Site Start-Up & Feasibility Specialist

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 Site Start-Up & Feasibility Specialist at Iterative Health, you will support feasibility and study start-up activities for our clinical research site network in Romania and Moldova. This role will focus on coordinating documents, supporting site communication, tracking start-up activities, and helping sites prepare for IBD clinical trials. You will work with sites in Romania and Moldova, investigators, CROs, sponsors, and internal Iterative Health teams to help move studies from feasibility through site activation. As the network grows, the role may also support additional countries in the Balkans. This is a hands-on operational role for someone who is organized, detail-oriented, comfortable working with clinical trial documentation, and able to follow established processes. The role is suited for someone who has clinical research experience and wants to further develop in feasibility and site start-up. Location : Remote: Poland or Romania with travel Employment Type: Full-Time EOR Compensation: PLN 188,000 – PLN 225,500 gross annual base salary or RON 216,000 - RON 259,000 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. Fluency in Romanian and English are required, both written and spoken. Where You'll Drive Impact Site Identification, Feasibility & Selection Support the collection and maintenance of information on qualified IBD clinical trial sites in Romania and Moldova. Help keep site capability information up to date, including investigator experience, patient access, and basic operational readiness. Support feasibility activities by helping coordinate CDA execution, collecting site input, and assisting with feasibility questionnaires. Review feasibility responses for completeness and consistency before internal or CRO/sponsor review. Help prepare feasibility information for CROs, sponsors, and internal stakeholders. Track feasibility status, open questions, and next steps. Site Start-Up & Activation Support Support site start-up activities from feasibility through regulatory and contractual readiness, SSV/SIV preparation, activation, and early recruitment readiness. Collect, organize, and quality-check site-level documents using CRO and sponsor templates. Check documents for missing items, expired credentials, formatting issues, and basic inconsistencies before submission. Help prepare sites for selection visits and initiation visits by sharing document requirements, timelines, and expectations. Attend site visits when requested and appropriate. Maintain start-up checklists and trackers under the guidance of internal team members. Flag blockers or delays early and escalate them to the appropriate internal contact. Support activation planning and help sites prepare for patient screening activities after regulatory approval. Site Communication & Coordination Serve as a day-to-day operational contact for sites in Romania and Moldova during feasibility and study start-up. Coordinate site questions and route them to the appropriate internal, CRO, or sponsor contact when needed. Communicate with PIs, study coordinators, site staff, CRO start-up teams,…