People Operations Manager

Iterative Health is a healthcare technology and services company powering the acceleration of clinical research to transform patient outcomes. The Iterative Health Site Network is a premier network of 70+ clinical research sites across US and Europe accelerating the path to market for gastrointestinal (GI) and hepatology novel therapies. Our focus is on driving the success and growth of our partner sites by empowering them with tech-enabled services. By combining deep expertise in clinical trials with cutting-edge AI, we empower research teams and study sponsors to expand and expedite access to novel therapeutics for patients in need.

About the Role

We are seeking a People Operations Manager to lead core People Ops programs that ensure our employees have a seamless, compliant, and engaging experience throughout their lifecycle. This person will be responsible for owning and optimizing our HRIS and payroll systems (Rippling, BambooHR, and ADP) as part of a multi-system platform, driving accurate and timely data reporting, and ensuring compliance across multiple states.

The ideal candidate is hands-on, detail-oriented, and equally comfortable solving immediate operational needs and building scalable processes for the future. They will continuously scan for better tools, processes, and practices to elevate the employee experience and will play a key role in shaping a best-in-class People Operations function that scales with our growth.

Responsibilities

• Help position People Ops as a best-in-class operations partner that drives efficiency, compliance, and a positive employee experience.
• Own and optimize HRIS/HR platforms, maintain employee records, ensure data accuracy, and generate reports for leadership.
• Ensure compliance with federal, state, and local employment laws; manage audits, policies, and risk mitigation practices.
• Oversee payroll processes (with finance), benefits enrollment, and vendor management to deliver a seamless employee experience.
• Manage onboarding, offboarding, and key transitions; ensure smooth and consistent employee experiences.
• Continuously evaluate and enhance People Ops processes, systems, and workflows for scalability and efficiency.
• Act as a trusted partner for managers and employees on People Ops topics, including HRIS, benefits, and compliance.
• Provide insights on headcount, turnover, engagement, and other People metrics to drive data-informed decisions.

What We're Looking For

Required Qualifications

• 5+ years of People Operations/HR experience, with at least 2 years managing HRIS systems (Rippling, BambooHR, ADP strongly preferred).
• Demonstrated expertise in multi-state payroll and employment compliance practices.
• Strong data analysis and reporting skills; ability to translate HR data into actionable insights.
• Excellent attention to detail and commitment to data accuracy.
• Proven ability to balance day-to-day execution with process building and improvement.
• Strong communication and interpersonal skills; able to build trust across all levels of the organization.

Preferred Qualifications

• Experience in high-growth, multi-state or multi-entity organizations.
• Familiarity with healthcare, biotech, or technology industries.
• Experience integrating HRIS with payroll, ATS, and performance systems.
• Comfort working in a hybrid/distributed team environment.

Our Commitment to Diversity
At Iterative Health, we're building a team that reflects the diversity of the patients we serve. We are committed to fostering an inclusive and equitable workplace, including our hiring process. If you require accommodations during the application or interview process, please reach out to:

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