Director of Enrollment Optimization & Randomization

Iterative Scopes; Cambridge (MA); Hybrid; USD 160,000 - 215,000; Full time

Benefits offered by this job

Hybrid work with NYC/Boston offices

Medical, dental, vision coverage

Mental health support

Health HSA/FSA options

Unlimited PTO and holidays

401(k) with 3% match

Weekly in-office lunch

Disability coverage

Wellness and professional development

Job summary

Iterative Health is seeking a strategic leader for the Director of Patient Randomization Rate to drive enrollment improvements across our site network. You will leverage data to identify bottlenecks and design scalable programs—from referrals to workflow enhancements—that boost patient randomization rates.

You’ll work with Site Operations, Product, and other teams to translate high-performing site insights into repeatable playbooks and scalable solutions, ensuring measurable impact across GI,

Qualifications

• 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.

Responsibilities

• 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

Skills

Strategic & ops leadership

Enrollment strategy

Data analysis

Clinical operations

Cross-functional collaboration

Communication

Job description

Iterative Health is seeking a strategic leader for the Director of Patient Randomization Rate to drive enrollment improvements across our site network. You will leverage data to identify bottlenecks and design scalable programs—from referrals to workflow enhancements—that boost patient randomization rates.

You’ll work with Site Operations, Product, and other teams to translate high-performing site insights into repeatable playbooks and scalable solutions, ensuring measurable impact across GI,