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Salary
$150k – $200k per year
Location
Hybrid (Cambridge, New York, United States)
Seniority
Architect · 10+ years exp
Visa
H-1B filings in 12 months: 1 · green card filings: 1

Confirmed on the employer's own hiring board on Nov 7, 2026. First seen by Alion on Sep 17, 2026.

Overview
Company
Impact
Profile match
Iterative Health is a healthcare technology and services company headquartered in Cambridge, Massachusetts, and New York City that runs a network of community-based clinical research sites for pharmaceutical trials. Founded in 2017, it focuses on gastroenterology, hepatology, obesity and cardiology, partners with provider networks GI Alliance, One GI and US Heart & Vascular, employs more than 250 people and closed a $77 million Series C round. Most openings are for clinical research coordinators, research assistants and site managers at practices across the US, alongside AI and cybersecurity engineers, sales representatives and corporate roles.

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.

The Director, IT will lead Iterative Health’s technology infrastructure, systems, security, and IT operations as the company continues to scale across its corporate and clinical research network. This role will be responsible for building a secure, reliable, and scalable technology environment that enables employees to do their best work while supporting the operational needs of a growing healthcare technology and services organization.

The ideal candidate is a strategic and hands-on IT leader who can balance long-term technology planning with day-to-day execution. You will partner closely with leaders across teams to ensure technology solutions are aligned with business priorities, scalable, secure, and user-friendly.

Where You’ll Drive Impact

IT Strategy & Leadership

  • Develop and execute a scalable IT strategy aligned with Iterative Health’s business and growth objectives.
  • Establish IT roadmaps, priorities, standards, and operating processes across the organization.
  • Serve as a strategic technology advisor to executive and functional leaders.
  • Evaluate emerging technologies and identify opportunities to improve efficiency, scalability, and employee experience.
  • Develop and manage the IT budget, vendors, contracts, and technology investments.
  • Build and mature the IT function from an initial lean team into a scalable organization capable of supporting a rapidly growing, multi-site healthcare technology and services business.
  • Lead, coach, and develop the Corporate IT team.
  • Establish clear roles, responsibilities, service expectations, and performance metrics.

Infrastructure & IT Operations

  • Oversee corporate IT infrastructure, networks, endpoints, applications, identity management, and collaboration tools.
  • Ensure reliable, streamlined, secure, and scalable technology across corporate offices, remote employees, and clinical research sites while keeping costs efficient.
  • Establish standards for device provisioning, lifecycle management, access management, and technical support.
  • Build effective IT service management processes, including help desk, incident management, asset management, and service-level expectations.
  • Establish the IT operating model, organizational structure, processes, policies, and service standards required to support the company’s evolving technology needs.

Cybersecurity, Privacy & Compliance

  • Oversee the company’s cybersecurity program, and work with the internal team to set security strategy, policies, controls, risk management, monitoring, incident response, and employee security awareness.
  • Oversee vulnerability management, endpoint protection, identity and access controls, and security awareness programs (IT and networking infrastructure initially, but may extend to cloud systems eventually). 
  • Coordinate incident response and business continuity planning for technology-related risks and lead information and security for the company. 

Systems & Applications

  • Partner with business leaders to assess, select, implement, and optimize enterprise applications and technology platforms.
  • Establish governance around application ownership, integrations, data flows, and technology standards.
  • Identify opportunities to consolidate systems, automate workflows, and improve data connectivity.
  • Support technology integrations related to acquisitions, partnerships, and organizational growth.
  • Establish governance for enterprise applications, including application ownership, administrative access, lifecycle management, integrations, licensing, renewals, security requirements, and data ownership.
  • Establish standards for SSO, automated provisioning/deprovisioning, role-based access, and application access reviews.
  • Identify and implement opportunities to automate employee lifecycle, access management, IT operations, and cross-functional administrative workflows.

Cross-Functional Partnership

  • Partner with People and Finance on systems supporting employees, payroll, financial operations, and business administration.
  • Partner with Clinical Operations and site leadership to support technology needs across the clinical research network.
  • Establish a formal co-governance structure with Product & Engineering to ensure appropriate technology, security, and compliance controls are in place, with clear ownership, accountability, and separation of duties.
  • Provide clear communication to employees and leadership regarding technology changes, risks, and priorities.
  • Performs related duties as requested
  • Partner with Security, Legal, Compliance, and Procurement to establish technology and security requirements for third-party vendors and participate in vendor risk assessments. 

Technology Integration & Expansion

  • Lead IT due diligence and technology integration for acquisitions, partnerships, new offices, and clinical research sites.
  • Develop repeatable standards for onboarding acquired organizations, users, devices, applications, networks, and data.
  • Identify technology risks, integration costs, system redundancies, and remediation requirements during due diligence.
  • Develop transition plans for identity, endpoints, collaboration platforms, networking, SaaS applications, and security controls.

What You Bring

  • 10+ years of progressive IT experience, including significant experience leading enterprise IT operations.
  • Bachelor’s degree in Information Technology, Computer Science, Business, or a related field preferred.
  • Experience leading IT within a high-growth, healthcare, technology, life sciences, or similarly complex organization.
  • Proven experience developing and executing an enterprise IT strategy and roadmap.
  • Strong understanding of infrastructure, SaaS applications, networking, endpoint management, identity and access management, and cybersecurity.
  • Experience managing IT budgets, vendors, technology implementations, and third-party service providers.
  • Experience building and leading high-performing IT teams.
  • Demonstrated ability to manage multiple priorities and translate business needs into practical technology solutions.
  • Strong understanding of IT governance, security, privacy, compliance, and risk management.
  • Experience supporting distributed or multi-site organizations preferred.
  • Experience with M&A technology integration or organizational scaling strongly preferred.
  • Excellent communication, stakeholder management, and problem-solving skills.
  • A pragmatic, service-oriented leadership style with the ability to operate strategically while remaining close to execution.

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 and 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

$150,000—$200,000 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 [email protected].

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