<div class="content-intro"><p><span style="font-size: 10pt;">Iterative Health is a healthcare technology and services company powering the acceleration of clinical research to transform patient outcomes.</span></p> <p><span style="font-size: 10pt;">We built a leading performance-driven network of 100+ sites across the US, Europe, India, and Australia, conducting research directly in the communities where care is delivered across gastrointestinal, hepatology, obesity, and cardiology. By combining deep clinical trial expertise with cutting-edge AI, we connect sponsors' scientific ambitions with high-performing research teams that expedite and expand access to novel therapeutics for patients in need. Today, Iterative Health is headquartered in Cambridge, Massachusetts, and New York City with 250+ employees world-wide.</span></p> <p>&nbsp;</p></div><p>As Director of Activations Strategy &amp; Operations, you will own the end-to-end activation operating model -&nbsp; diagnosing where time is being lost, designing the processes and systems that compress it, and driving cross-functional execution across Site Operations, Regulatory, Legal, and Commercial to make activation faster, more predictable, and more repeatable at scale.&nbsp;</p> <p>You’ll lead the strategy, processes, and cross-functional execution to achieve a 75 day goal from trial award to site activation needed to achieve that target consistently and sustain it as our portfolio grows.</p> <p>This is an ideal role for a strategic, operationally minded leader who wants to own a business-critical outcome, build scalable infrastructure, and operate at the intersection of strategy, process design, cross-functional alignment, and performance management.</p> <h2><span style="font-size: 10pt;">Where You'll Drive Impact</span></h2> <h3><span style="font-size: 10pt;">Activation Performance Ownership</span></h3> <ul> <li style="font-size: 10pt;"><span style="font-size: 10pt;">Own the end-to-end activation performance framework: setting targets, tracking milestones, and holding the function accountable to the 75-day activation goal.</span></li> <li style="font-size: 10pt;"><span style="font-size: 10pt;">Monitor performance against targets, surface risks early, and lead the response before delays compound.</span></li> <li style="font-size: 10pt;"><span style="font-size: 10pt;">Lead portfolio and site sequencing decisions that maximize revenue opportunity across the activation pipeline.</span></li> </ul> <h3><span style="font-size: 10pt;">Process Design &amp; Systems Thinking</span></h3> <ul> <li style="font-size: 10pt;"><span style="font-size: 10pt;">Diagnose where time is being lost across the activation lifecycle — regulatory, legal, site readiness, study startup — and identify the highest-leverage opportunities to compress timelines.</span></li> <li style="font-size: 10pt;"><span style="font-size: 10pt;">Design and implement scalable, repeatable activation processes that reduce variability and make performance predictable across a growing portfolio of trials and sites.</span></li> <li style="font-size: 10pt;"><span style="font-size: 10pt;">Develop and maintain activation playbooks that can be operationalized across new trials, new sites, and new therapeutic areas.</span></li> <li style="font-size: 10pt;"><span style="font-size: 10pt;">Work with Product and Technology to build the systems and tooling that give leadership and operational teams real-time visibility into activation status, milestone risk, and portfolio sequencing.</span></li> </ul> <h3><span style="font-size: 10pt;">Cross-Functional Alignment &amp; Stakeholder Management</span></h3> <ul> <li style="font-size: 10pt;"><span style="font-size: 10pt;">Define roles,
responsibilities, and handoffs across the functions involved in activation — ensuring clarity on ownership and accountability at every stage.</span></li> <li style="font-size: 10pt;"><span style="font-size: 10pt;">Partner with Site Operations, Regulatory, Legal, Commercial, and Study Success to align on activation priorities and resolve cross-functional bottlenecks.</span></li> <li style="font-size: 10pt;"><span style="font-size: 10pt;">Develop creative approaches to vendor partnerships that accelerate activation timelines — thinking beyond traditional procurement toward relationships that are flexible, performance-oriented, and give IH a competitive advantage.</span></li> </ul> <h3><span style="font-size: 10pt;">Team &amp; Function Development</span></h3> <ul> <li style="font-size: 10pt;"><span style="font-size: 10pt;">Build and develop the activations team as the function scales.</span></li> <li style="font-size: 10pt;"><span style="font-size: 10pt;">Establish the operating cadence, reporting structures, and accountability mechanisms that enable
the team to perform consistently as volume grows.</span></li> </ul> <h2><span style="font-size: 10pt;">What You Bring to
the Team</span></h2> <ul> <li style="font-size: 10pt;"><span style="font-size: 10pt;">7+ years in strategy and operations, management consulting, or a related function — with a track record of designing and implementing operational systems that improve efficiency and scale.</span></li> <li style="font-size: 10pt;"><span style="font-size: 10pt;">Demonstrated ability to diagnose process inefficiencies, design solutions, and drive cross-functional execution in a complex, multi-stakeholder environment.</span></li> <li style="font-size: 10pt;"><span style="font-size: 10pt;">Strong systems thinking — you see how the pieces fit together and build processes that hold up as volume grows.</span></li> <li style="font-size: 10pt;"><span style="font-size: 10pt;">Experience defining roles,
