Senior Director, Medical Affairs - Cardiology

Iterative Health; Cambridge (MA); Hybrid; USD 210,000 - 265,000; Full time

Benefits offered by this job

Hybrid work environment

Office options: NYC, Boston or Southl​

Medical, dental, and vision coverage

Mental health support

HSA or FSA options

Unlimited PTO

401(k) with company match

Weekly in-office lunch

Disability coverage

Wellness and professional development

New York pay range

Job summary

Iterative Health is a healthcare technology and services company accelerating clinical research to improve patient outcomes. We operate a network of sites and apply AI to connect sponsors with high-performing research teams across GI, hepatology, obesity and cardiology.

The Senior Director of Medical Affairs will build trusted peer‑to‑peer relationships with physicians, site leads, and clinical decision‑makers, shaping trial strategy, engagement, and performance standards across the network.

Qualifications

• MD, DO, PharmD, PhD, or equivalent advanced degree in a relevant medical or scientific discipline.
• 10+ years of relevant experience in Medical Affairs, Field Medical, Site Engagement at a biotechnology or pharmaceutical company.
• Significant experience with cardiology principal investigators, community research sites, and cardiology KOLs
• Proven ability to build trust with physicians and influence clinical behavior
• Track record of driving site engagement and performance in clinical trials
• Strong understanding of clinical research, evidence generation, clinical development, and the healthcare ecosystem.
• Experience working cross‑functionally across clinical, scientific, commercial, product, and executive teams.
• Strong scientific communication skills, including experience with publications, abstracts, presentations, or other scientific communications.
• Excellent strategic thinking and the ability to translate complex scientific information into actionable business recommendations.
• Exceptional executive presence, communication, and interpersonal skills.
• Ability to operate effectively in a high‑growth, entrepreneurial environment where priorities evolve quickly.
• Strong judgment and commitment to scientific integrity, patient‑centricity, and ethical medical practices.

Responsibilities

• Establish and deepen relationships with PIs and site leadership across our cardiology sites.
• Develop and foster a structured engagement strategy with top investigators in the network.
• Communicate Iterative Health’s clinical philosophy, trial model, and standards of excellence to site physicians.
• Partner closely with Site Operations, Corporate Development, and Life Sciences teams to develop evidence‑generation strategies.
• Evaluate emerging scientific literature, clinical trends, standards of care, and competitive developments.
• Translate complex clinical and scientific findings into clear strategic and clinical operational recommendations for PIs, leadership, and external partners.
• Serve as a strategic medical partner to CV Site Operations, Life Sciences, Corporate Development, Marketing, and executive leadership.
• Provide insight into site capabilities, performance, and interest areas to help shape the trial portfolio at the site level.
• Support site growth by collaborating with Corporate Development to assess and engage new site leads.
• Partner with Business Development to support protocol evaluations with current and prospective life sciences customers.
• Work closely with Clinical Operations and Site Network leadership to incorporate investigator and site perspectives into clinical strategy.
• Provide medical expertise in support of new indications, partnerships, acquisitions, and strategic initiatives.
• Performs related duties as requested

Skills

Relationship-building

Executive presence

Strategic thinking

Scientific communication

Cross-functional collaboration

Influence clinical behavior

Site engagement

Education

MD/DO/PharmD/PhD or equivalent

Job description

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.

We’re hiring a strategic and relationship‑driven Senior Director of Medical Affairs to lead how we engage, educate, and influence Principal Investigators (PIs) across our growing site network

In this role, you’ll build trusted peer‑to‑peer relationships with physicians, site leads, and clinical decision‑makers. You’ll be responsible for helping PIs understand and embrace Iterative Health’s trial model, clinical philosophy, and performance standards - ensuring consistency, trust, and long‑term site engagement across the network.

You’ll serve as a clinical ambassador and influencer, working cross‑functionally with product, site operations, and corporate development to shape how we scale, support, and activate high‑performing sites. This is a high‑impact, field‑driven leadership role with strategic scope and visibility

The ideal candidate brings strong clinical and scientific credibility, exceptional relationship‑building skills, and the ability to operate strategically in a fast‑paced, highly collaborative healthcare environment.

Where You’ll Drive Impact

Physician Engagement

• Establish and deepen relationships with PIs and site leadership across our cardiology sites

• Develop and foster a structured engagement strategy with top investigators in the network

• Communicate Iterative Health’s clinical philosophy, trial model, and standards of excellence to site physicians

• Partner closely with Site Operations, Corporate Development, and Life Sciences teams to develop evidence‑generation strategies.

• Evaluate emerging scientific literature, clinical trends, standards of care, and competitive developments.

• Translate complex clinical and scientific findings into clear strategic and clinical operational recommendations for PIs, leadership, and external partners.

• Serve as a strategic medical partner to CV Site Operations, Life Sciences, Corporate Development, Marketing, and executive leadership.

• Provide insight into site capabilities, performance, and interest areas to help shape the trial portfolio at the site level

• Support site growth by collaborating with Corporate Development to assess and engage new site leads

• Partner with Business Development to support protocol evaluations with current and prospective life sciences customers.

• Work closely with Clinical Operations and Site Network leadership to incorporate investigator and site perspectives into clinical strategy.

• Provide medical expertise in support of new indications, partnerships, acquisitions, and strategic initiatives.

• Performs related duties as requested

What You Bring to the Team

• MD, DO, PharmD, PhD, or equivalent advanced degree in a relevant medical or scientific discipline.
• 10+ years of relevant experience in Medical Affairs, Field Medical, Site Engagement, at a biotechnology or pharmaceutical company.
• Significant experience with cardiology principal investigators, community research sites, and cardiology KOLs
• Proven ability to build trust with physicians and influence clinical behavior
• Track record of driving site engagement and performance in clinical trials
• Strong understanding of clinical research, evidence generation, clinical development, and the healthcare ecosystem.
• Experience working cross‑functionally across clinical, scientific, commercial, product, and executive teams.
• Strong scientific communication skills, including experience with publications, abstracts, presentations, or other scientific communications.
• Excellent strategic thinking and the ability to translate complex scientific information into actionable business recommendations.
• Exceptional executive presence, communication, and interpersonal skills.
• Ability to operate effectively in a high‑growth, entrepreneurial environment where priorities evolve quickly.
• Strong judgment and commitment to scientific integrity, patient‑centricity, and ethical medical practices.

Preferred Qualifications

• Experience in cardiology, or another relevant therapeutic area.
• Experience working directly with pharmaceutical and biotechnology companies.
• Established network of community based cardiology investigators

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, Boston or Southlake 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

$210,000—$265,000 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 [e-mail].