Director, Patient Randomization Rate

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.

Patient enrollment is at the heart of successful clinical research, and improving how effectively patients move from identification to randomization is one of the most important opportunities across Iterative Health’s growing site network.

As Director of Patient Randomization Rate at Iterative Health you’ll own the strategy and execution for improving enrollment performance across our network. You’ll use data to identify where patient volume, conversion, or operational processes are limiting performance, then design and test scalable solutions—from referral programs and community outreach to workflow improvements and external partnerships.

Working closely with Site Operations, Product, and other cross-functional teams, you’ll identify what drives success at our highest-performing sites and translate those insights into scalable playbooks across the network. This is a senior role with meaningful ownership and direct accountability for one of the most critical drivers of our clinical research business.

Where You’ll Drive Impact

• Analyze patient volume, conversion, and screen failure trends to identify where patients are falling out of the funnel and develop targeted 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 across the network.
• Establish benchmarks and targets for pre-screening, conversion, screen failure, and other key enrollment metrics by therapeutic area and protocol type to inform site- and portfolio-level planning.
• Partner with Site Operations to understand what differentiates high-performing sites and translate those practices into repeatable playbooks and workflows across the network.
• Help design operational workflows that improve how efficiently patients move through the funnel, reduce friction, and increase conversion.
• Partner with Product to identify, define, and prioritize opportunities where technology can improve conversion, streamline workflows, or accelerate enrollment performance.
• Monitor results against targets, surface risks early, and partner with Site Operations to develop improvement plans with clear ownership, timelines, and measures of success.
• Performs related duties as requested

What You Bring to the Team

• 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 delve into data 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, not authority
• Clear, compelling communicator, able to build a persuasive case for a program, present performance to leadership, and work credibly with clinical and commercial stakeholders

Preferred Qualifications

• Experience in GI, hepatology, MASH, or IBD therapeutic areas
• Familiarity with both the site-level and sponsor-side dynamics of clinical trial enrollment
• Experience running experiments, designing a test, measuring the result, and building from what works

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

$160,000—$215,000 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 View email address on us.fitly.work.