About the Role
As Director of Patient Randomization Rate, you will own the strategy and execution for improving enrollment performance across Iterative Health's site network. You will use data to identify performance limitations and design scalable solutions, working cross-functionally to drive impact.
Responsibilities
- Analyze patient volume, conversion, and screen failure trends to identify funnel drop-offs and develop interventions to improve randomization rates.
- Run experiments across the patient journey, including referrals, patient education, advocacy engagement, community outreach, and operational improvements, and scale successful approaches.
- Establish benchmarks and targets for key enrollment metrics by therapeutic area and protocol type.
- Partner with Site Operations to understand high-performing site differentiators and translate them into repeatable playbooks and workflows.
- Help design operational workflows that improve patient funnel efficiency, reduce friction, and increase conversion.
- Partner with Product to identify, define, and prioritize opportunities for technology to improve conversion, streamline workflows, or accelerate enrollment.
- Monitor results against targets, surface risks early, and partner with Site Operations to develop improvement plans.
- Perform related duties as requested.
Requirements
- 8+ years in strategy and operations in a life sciences or clinical research context.
- Background in enrollment strategy, patient recruitment, clinical operations, with a track record of building programs that move patient volume.
- Strong analytical background, able to monitor and identify areas for improvement.
- Hands-on experience designing and running patient recruitment programs in a clinical trial setting.
- Strong operational instincts with the ability to take a strategy from concept to execution and drive pull-through at the site level.
- Experience working across functions to drive outcomes, influencing through credibility and relationships.
- Clear, compelling communicator, able to build a persuasive case for a program, present performance to leadership, and work credibly with clinical and commercial stakeholders.
- Experience in GI, hepatology, MASH, or IBD therapeutic areas (preferred).
- Familiarity with both site-level and sponsor-side dynamics of clinical trial enrollment (preferred).
- Experience running experiments, designing tests, measuring results, and building from what works (preferred).
Skills
- Strategy
- Operations
- Enrollment strategy
- Patient recruitment
- Clinical operations
- Data analysis
- Experimentation
- Communication
Location
- Cambridge, Massachusetts
- New York City
Work Type
- Hybrid work environment
- In-office collaboration two days per week
Experience Level
- Senior role
Salary/Compensations
- $160,000—$215,000 USD
Benefits
- Comprehensive medical, dental, and vision coverage (up to 80% premium coverage)
- Mental health and wellness support
- Health HSA or FSA options
- Commuter FSA contributions
- Unlimited PTO
- 12 company holidays
- Company-wide shutdown between Christmas and New Years
- 401(k) program with company match (up to 3%)
- Weekly in-office lunch benefit
- 100% company-paid short-term and long-term disability coverage
- Annual wellness and professional development stipend
About the Company
- 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.
- 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.
Equal Opportunity
- We are 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.
