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Head of Performance
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Join a brand that grew from $500K to $5.5M per month in six months and is now on track for $10M+.


The product, creative engine and acquisition are already performing. The next stage is building the performance department to support expansion across multiple markets and a fast-growing subscription business.


You own the acquisition P&L and how the department is built: team structure, hiring, pod ownership, KPIs and OKRs, sprint planning, reporting cadence, SOPs, and the systems needed to scale well beyond the current level.


WHO THEY ARE

A DTC health brand in the physical pain category, selling a patented NMES device developed from real customer feedback rather than white-label manufacturing. Instead of competing with cheap TENS units, they win through a genuinely differentiated product and messaging.


The business generates $5.5M/month across the US, UK, Canada, Australia and Ireland, with $650K+ in subscription MRR, and is on track for $10M+ per month. Profitable, bootstrapped, and now hiring senior leaders to build the next stage of growth.


The team is 23 people, fully distributed, and the culture runs on output:

  • No 9 to 5. Results are the measure, not hours logged.
  • Everyone has a voice and it gets acted on. Some of the best calls in the business came from people nobody asked.
  • Monthly all-company call with wins, prizes and a game, which is what keeps a remote team of this size feeling like a team.
  • Coaching, courses and programmes are funded, for the team as well as leadership.


This is a fully remote, full-time contractor role.


WHAT'S IN IT FOR YOU

  • Genuine autonomy. How the team is structured, who owns what, who gets hired, whether an agency stays or goes: your call.
  • A seat at the senior table. You report into the Head of Marketing and work beside leadership, not two layers under it.
  • Performance bonuses. Upside tied to what the department delivers.
  • A ceiling that does not exist yet. The senior layer is still being built, so your scope grows with the company instead of waiting for a seat to open.
  • A product worth marketing. Own design, patent filed, real price power, customers who write in to say they can move again.


WHAT YOU'RE GETTING INTO

  • Own the acquisition P&L across five markets, including MER, CAC, contribution margin, forecasting, and budget allocation
  • Build and lead the performance department: define the team structure, pod model, ownership, KPIs, OKRs, and hiring roadmap
  • Establish the operating cadence through sprint planning, reporting, and decision-making processes that keep execution aligned
  • Lead paid acquisition across Meta, native, and AppLovin alongside an in-house media buyer, partnering closely with the Head of Marketing on performance
  • Hold the Google Ads and Amazon agencies to their numbers, and decide whether they scale, stay or come in house
  • Own retention, lifecycle, and CRO across a $650K+ MRR subscription business, working closely with the in-house developer
  • Build scalable systems for UGC production and creative asset management
  • Grow and lead a cross-functional team spanning media buying, retention, CRO, organic, creative operations, and outbound sales


WHO YOU ARE

  • You have run performance at a direct response health, pain relief or supplements brand doing $10M+ per month, selling to an older audience
  • You have built a marketing department, not just an ad account: org chart, ownership per person, pods, KPIs, reporting, hiring
  • You have carried an acquisition P&L, not a spend budget, and read CAC, MER, LTV, churn and CVR fast enough to diagnose a problem in minutes
  • You buy across Meta, Google, native and programmatic, not one platform
  • You turn an operational need into structure: who owns it, how it is staffed, when it ships
  • You manage buyers and specialists directly and hold a high standard without micromanaging
  • You work without a task list, and you say it plainly when leadership is wrong


Bonus if you've:

  • Run a subscription model and think in LTV and churn by default
  • Designed a department's operating structure from scratch and can explain why
  • Worked with AppLovin, Google Ads including YouTube, Atria or Foreplay


WHAT SUCCESS LOOKS LIKE

  • First 30 days: Learn the business inside out, assess what's working, identify quick wins, and improve reporting, meeting cadence, and ownership across the team.
  • First 60 days: Roll out the new department structure, pod model, sprint cadence, and reporting framework. Take ownership of the acquisition P&L with a clear plan to reach $10M+ per month.
  • First 90 days: Have the department operating on your systems, with clear ownership, SOPs, KPIs, OKRs, and scalable processes for content and UGC production.
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