Director, Site Performance & Solutions (Cardiology) - Iterative Health

About the Role

As the Director, Site Performance & Solutions (Cardiology), you will report to the VP, Growth and own the performance of Iterative Health’s central clinical services that are delivered to our cardiology research sites as performance-enabling solutions, including pre-screening, regulatory support, and eSource. Your two core mandates are: owning the operating model for the central research support services we deliver to sites, and ensuring the network consistently hits and improves its activation and randomization targets.

This is a role for someone who is deeply grounded in research operations, relentlessly data-driven, and capable of diagnosing performance improvement opportunities quickly and implementing solutions at a high standard. You will serve as a “product owner” for our suite of site solutions, continuously improving how they are designed and delivered. When performance gaps emerge, you will be the person who figures out what is wrong and drives the fix.

Responsibilities

Network Performance Ownership

• Own activation and randomization performance across IH’s cardiology site network as the single accountable leader.
• Monitor site and network-level performance metrics continuously, identifying trends, risks, and gaps before they escalate.
• Understand the key levers that drive enrollment performance and ensure they are being optimized, consistently and systematically, across the network.
• When performance falls short, diagnose root causes quickly, develop a clear plan of action, and drive execution until the issue is resolved.

Operating Model & Solution Ownership

• Serve as the accountable owner for IH’s cardiology central research support services, including regulatory support, pre-screening and eSource.
• Own the design, execution, and continuous improvement of the operating model for each service, treating them as products with clear performance standards and measurable outcomes.
• Define and track service-level KPIs for each function; use performance data to surface improvement opportunities and raise the quality bar.
• Develop scalable workflows and best practices that can be deployed consistently across the network.
• Serve as the connective tissue between site-level performance trends and central service teams, ensuring the right resources are allocated where they will have the greatest impact.
• Collect and synthesize site feedback to inform service improvements and partner with cross-functional teams to implement solutions.

Team Leadership & Management

• Directly manage and develop a multidisciplinary team of clinical research specialists, e-source specialists, pre-screeners, and regulatory specialists
• Set clear goals and performance expectations for each function, provide ongoing coaching and development, and foster a high-performance team culture
• Ensure each team is properly resourced, trained, and equipped to deliver their services at the standard required to drive strong site outcomes

Required Qualifications

• BS/BA or higher degree
• 10+ years of clinical research experience, with deep familiarity with research operations and trial execution
• Demonstrated proficiency with clinical research systems and tools, including CTMS and pre-screening workflows
• Proven ability to use data to diagnose performance problems, identify improvement opportunities, and drive decisions
• Track record of building and improving operating models or service delivery processes in a clinical research context
• Proven people management experience, with a track record of leading, developing, and holding accountable clinical research teams
• Ability to manage multiple priorities, meet deadlines, and operate effectively in a fast-paced, evolving environment

Preferred Qualifications

• Prior experience in a director-level or senior management role within a site network, CRO, or health tech organization
• Experience owning enrollment or operational performance metrics at a network or program level
• Cardiology-specific clinical research experience