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Overview This is a high-impact operator role for a fast-scaling telemedicine company that is in the middle of a significant commercial evolution. The business is shifting from a transactional model to a subscription and retention-first model, and it needs someone who can own that transition end to end. This is not a traditional marketing or brand leadership role. Think of it as part Head of Growth, part performance operator, part unit economics lead. You will report directly to the CEO and have full ownership of CAC, LTV, funnel architecture, channel strategy, and budget allocation. Key Responsibilities Own CAC, LTV, and payback period across all paid and owned channels Define and execute channel strategy and budget allocation, with a primary focus on Google Ads and secondary focus on Meta Audit and eliminate 20 to 30% of inefficient spend within the first 60 to 90 days Own the full funnel architecture from ad creative through landing page, intake, checkout, upsell, and retention Define ICP and targeting strategy and continuously refine based on cohort performance Build and manage the experimentation roadmap, running rapid tests and iterating weekly Define offer strategy including pricing, bundling, promotions, and subscription structures Identify highest-value customer cohorts and develop monetization and retention improvements Report on performance and unit economics to the CEO, working closely with the Controller Coordinate across departments to align marketing activity with business priorities, quarterly goals, and revenue targets Transition the marketing function from an ad-hoc, reactive state to an organised, strategically planned growth centre Requirements Proven, hands-on ownership of paid media budgets of $10M or more annually (not agency management or team oversight only direct, in-platform execution required) Deep Google Ads expertise including fluency in auction dynamics, keyword economics, and CAC volatility Demonstrated experience transitioning a transactional business model to a recurring or subscription model, with measurable improvements in LTV, retention, and ARPU Full end-to-end funnel ownership experience, including ad through landing page, intake, checkout, and retention Financial fluency at the operator level: CAC by channel, LTV by cohort, payback period, and contribution margin Comfort making fast decisions with imperfect data and iterating rapidly rather than over-strategising Ability to diagnose funnel issues and begin contributing without an extended ramp-up period Preferred Qualifications Background in telehealth, digital health, or direct-to-consumer healthcare Experience with GLP-1 programs, Rx-based subscription models, or weight management platforms Exposure to subscription eCommerce or fintech subscription models Experience with pricing strategy, offer bundling, and promotional architecture Familiarity with secondary paid channels including Meta Benefits Base Salary: $180,000 to $240,000 per year Additional benefits details will be shared during the interview process Keller is a recruitment agency that provides services to clients ranging from startups and non profits to multinational corporations. Keller emphasizes ethical search processes, attentive candidate care, and leadership placements that support long-term client outcomes. To learn more about the firm and about our candidate services - please visit Executive Recruiters United States: Leading Executive Search and Headhunting Firm in the USA Equal Employment Opportunity and Non-Discrimination Policy Equal Employment Opportunity Statement: Both Keller Executive Search and our clients are Equal Opportunity Employers. For all positions, whether with Keller Executive Search or our clients, qualified applicants will receive consideration for employment without regard to race, skin color, religion, sex, sexual orientation, gender identity, gender expression, national o