Director, Activations Strategy and Operations

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.

As Director of Activations Strategy & Operations, you will own the end-to-end activation operating model - 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.

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.

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.

Where You'll Drive Impact

Activation Performance Ownership

• Own the end-to-end activation performance framework: setting targets, tracking milestones, and holding the function accountable to the 75-day activation goal.

• Monitor performance against targets, surface risks early, and lead the response before delays compound.

• Lead portfolio and site sequencing decisions that maximize revenue opportunity across the activation pipeline.

Process Design & Systems Thinking

• 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.

• Design and implement scalable, repeatable activation processes that reduce variability and make performance predictable across a growing portfolio of trials and sites.

• Develop and maintain activation playbooks that can be operationalized across new trials, new sites, and new therapeutic areas.

• 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.

Cross-Functional Alignment & Stakeholder Management

• Define roles, responsibilities, and handoffs across the functions involved in activation — ensuring clarity on ownership and accountability at every stage.

• Partner with Site Operations,