In the 1980s, Malinova worked as a nurse at the First Hospital of Sofia St John the Baptist.[5] From 1990 to 1997, she worked atBulgarian National Television as a reporter, editor, director, presenter of news and current affairs programmes and also became head of the News and Current Affairs Directorate.[4][6][3] She then worked as the director of the press service of theBulgarian Socialist Party in 1997.[7][6][3]
In addition to her committee assignments, Iotova served as chairwoman of the parliament's delegation to the EU-Montenegro Stabilisation and Association Parliamentary Committee and as member of the delegation to theParliamentary Assembly of the Mediterranean.[10] She was also a member of the European Parliament Intergroup on Integrity (Transparency, Anti-Corruption and Organized Crime).[11]
Ahead of Bulgaria's2016 presidential elections, Iotova was officially nominated as the Bulgarian Socialist Party's running mate for presidential candidateRumen Radev. After her election to the Vice Presidency, she resigned her MEP seat.[12] As Vice President, Iotova focused on relations with Bulgarian communities abroad and on promoting Bulgarian education and language.[6] They both were sworn in on 19 January 2017 and began their office on 22 January.[13][14]
On 1 February 2021, President Radev officially announced that he and Iliana Iotova would run for a second term in the2021 general election.[15] In the second round, held on 21 November, Rumen Radev defeated Gerdjikov with 66% of the vote, thus securing a second term in office for Iotova as well.[16] She was sworn in on 19 January 2022 and her term officially began on 22 January.[3]
On 21 March 2024, Iotova participated in an educational forum in Lisbon, which she sponsored, and in which she called for the need to create a Bulgarian cultural institution abroad to promote Bulgarian culture and language internationally.[17]
During an address to the nation on 19 January 2026, the then-presidentRumen Radev announced his intention to resign.[18] The following day, Radev submitted his resignation as President to theConstitutional Court.[19] Three days later on 23 January, theConstitutional Court formally accepted Radev's resignation, thus ending his tenure as President of Bulgaria.[20] Shortly after the ruling, Radev left the "Dondukov 2" palace together with Iotova, the new President, and addressed supporters, promising a unified struggle at the upcoming legislative elections.[21] Iliana Iotova officially became Bulgaria's first female president on 23 January 2026, ahead of the plannedsnap election to complete Radev's presidential term.[3][14]
On 11 February, Iotova nominated Andrey Gurov, the deputy governor of theBulgarian National Bank, as acting prime minister.[22]
Aside from her nativeBulgarian, she is fluent inFrench and speaksRussian andEnglish.[3] Iotova married Andrey Iotov, a doctor she met at the First Hospital of Sofia St. John the Baptist in 1985. They have one child.[5][3]