OverviewOur client, a rapidly expanding telemedicine company, is seeking a commercially minded growth leader to help guide its next phase of development. The organization is moving from a transaction-led model toward a subscription-focused, retention-driven approach, and requires an operator who can take end-to-end ownership of that shift.This is not a conventional brand or marketing leadership position. The role combines Head of Growth responsibilities with performance marketing execution and unit economics ownership. Reporting directly to the CEO, the successful candidate will oversee CAC, LTV, funnel design, channel strategy, and budget deployment.Key ResponsibilitiesBuild and oversee the experimentation roadmap, running fast-paced tests and refining performance on a weekly basis Lead CAC, LTV, and payback period management across paid and owned channels Identify the most valuable customer segments and develop strategies to improve monetization and retention Shape and execute channel strategy and budget allocation, with Google Ads as the primary focus and Meta as a secondary focus Own full-funnel performance, spanning ad creative, landing pages, intake, checkout, upsell, and retention Report on performance metrics and unit economics to the CEO, working closely with the Controller Reduce inefficient spend by 20% to 30% within the first 60 to 90 days Establish ICP and targeting strategy, then continue improving it based on cohort performance Partner cross-functionally to align marketing activity with commercial priorities, quarterly goals, and revenue targets Develop offer strategy across pricing, bundling, promotions, and subscription structures Move the marketing function from a reactive, ad hoc model into a structured, strategically planned growth engineRequirementsStrong Google Ads expertise, including auction dynamics, keyword economics, and CAC volatility Proven direct ownership of paid media budgets of $10M or more annually, with hands-on in-platform execution required rather than agency management or team oversight only Financial fluency at an operator level, including CAC by channel, LTV by cohort, payback period, and contribution margin Demonstrated success helping transition a transactional business model into a recurring or subscription model, with measurable improvements in LTV, retention, and ARPU Ability to assess funnel problems and begin making an impact without a long ramp-up period Full end-to-end funnel ownership experience, including ad through landing page, intake, checkout, and retention Comfort making quick decisions with incomplete data and iterating rapidly rather than over-planningPreferred QualificationsExperience with pricing strategy, offer bundling, and promotional architecture Background in telehealth, digital health, or direct-to-consumer healthcare Exposure to subscription eCommerce or fintech subscription models Familiarity with secondary paid media channels, including Meta Experience with GLP-1 programs, Rx-based subscription models, or weight management platformsBenefitsBase Salary: $180,000 to $240,000 per yearAdditional benefits details will be shared during the interview process