Senior Manager, Clinical Operations - Cardiology

Iterative Health • Cambridge, MA

2d • $140,000 - $165,000 • Hybrid

About The Position

Iterative Health is a healthcare technology and services company focused on accelerating clinical research to improve patient outcomes. They have established a network of over 100 clinical research sites across the US and Europe, conducting research in areas such as gastrointestinal, hepatology, obesity, and cardiology. By integrating clinical trial expertise with AI, Iterative Health aims to connect sponsors' research goals with high-performing teams, thereby increasing access to new therapies for patients. The company is headquartered in Cambridge, Massachusetts, and New York City, with a global workforce of over 250 employees. Iterative Health is dedicated to transforming clinical research through AI, technology, and human expertise, with the goal of improving patient outcomes by expanding and expediting access to novel therapeutics through their Site Network.

Requirements

• Bachelor's degree or equivalent combination of education and experience.
• 8+ years of experience supporting Phase II-IV sponsor-funded clinical trials.
• Deep understanding of clinical trial operations, including study startup, feasibility, regulatory processes, protocol execution, and GCP requirements.
• Experience working directly with sponsors, CROs, investigative sites, and cross-functional stakeholders.
• Demonstrated ability to manage multiple priorities, navigate ambiguity, and drive projects to successful completion.
• Strong analytical, communication, and stakeholder management skills.
• Comfort adopting and leveraging new technologies and operational tools.
• Willingness to travel up to 30%.

Nice To Haves

• Experience in cardiology clinical research.
• Prior project or program management experience.
• 5+ years of experience as a Clinical Research Associate (CRA) or Clinical Research Coordinator (CRC), or 3+ years leading clinical operations teams.
• Experience with CTMS platforms, with RealTime CTMS strongly preferred.
• Experience working in a high-growth or startup environment.
• Experience presenting to sponsors, CRO leadership, and executive stakeholders.

Responsibilities

• Serve as a strategic advisor to sponsors, CROs, and research sites, translating operational challenges into scalable solutions that improve study execution, accelerate activation timelines, and drive patient recruitment performance.
• Strengthen sponsor relationships, elevate site performance across the network, and contribute to Iterative Health's mission of bringing innovative therapies to patients faster.
• Own and scale the site activation process across the organization, driving on-time site activations within SLAs, proactively identifying and resolving blockers, and improving activation workflows to increase speed, predictability, and efficiency.
• Own the end-to-end site activations, managing timelines, dependencies, and risks across multiple concurrent sites and trials.
• Help teams prioritize tasks and ensure milestones are met within defined SLAs.
• Maintain activation plans, status tracking, and documentation, escalating risks and delays proactively.
• Serve as the primary operational partner to sponsors, CROs, and sites throughout the trial lifecycle.
• Lead and support sponsor, CRO, and partner meetings by providing clinical operations expertise, actionable insights, and strategic recommendations.
• Build strong relationships with key stakeholders and ensure alignment on study goals, performance metrics, and operational priorities.
• Proactively communicate study risks, mitigation plans, and escalation strategies.
• Facilitate educational sessions, webinars, and customer forums to strengthen engagement and share best practices.
• Monitor study performance metrics and own activation-specific reporting, including time-to-activation, SLA performance, and root causes of delays.
• Build and maintain dashboards that provide clear stakeholder visibility.
• Use data to inform prioritization, process improvements, and resourcing decisions.
• Identify operational gaps affecting site activation, enrollment, and execution, and collaborate cross-functionally to address them.
• Advocate for site needs and serve as a subject matter expert in clinical research operations.
• Collaborate cross-functionally to implement solutions that improve site performance and study outcomes.
• Partner with sponsors and CROs to streamline processes and optimize site activation timelines.
• Performs related duties as requested.

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 to support your health and growth

What This Job Offers

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