Director, Site Performance & Strategy - Cardiology

Iterative Health is a healthcare technology and services company powering the acceleration of clinical research to transform patient outcomes. As Director of Site Performance & Strategy- Cardiology at Iterative Health, you will lead the strategy, performance, and continuous improvement of our centralized site support services while driving activation and randomization performance across our cardiology network. Serving as the operational owner of our centralized site solutions—including pre-screening, regulatory support, and eSource—you will partner cross-functionally to optimize workflows, scale capabilities, and improve site and sponsor outcomes. This is a role for someone who wants to own a P&L-scale problem with real stakes, not simply oversee a function. You'll leverage data to identify performance gaps, implement scalable solutions, and drive operational excellence across a complex clinical research environment.

Responsibilities

Lead strategy, performance, and continuous improvement of centralized site support services while driving activation and randomization performance across cardiology network; Own activation and randomization performance across IH's cardiology site network as the single accountable leader; Build and run the performance monitoring system that catches trends and risks before they escalate; Identify and understand key levers that drive enrollment performance and ensure optimized consistently; Diagnose root causes when performance dips and drive resolution; Own roadmap for site solutions impact and partner cross-functionally including Product; Serve as accountable owner for IH's cardiology central research support services, including regulatory support, pre-screening, and eSource; Own design, execution, and continuous improvement of operating model for each service; Define and track service-level KPIs; Develop scalable workflows and best practices; Serve as connective tissue between site-level performance trends and central service teams; Collect and synthesize site feedback; Directly manage and develop a multidisciplinary team; Set clear goals and performance expectations; Ensure each team is properly resourced, trained, and equipped; Performs related job duties

Requirements

BA/BS required; 10+ years of experience in management consulting, a high-growth startup operating role, or a similarly demanding strategic/operational environment; Demonstrated ability to structure ambiguous problems, build frameworks from scratch, and translate analysis into a concrete operating plan; 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 a fast-paced or scaling environment; Proven people management experience with a track record of leading, developing, and holding accountable a multidisciplinary team; Ability to manage multiple priorities, meet deadlines, and operate effectively in a fast-paced, evolving environment with limited precedent

Nice to have

MBA or other advanced degree a plus; Experience at a top-tier management consulting firm, or as an early operator or generalist at a startup (e.g., Chief of Staff, Head of Operations, BizOps); Prior exposure to healthcare, life sciences, or clinical research — a plus but not required; Experience owning a P&L, KPI set, or operational performance metric at a program or network level; Demonstrated ability to ramp quickly into new domains without deep subject-matter expertise on day one

Benefits

Hybrid work environment with in-office collaboration two days per week in either our NYC or Boston office; Comprehensive medical, dental, and vision coverage, with up to 80% of premiums covered by Iterative Health; Mental health and wellness support through Spring Health; Health HSA or FSA options, and commuter FSA contributions supported by Iterative Health; Unlimited PTO, 12 company holidays, and a company-wide shutdown between Christmas and New Years; 401(k) program with a company match of up to 3% (up to $3,000 annually); Weekly in-office lunch benefit every Tuesday; 100% company-paid short-term and long-term disability coverage; Annual wellness and professional development stipend