operate strategically while staying close to execution in a high-growth environment
