Senior Director, Medical Affairs - Cardiology

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