Performance Marketing Manager; US Healthcare D2C

XRHealth is expanding its DME and Virtual Clinic services and is hiring a Performance Marketing Manager to drive patient acquisition and scalable growth. This role is focused on speed, volume, and conversion - building and optimizing a steady flow of inbound patient leads and ensuring efficient, measurable growth across channels.

We are looking for a data-driven growth leader with proven experience in U.S. healthcare D2C marketing who understands how to profitably acquire patients in a regulated environment.

This is a hands-on ownership role responsible for directly managing and optimizing our paid acquisition engine to drive measurable patient growth.

This role owns performance marketing execution end-to-end. You will directly manage campaigns, control budgets, optimize performance daily, test creatives, refine targeting, and continuously improve CAC, ROAS, and conversion rates. We are looking for an operator - someone comfortable being in the platforms every day and fully accountable for results.

• Directly manage and optimize campaigns across Meta, Google, You Tube, and other paid channels
• Own daily bid adjustments, audience refinements, creative testing, and budget allocation
• Scale existing campaigns while improving CAC, ROAS, and conversion rates
• Develop and execute D2C patient acquisition strategies in the U.S. healthcare market
• Optimize funnels for conversion (landing pages, CRO, lead-to-patient flow)
• Track and improve CAC, LTV, ROAS, and cohort performance
• Run structured A/B testing across creatives, messaging, and landing pages
• Collaborate with creative teams to develop high-converting assets
• Maintain and improve tracking infrastructure (GA4, pixels, attribution tools)
• Analyze performance data and implement rapid optimizations

• 5+ years in performance marketing
• Mandatory:
  Proven D2C healthcare marketing experience in the U.S.
• Experience marketing medical devices, telehealth, digital health, or health subscriptions - strong advantage
• Experience with Hub Spot (required)
• Deep understanding of healthcare compliance and advertising restrictions
• Strong analytical skills (attribution, cohort analysis, CAC/LTV modeling)
• Hands-on experience with Meta Ads and Google Ads (required)
• Experience with CRO and landing page optimization
• Proven hands-on experience directly setting up and optimizing paid campaigns (not strategy-only oversight)
• Strong operator mindset - detail-oriented, execution-driven, and accountable for performance results
• Highly data-driven and performance-oriented
• Comfortable in fast-paced startup environments

• Experience marketing reimbursed healthcare services
• Experience in regulated industries
• Familiarity with HIPAA-compliance

• Be part of the global leader in immersive healthcare
• Work on a meaningful product that improves patients’ lives
• High ownership and real impact on growth