Senior Clinical Regulatory 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 Senior Clinical Regulatory Specialist at Iterative Health, you will play a key role in supporting the compliant execution of Phase 2–4 industry-sponsored clinical trials across our clinical research network. You will provide regulatory guidance and oversight throughout the study lifecycle, from start-up and site activation through maintenance and closeout.

You will partner with clinical research sites, internal teams, sponsors, CROs, IRBs, and other stakeholders to ensure regulatory requirements are completed accurately and efficiently. You will also help identify regulatory risks, resolve complex issues, and improve processes across the network.

This role is ideal for an experienced clinical research professional with strong regulatory expertise who can independently manage multiple studies, priorities, and stakeholders in a fast-paced environment.

Where You’ll Drive Impact 

Regulatory Operations & Compliance

Facilitate and oversee regulatory activities across the study lifecycle, including study start-up, site activation, maintenance, and closeout for Phase 2–4 industry-sponsored clinical trials.

Provide regulatory guidance and oversight to research sites across multiple studies, ensuring timely and accurate completion of regulatory requirements.

Review and QC regulatory documentation and submissions for completeness, accuracy, consistency, and compliance, identifying gaps and driving resolution.

Manage complex regulatory activities and submissions, including IRB applications, amendments, continuing reviews, safety reports, unexpected events, and other study-specific regulatory requirements.

Monitor regulatory timelines, approvals, expirations, and outstanding requirements to proactively identify potential delays or compliance risks.

Identify, assess, and escalate regulatory risks and compliance issues, partnering with sites, sponsors, CROs, and internal stakeholders to develop and implement appropriate corrective and preventive actions.

Serve as a subject matter resource for site teams and internal stakeholders on regulatory requirements, study-specific expectations, and best practices.

Ensure regulatory documentation and processes remain consistent, compliant, and inspection-ready across the research network.

Maintain accurate regulatory records, trackers, and documentation within applicable clinical research and regulatory systems.

Site Support & Relationship Management

Serve as a senior regulatory point of contact for assigned research sites and act as a liaison between sites, sponsors, CROs, IRBs, and internal stakeholders.

Provide guidance and mentorship to site teams on regulatory processes, documentation requirements, compliance expectations, and study-specific requirements.

Partner with sites to proactively identify regulatory challenges, develop solutions, and drive timely resolution of outstanding issues.

Build strong relationships with site teams and establish credibility as a trusted regulatory resource.

Participate in monitor visits, QA/QC projects, site-level audits, and other quality activities, supporting inspection readiness and remediation of identified findings.

Support sites in preparing for regulatory inspections and audits, i …