responsibilities, and operating models across functions; comfortable having the accountability conversation and driving alignment.</span></li> <li style="font-size: 10pt;"><span style="font-size: 10pt;">High ownership mindset with clear accountability for outcomes.</span></li> <li style="font-size: 10pt;"><span style="font-size: 10pt;">Excellent communication and stakeholder management skills — able to influence without authority across legal, regulatory, clinical, and commercial functions.</span></li> <li style="font-size: 10pt;"><span style="font-size: 10pt;">Experience with vendor identification, evaluation, and management in an operational context; comfortable building the framework for how a company selects and works with external partners.</span></li> <li style="font-size: 10pt;"><span style="font-size: 10pt;">Comfortable operating in a fast-moving, ambiguous environment where the playbook is still being written.</span></li> </ul> <h3><span style="font-size: 10pt;">Preferred
Qualifications</span></h3> <ul> <li style="font-size: 10pt;"><span style="font-size: 10pt;">Experience in healthcare, clinical research, or a regulated industry where process design carries compliance implications.</span></li> <li style="font-size: 10pt;"><span style="font-size: 10pt;">Experience building or managing small teams.</span></li> <li style="font-size: 10pt;"><span style="font-size: 10pt;">Strong analytical instincts — able to use data to diagnose problems and measure the impact of process changes.</span></li> <li style="font-size: 10pt;"><span style="font-size: 10pt;">Proficiency in Google Workspace and/or Microsoft Office tools (Excel, Word, Power</span></li> </ul> <h2><span style="font-size: 10pt;">
How We Work</span></h2> <ul> <li style="font-size: 10pt;"><span style="font-size: 10pt;">Collaborative and low-ego team environment</span></li> <li style="font-size: 10pt;"><span style="font-size: 10pt;">High ownership and accountability culture</span></li> <li style="font-size: 10pt;"><span style="font-size: 10pt;">Fast-paced and highly iterative growth environment</span></li> <li style="font-size: 10pt;"><span style="font-size: 10pt;">Open communication and continuous learning mindset</span></li> <li style="font-size: 10pt;"><span style="font-size: 10pt;">Mission-driven organization focused on improving patient outcomes</span></li> <li style="font-size: 10pt;"><span style="font-size: 10pt;">Comfortable navigating evolving business priorities and opportunities</span></li> </ul> <p>&nbsp;</p> <h2><span style="font-size: 10pt;">
Benefits That Support You</span></h2> <p><span style="font-size: 10pt;">We believe great teams do their best work when they feel supported — professionally and personally.</span></p> <ul> <li style="font-size: 10pt;"><span style="font-size: 10pt;">Hybrid work environment with in-office collaboration two days per week in either our NYC, Boston or Southlake office</span></li> <li style="font-size: 10pt;"><span style="font-size: 10pt;">Comprehensive medical, dental, and vision coverage, with up to 80% of premiums covered by Iterative Health</span></li> <li style="font-size: 10pt;"><span style="font-size: 10pt;">Mental health and wellness support through Spring Health</span></li> <li style="font-size: 10pt;"><span style="font-size: 10pt;">Health HSA or FSA options, and commuter FSA contributions supported by Iterative Health</span></li> <li style="font-size: 10pt;"><span style="font-size: 10pt;">Unlimited PTO, 12 company holidays, and a company-wide shutdown between Christmas and New Years</span></li> <li style="font-size: 10pt;"><span style="font-size: 10pt;">401(k) program with a company match of up to 3% (up to $3,000 annually)</span></li> <li style="font-size: 10pt;"><span style="font-size: 10pt;">Weekly in-office lunch benefit every Tuesday</span></li> <li style="font-size: 10pt;"><span style="font-size: 10pt;">100% company-paid short-term and long-term disability coverage</span></li> <li style="font-size: 10pt;"><span style="font-size: 10pt;">Annual wellness and professional development stipend to support your health and growth</span></li> <li style="font-size: 10pt;"><span style="font-size: 10pt;">And more!</span></li> </ul> <p><br><br></p><div class="content-pay-transparency"><div class="pay-input"><div class="title">New York pay range</div><div class="pay-range"><span>$160,000</span><span class="divider">&mdash;</span><span>$220,000 USD</span></div></div></div><div class="content-conclusion"><p><span style="font-size: 10pt;">At Iterative Health, we’re actively working towards creating an environment that is representative of the diversity of patients our technology serves. We are focused on building an equitable and inclusive culture, and by extension, hiring process. If you require any accommodations to make the application process or interviewing experience more accessible to you, please contact [email protected].</span></p></div>
Iterative Health is a healthcare technology and services company that focuses on accelerating clinical research to improve patient outcomes through innovative approaches. The company transforms gastrointestinal (GI) care by utilizing AI-driven clinical trials and diagnostics, significantly enhancing access to vital treatments.
Salary
$160,000 - $220,000
Location
Cambridge, Southlake + 2 more
Total raised
$193.6M
Last stage
Series B
Investors
Aditya Khosla
Co-Founder, CTO & Board Member
No applications, no recruiter spam. Just the intro.
A few questions to make sure this role is the right shape for you. Two minutes.
I write the intro, send it to the founder, and handle the back-and-forth.
If they’re a yes, I book the chat. You show up — that’s the whole job-hunt.