Regional Director, Sites

Iterative Health is a healthcare technology and services company powering the acceleration of clinical research to transform patient outcomes.

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.

The Regional Director is responsible for owning and optimizing site-level performance across a portfolio of GI-focused clinical research sites. This role ensures operational excellence by aligning teams around key performance goals, elevating site capabilities, and maintaining consistency in trial execution. As a strategic operations leader, the Regional Director plays a central role in connecting site level performance with broader business objectives.

Remote with travel up to ~30% of the time

Responsibilities

Manages staff across multiple sites, ensuring execution is aligned with protocol, regulatory requirements, and IH standards.

Owns overall performance of assigned sites, including enrollment, data quality, compliance, and team culture.

Ensures sites are set up for success (i.e. staffed appropriately and equipped with the appropriate equipment and training) and makes recommendations to allocate resources based on business needs.

Builds strong relationships and collaborates with PIs to align their engagement with study goals and operational strategy.

Influences study portfolio, optimizing for profitability and value to patients.

Identifies and manages issues, concerns and problems related to site performance.

Leads and develops CRCs, and other site-based research staff through clear expectations, performance coaching, and team development.

Serves as a visible, hands-on people manager who builds high-performing, accountable teams.

Identifies levers to drive site level KPIs through monitoring KPIs and performance trends, escalating to appropriate parties.

Implements corrective actions or process improvements as needed.

Serves as the primary operational liaison between site staff and central functions.

Drives a culture of ownership, collaboration, and continuous improvement across all assigned sites.

What We’re Looking For

Required Qualifications

Knowledgeable about the critical elements for success in clinical trials: Ability to review protocols, programs, and assess the success of a project.

Ability to influence change management and model flexibility

Problem-Solving Skills: Ability to identify problems, develop and implement solutions.

Strategic Planning: Ability to plan for short, medium and long term success and make recommendations for growth

Ability to use data as a tool, identify trends, and draw conclusions.

Project Management: Demonstrated ability to successfully manage people/projects.

Proactive problem-solving abilities and follow-through.

Practices professionalism and integrity in all actions.

Communication Skills: Excellent written and verbal communication skills.

Working knowledge of CTMS, eDC and other core research systems.

Ability to travel: Up to 30% travel to provide operational oversight, hold team meetings, and attend other professional meetings/conferences as needed.

Preferred Qualifications

Experience in managing a large site network and demonstrated success in achieving targets and optimizing operations.

Experience with gastroenterology and/or hepatology studies.

How We Work

Collaborative and low-ego team environment

High ownership and accountability culture

Fast-paced and highly iterative growth environment

Open communication and continuous learning mindset

Mission-driven organization focused on improving patient outcomes

Comfortable navigating evolving business priorities and opportunities

Benefits That Support You

We believe great teams do their best work when they feel supported — professionally and personally.

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

New York pay range

$115,000 — $170,000 USD

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].