Back to jobs

Senior Manager, Clinical Operations - Cardiology

Cambridge, Massachusetts, United States, New York, New York, United States

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.

 

About Iterative Health 

At Iterative Health, we are transforming clinical research through the power of AI, technology, and human expertise. Iterative Health is a healthcare technology and services company powering the acceleration of clinical research to improve patient outcomes. Through the Iterative Health Site Network — a premier network of 100+ clinical research sites across the US and Europe — we help expand and expedite access to novel therapeutics for patients in need.

 

Why This Role Matters

As the Senior Manager, Clinical Operations- Cardiology at Iterative Health you will 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. By combining deep clinical research expertise with a consultative approach, this individual will help strengthen sponsor relationships, elevate site performance across the network, and contribute directly to Iterative Health's mission of bringing innovative therapies to patients faster.

As Iterative Health continues to expand its Site Network and partnerships with sponsors and CROs, operational excellence has become a critical differentiator. This role sits at the center of those relationships, helping ensure studies are launched efficiently, sites are set up for success, and sponsors receive the insights and partnership needed to achieve their clinical development goals. In particular, this role will own and scale the site activation process across the organization. This role is responsible for driving on-time site activations within SLAs, proactively identifying and resolving blockers, and improving activation workflows to increase speed, predictability, and efficiency.

This is a highly visible, customer-facing role with the opportunity to influence study strategy, shape operational best practices, and drive measurable impact across a growing portfolio of clinical trials.



Where You’ll Drive Impact 

Study Activation Ownership & Execution

  • 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

Sponsor & CRO Partnership

  • 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.
  • Travel as needed to customer sites, investigator meetings, conferences, and sponsor engagements (up to 15%).

 

Study Performance & Operational Excellence

  • 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 

What You Bring to the Team 

  • 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%.

Preferred Qualifications

  • 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.

 

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 stipend to support your health and growth
  • And more!

New York pay range

$140,000 - $165,000 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 CandidateAccommodations@iterative.health.

Apply for this job

*

indicates a required field

Resume/CV*

Accepted file types: pdf, doc, docx, txt, rtf

Cover Letter

Accepted file types: pdf, doc, docx, txt, rtf

Select...
Select...
Select...

 

Please read the following statement carefully and please type your full name above to agree to this statement.

By providing your electronic name, you acknowledge that you have read and understand this statement. DO NOT AGREE UNTIL YOU HAVE READ THE BELOW STATEMENT IN FULL. 

Equal Employment Opportunity Statement

Iterative Health (the “Company”) is proud to be an equal opportunity employer, and is committed to providing equal employment opportunities to all employees and applicants without regard to actual and/or perceived: race; color; national origin; religion; age; sex (including pregnancy, childbirth, breastfeeding, and related medical conditions); gender identity or expression (including transgender status); affectional or sexual orientation; disability (mental and physical); atypical hereditary cellular or blood trait or genetic information (including family medical history); uniform service member and veteran status; participation in legally protected conduct or making a complaint relating to unlawful conduct; and any other characteristic or conduct protected by applicable federal, state, or local law.

Applicant’s Statement 

     I certify that the answers given to the questions and the statements made (including statements on the attached resume, and inserted forms, if any) on this application and in the hiring process are true. I understand that a false statement, a false answer, an omission, or a misleading statement may result in a decision not to hire me, the withdrawal of any offer of employment, or the termination of my employment with Company regardless of when such false, misleading, or erroneous information is discovered.

     I understand that if hired, unless I am employed under a specific written contract or collective bargaining agreement, my employment will be "at will" and that my employment may be terminated at any time with or without cause and with or without notice. I understand that no representative of the Company has any authority to make any assurances, representations or promises contrary to the "at-will" nature of my employment unless it is in writing signed by an authorized officer of Iterative Health. I understand that I may terminate my employment with or without cause and with or without notice at any time. I further agree that Company reserves the right to make unilateral changes to the terms and conditions of my employment.

 

     I authorize Company to investigate my references and communicate with my former employers concerning my employment unless specifically stated otherwise in this application. I authorize all individuals, schools, and employers named, and all financial institutions, law enforcement agencies, and all persons except as specifically limited on this application to provide information requested about me, and I promise I will not bring any legal claims or actions against my current or former employers due to their responses to any job reference request.

     I further understand that the completion of an application is a preliminary step to employment. It does not obligate Company to offer employment to me, or for me to accept employment. I further acknowledge that if offered employment, any offer of employment may be a conditional offer of employment pending successful completion of a drug screening and/or background check. Any consideration of the background check will be tailored to the requirements of the job.

 

FOR MARYLAND APPLICANTS: UNDER MARYLAND LAW, AN EMPLOYER MAY NOT REQUIRE OR DEMAND, AS A CONDITION OF EMPLOYMENT, PROSPECTIVE EMPLOYMENT OR CONTINUED EMPLOYMENT, THAT AN INDIVIDUAL SUBMIT TO OR TAKE A LIE DETECTOR OR SIMILAR TEST. EMPLOYER WHO VIOLATES THIS LAW IS GUILTY OF A MISDEMEANOR AND SUBJECT TO A FINE NOT EXCEEDING $100.

FOR MASSACHUSETTS APPLICANTS:  IT IS UNLAWFUL IN MASSACHUSETTS TO REQUIRE OR ADMINISTER A LIE DETECTOR TEST AS A CONDITION OF EMPLOYMENT OR CONTINUED EMPLOYMENT. AN EMPLOYER WHO VIOLATES THIS LAW SHALL BE SUBJECT TO CRIMINAL PENALTIES AND CIVIL LIABILITY.

