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.

Location: India, Mumbai preferred due to current network footprint

Why This Role Matters

Seeking a highly organized and results-driven National Trial Site Support Manager to shape the our India organization from the ground up, lead clinical trial coordination and execution at multiple in-network sites across the country. This is a strategic role within Iterative Health, an innovative company expanding into India as a site support organization and reporting directly into the Head of ex-US Markets.

We are seeking a person to help build and manage a team of CRCs, establish trial coordination and execution across sites/trials and pro-actively identify how clinical trials in India can be accelerated and where processes with Sites, Sponsors, and CROs can be improved.

This role includes coordinating with Investigators, Sites and Sponsor/CRO teams, driving patient recruitment, overseeing clinical trial execution, managing team of site coordinators and ensuring adherence to the highest quality & compliance standards. You will proactively manage operations in India, resolve roadblocks, escalate issues to relevant stakeholders, and maintain the highest quality of deliverables throughout while closely liaising with international Iterative Health counterparts.

Where You’ll Drive Impact

• Launch the Iterative Health site support organization structure in India.
• Serve as the foundational Clinical Research Coordinator until the broader team is in place, while supporting end-to-end study startup, site activation, and day-to-day clinical research operations across network sites in India, with the opportunity to help build and scale the organization’s national footprint and operational infrastructure from the ground up.
• Support hiring and onboarding of Clinical Research Coordinators (CRC) for each site in the network. Supervise and mentor CRCs across studies and site network
• Oversee and manage all aspects of study execution from startup to close-out across the site network to ensure timely delivery, highest quality and adherence to protocols.
• Conduct routine oversight visits (on-site/remote) across network sites to review study progress, CRC performance, review protocol compliance, ensure audit readiness, escalate issues promptly, and maintain the highest quality of deliverables throughout the clinical trial lifecycle.
• Pro-actively work with the team to help our sites and sponsors to accelerate trial activation and execution timelines.
• Drive subject recruitment and retention strategies, ensuring monthly enrollment goals are met across clinical sites.
• Act as the primary liaison between the organization and site investigators, coordinators, and staff to maintain strong relationships and ensure prompt information sharing. Drive PI engagement on Iterative Health trials by providing proactive, hands-on support to principal investigators — helping them navigate study requirements, resolve questions, and stay closely connected to trial progress.
• Support pre-feasibility assessment and provide actionable operational insights including availability of patient pool, investigator competence and therapy experience, site capability and infrastructure to select best sites for new studies.
• Provide weekly/ad-hoc updates on activation status, patient journeys, roadblocks, etc. to global
• Perform other tasks as assigned

What You Bring to the Team

• Experience: Minimum 8 years of project management, site management experience in clinical research.

Required Knowledge & Skills:

• Proven experience in site management and leading teams of site coordinators and operations staff.
• Strong technical knowledge, robust understanding of clinical trial processes, GCP, and country and international regulatory requirements.
• Excellent communication, leadership, organizational and problem-solving skills
• Ability to manage multiple studies/sites
• Experience of managing clinical trials in Gastroenterology, Cardiology will be a strong plus.
• Willingness to travel across site network in India and help grow the footprint in India
• Education: B.A.M.S, B.H.M.S, B.U.M.S, M.Sc / B.Sc / M.Pharm / B.Pharm / Nursing / Biotechnology / Microbiology / Life Sciences/
• Additional Qualification: Clinical Research Certification/Diploma
• Certification: Candidates with a PMP certification will be given high priority.

Travel requirements:

• Site Network Location (to date, growing): Mumbai, Varanasi, Vellore
• Inception: Role will likely require more travel across sites in the beginning, particularly to build relationships and help kick off activities before the CRC team structure is fully established.
• Mid-term/ongoing (once team is established): Every 6-10 weeks per site/ad-hoc as needed