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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 specializes in gastrointestinal, hepatology, obesity, and cardiology research, combining clinical trial expertise with AI to connect 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 performance and P&L of a growing network of 10+ US-based sites, driving research revenue as a meaningful growth engine and establishing the operational excellence that makes these sites the preferred destination for clinical trials.
Key responsibilities include:
**Site Performance & Management:** Own site health, revenue, P&L, and operational performance across the 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. Oversee day-to-day site operations, capacity, and study portfolio management, ensuring optimal study-to-site matching and maximized enrollment and research revenue.
**Staffing & Growth Strategy:** Own staffing strategy across the network in partnership with the People Team. Identify opportunities to expand site capabilities, capacity, and research volume. Oversee new site builds and organic growth strategy. Lead 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.
**Leadership & Relationships:** Lead a team of site-based staff including Site Directors, Site Managers, Clinical Research Coordinators, Research Assistants, and other research professionals, plus above-site clinical research staff. Build deep relationships with Principal Investigators and practice leadership to drive engagement and buy-in. Build a culture of ownership, accountability, development, and retention through strong leadership, training, and career development. Partner closely with Site Solutions, Study Success, Life Sciences, Finance, People, Product, and other key stakeholders to align site strategy, resources, and execution with broader company objectives.
**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
