Director, Strategy & Operations (Site Performance)

Iterative Health • Cambridge, MA

4d • $170,000 - $215,000 • Hybrid

About The Position

Iterative Health is hiring a Director, Strategy & Operations to lead the strategy, performance, and continuous improvement of centralized site support services while driving activation and randomization performance across its cardiology network. The role is the accountable operational owner for central research support services, including pre-screening, regulatory support, and eSource. It partners cross-functionally to optimize workflows, scale capabilities, improve outcomes for sites and sponsors, and ensure site-facing teams can deliver the capabilities, processes, infrastructure, and technology needed to meet performance targets.

This leader owns a strategic solutions roadmap and a network-level performance system, using data to identify risks and performance gaps, diagnose root causes, and implement scalable improvements. The position also owns the operating models and service-level KPIs for centralized services, connects site-level performance trends with central teams, and ensures resources are deployed where they can have the greatest impact. The Director directly manages a multidisciplinary team and sets expectations, supports development, and ensures the team is equipped to deliver strong site outcomes.

Requirements

• Bachelor's degree (BA/BS) required.
• At least 10 years of experience in management consulting, a high-growth startup operating role, or a similarly demanding strategic or operational environment.
• Ability to structure ambiguous problems, build frameworks from scratch, and translate analysis into a concrete operating plan.
• Strong quantitative fluency, including the ability to build and interrogate performance dashboards and use 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 and a track record of leading, developing, and holding a multidisciplinary team accountable.
• Ability to manage multiple priorities, meet deadlines, and operate effectively in a fast-paced, evolving environment with limited precedent.

Nice To Haves

• MBA or another advanced degree.
• Experience at a top-tier management consulting firm or as an early startup operator or generalist, such as Chief of Staff, Head of Operations, or BizOps.
• Exposure to healthcare, life sciences, or clinical research.
• Experience owning a P&L, KPI set, or operational performance metric at a program or network level.
• Ability to ramp quickly into new domains without deep subject-matter expertise on day one.

Responsibilities

• Own activation and randomization performance across Iterative Health's cardiology site network.
• Build and operate a performance monitoring system to identify trends and risks before they escalate.
• Identify and optimize the key levers that drive enrollment performance across the network.
• Diagnose root causes of performance declines and drive plans of action through resolution.
• Own the roadmap for continually improving and measuring the impact of site solutions, partnering with Product and other cross-functional teams.
• Own cardiology central research support services, including regulatory support, pre-screening, and eSource.
• Design, execute, and continuously improve the operating model for each service, with clear performance standards and measurable outcomes.
• Define and track service-level KPIs, use performance data to identify improvement opportunities, and raise quality standards.
• Develop scalable workflows and best practices for consistent deployment across the network.
• Connect site-level performance trends with central service teams and ensure resources are allocated where they will have the greatest impact.
• Collect and synthesize site feedback and partner cross-functionally to implement service improvements.
• Directly manage and develop clinical research specialists, eSource specialists, pre-screeners, and regulatory specialists.
• Set goals and performance expectations, provide coaching and development, and foster a high-performance team culture.
• Ensure teams are properly resourced, trained, and equipped to deliver services that support strong site outcomes.
• Perform related job duties.

Benefits

• Hybrid work environment with in-office collaboration two days per week in either the New York City 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 employer-supported commuter FSA contributions.
• Unlimited PTO, 12 company holidays, and a company-wide shutdown between Christmas and New Year's.
• 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Director