FOR MONTANA APPLICANTS: THE EMPLOYMENT RELATIONSHIP IS GOVERNED BY THE WRONGFUL DISCHARGE FROM EMPLOYMENT ACT, AND THE COMPANY’S PROBATIONARY PERIOD IS 18 MONTHS. MONT. CODE ANN. § 39-2-901, AS AMENDED.

FOR RHODE ISLAND APPLICANTS:  IF YOU PROVIDE FALSE INFORMATION ABOUT YOUR ABILITY TO PERFORM THE ESSENTIAL FUNCTIONS OF THE JOB, WITH OR WITHOUT ACCOMMODATIONS, YOU MAY BE BARRED FROM FILING A CLAIM UNDER the provisions of the Workers’ Compensation Act of the State of Rhode Island.

U.S. Standard Demographic Questions

We invite applicants to share their demographic background. If you choose to complete this survey, your responses may be used to identify areas of improvement in our hiring process.
Select...
Select...
Select...
Select...
Select...
Select...

Voluntary Self-Identification

For government reporting purposes, we ask candidates to respond to the below self-identification survey. Completion of the form is entirely voluntary. Whatever your decision, it will not be considered in the hiring process or thereafter. Any information that you do provide will be recorded and maintained in a confidential file.

As set forth in Iterative Health’s Equal Employment Opportunity policy, we do not discriminate on the basis of any protected group status under any applicable law.

Select...
Select...
Race & Ethnicity Definitions

If you believe you belong to any of the categories of protected veterans listed below, please indicate by making the appropriate selection. As a government contractor subject to the Vietnam Era Veterans Readjustment Assistance Act (VEVRAA), we request this information in order to measure the effectiveness of the outreach and positive recruitment efforts we undertake pursuant to VEVRAA. Classification of protected categories is as follows:

A "disabled veteran" is one of the following: a veteran of the U.S. military, ground, naval or air service who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary of Veterans Affairs; or a person who was discharged or released from active duty because of a service-connected disability.

A "recently separated veteran" means any veteran during the three-year period beginning on the date of such veteran's discharge or release from active duty in the U.S. military, ground, naval, or air service.

An "active duty wartime or campaign badge veteran" means a veteran who served on active duty in the U.S. military, ground, naval or air service during a war, or in a campaign or expedition for which a campaign badge has been authorized under the laws administered by the Department of Defense.

An "Armed forces service medal veteran" means a veteran who, while serving on active duty in the U.S. military, ground, naval or air service, participated in a United States military operation for which an Armed Forces service medal was awarded pursuant to Executive Order 12985.

Select...

Voluntary Self-Identification of Disability

Form CC-305
Page 1 of 1
OMB Control Number 1250-0005
Expires 04/30/2026

Why are you being asked to complete this form?

We are a federal contractor or subcontractor. The law requires us to provide equal employment opportunity to qualified people with disabilities. We have a goal of having at least 7% of our workers as people with disabilities. The law says we must measure our progress towards this goal. To do this, we must ask applicants and employees if they have a disability or have ever had one. People can become disabled, so we need to ask this question at least every five years.

Completing this form is voluntary, and we hope that you will choose to do so. Your answer is confidential. No one who makes hiring decisions will see it. Your decision to complete the form and your answer will not harm you in any way. If you want to learn more about the law or this form, visit the U.S. Department of Labor’s Office of Federal Contract Compliance Programs (OFCCP) website at www.dol.gov/ofccp.

How do you know if you have a disability?

A disability is a condition that substantially limits one or more of your “major life activities.” If you have or have ever had such a condition, you are a person with a disability. Disabilities include, but are not limited to:

  • Alcohol or other substance use disorder (not currently using drugs illegally)
  • Autoimmune disorder, for example, lupus, fibromyalgia, rheumatoid arthritis, HIV/AIDS
  • Blind or low vision
  • Cancer (past or present)
  • Cardiovascular or heart disease
  • Celiac disease
  • Cerebral palsy
  • Deaf or serious difficulty hearing
  • Diabetes
  • Disfigurement, for example, disfigurement caused by burns, wounds, accidents, or congenital disorders
  • Epilepsy or other seizure disorder
  • Gastrointestinal disorders, for example, Crohn's Disease, irritable bowel syndrome
  • Intellectual or developmental disability
  • Mental health conditions, for example, depression, bipolar disorder, anxiety disorder, schizophrenia, PTSD
  • Missing limbs or partially missing limbs
  • Mobility impairment, benefiting from the use of a wheelchair, scooter, walker, leg brace(s) and/or other supports
  • Nervous system condition, for example, migraine headaches, Parkinson’s disease, multiple sclerosis (MS)
  • Neurodivergence, for example, attention-deficit/hyperactivity disorder (ADHD), autism spectrum disorder, dyslexia, dyspraxia, other learning disabilities
  • Partial or complete paralysis (any cause)
  • Pulmonary or respiratory conditions, for example, tuberculosis, asthma, emphysema
  • Short stature (dwarfism)
  • Traumatic brain injury
Select...

PUBLIC BURDEN STATEMENT: According to the Paperwork Reduction Act of 1995 no persons are required to respond to a collection of information unless such collection displays a valid OMB control number. This survey should take about 5 minutes to complete.