Senior Site Start-Up & Feasibility Specialist

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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. As a Senior Site Start -Up & feasibility Specialist at Iterative Health you will own and shape a regional start-up function from the ground up. As Iterative Health scales its ex-US site network across Central/Eastern Europe and Georgia, this role sits at the center of that growth - building the systems, playbooks, and site relationships that will define how we activate studies across more than 20 sites and counting. Reporting to the Director of Clinical Research Operations for CEE, you won't just be executing a process; you'll be creating a repeatable, scalable model that accelerates patient access to novel therapies across the region. The ideal candidate is a disciplined, operationally sharp professional who thrives in complex, multi-country environments and is energized by leaving things better than they found them. Location : Remote, Poland Employment Type: Full-Time EOR Compensation: PLN 240,000 - PLN 300,000 gross annual base salary, plus annual bonus and benefits. Final compensation will be determined based on experience, skills, and internal equity. Benefits: Private medical coverage, life insurance, retirement benefits, paid time off, etc. Where You'll Drive Impact Site Identification, Feasibility & Selection Maintain a curated view of pre-qualified sites with GI expertise, capabilities, track record, and validated patient access across the CEE and Georgia region. Map protocol requirements to specific sites and quickly confirm operational fit. Coordinate CDA execution, pre-fill and complete feasibility questionnaires with PIs and site teams, validate responses against site-level reality, and deliver consolidated, CRO-ready feasibility input. Drive feasibility quality and speed to improve turnaround times and accuracy across the network. Orchestrate day-to-day execution across sites from CDA/feasibility through CTR readiness, SSV/SIV, activation, and early recruitment readiness - keeping sites, CROs, sponsors, and internal teams aligned. Collect, pre-fill, and quality-check site-level documents against CRO and sponsor templates; screen for missing items, expired credentials, and formatting gaps prior to handoff. Prepare sites for selection visits (SSVs) and initiation visits (SIVs), ensuring documentation, role expectations, and operational readiness are clearly understood; attend site visits in person when valuable. Run site-side readiness activities in parallel with regulatory review, maintain practical pre-activation checklists, escalate blockers early, and support activation and first patient screened within 14 days post-CTR approval wherever feasible. Serve as the first-line operational partner for sites - triaging questions, unblocking issues quickly, and escalating clearly when sponsor, CRO, or leadership alignment is required. Work directly with PIs, senior site staff, CRO start-up and feasibility teams, and internal cross-functional stakeholders to drive alignment and execution. Maintain accurate updates in Salesforce, Asana, and study trackers, including action logs, decision logs, risk items, owners, and due dates. Train site teams on Iterative Health services, tools, checklists, and workflows. Convert recurring start-up issues into reusable templates, trackers, and lightweight playbooks across the European network. Monitor cycle times, feasibility turnaround, SIV-to-activation timelines, document query rates, site responsiveness, and screen/enroll trends. Use data to proactively identify bottlenecks, simplify processes, and drive measurable improvements in activation timelines across the network. Performs related duties as requested What You Bring to the Team 5+ years of experience in clinical operations, site start-up, feasibility, site management, or senior clinical research coordination, preferably in Phase 2-4 pharma-sponsored trials. Bachelor's degree or higher in life sciences, healthcare, pharmacy, nursing, biotechnology, public health, or a related field; advanced degree and/or clinical research certification preferred. Hands-on CRO and/or sponsor-facing experience in site identification, selection, feasibility, and study start-up activities. IBD clinical trial experience. Strong understanding of ICH-GCP, site operations, regulatory and start-up d

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