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Home Flexible Job Board Senior Performance Marketer – Meta‑First (E‑comm + Healthcare, 45+) $120k–$300k+/yr

$120,000–300,000/yr 111d ago

Senior Performance Marketer – Meta‑First (E‑comm + Healthcare, 45+) $120k–$300k+/yr

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StartVim

Sioux Falls, SD, US

Full-time Permanent Remote

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Summary

Lead and scale Meta ad performance end-to-end, focusing on profitable growth and CAC management for e-commerce and healthcare brands. Translate performance data into creative briefs and oversee the performance of external Google and YouTube agencies.

Job Description

Join our team. Dream big. And achieve more than you thought possible.

We're an innovative e-comm and healthcare brand building something big and straightforward: the best place for those over 45 to get real health care that helps them feel strong, healthy, and happy as they get older.

Role Description

Meta is our largest and most important paid channel. We’re currently spending in the mid five figures per day, growing fast, and preparing to expand. Your job is to help us scale that spend profitably, without losing control of CAC, creative learnings, reporting discipline, or execution.

[6/2026 Update] We are also looking for a Youtube Advertiser/Google Ads full time lead. Please highlight if you have any experience here (this position is 100% remote)

We’re looking for a Senior Performance Marketer whose mission is to drive elite Meta performance. That means you live in Ads Manager, own CAC, and treat every dollar like it’s your own. Meta is your primary sandbox. Google/YouTube is run by an external agency; you’ll bring a sharp, performance‑driven lens so all channels row in the same direction. If you love living in Ads Manager, breaking creatives, and bending CAC down with hard data, this is your role.

You will not be “the ads person.” You will be the owner of paid growth.

You’ll work directly with our co-founder who stays deep in-platform alongside you to start. Early on, you’ll ramp into the accounts: campaign structure, creative library, compliance constraints, reporting cadence, and how each market behaves. As trust builds, you’ll take on increasing ownership of the Meta operation.

Day to day, this means planning spend, structuring campaigns, optimising toward profit-aware ROAS/CAC targets, translating performance signals into clear creative briefs with our team, and running the kind of operating cadence that makes your work easy to trust.

This is not a strategy-only role. The work today is hands-on craft inside Meta. Over time, the ceiling is much higher: you’ll help build the Meta media buying pod, expanding into adjacent channels like Google, YouTube, and programmatic.

Great performance means CAC holds or improves as spend scales, weekly pacing runs like clockwork, new markets launch on time without hurting core market performance, and leadership trusts your forecasts more than their own intuition.

This is a full-time, fully remote role, and you'll work async in the timezone of your choice - as long as you're around for team calls (early CST).

What you’ll own

Meta performance end‑to‑end

- Operate the Meta ad accounts day‑to‑day across our core brand and new offers.

- Account structure, campaign builds, audience strategy, bidding, budget pacing, daily optimization – you live in the platform, not above it.

- Structure, launch, and scale Meta campaigns with clear CAC and volume targets.

- Profit‑aware scaling: push spend up while keeping ROAS / CAC in target bands. You know when to lean in, when to hold, and when to pull back – and can defend every decision.

- Build and execute structured testing roadmaps (hooks, angles, offers, LPs).

Creative strategy & execution

- Work hand-in-hand with our cofounder to translate platform signal into briefs, run rigorous testing frameworks, and scale winners systematically.

- You don't just consume creative - you shape what gets made.

- Generate and test winning concepts for statics, UGC, and video.

- Write high‑converting direct‑response copy or tightly direct copywriters.

- Synthesize best‑in‑class e‑comm / competitor ads into new variations and angles.

Cross‑channel oversight (Google/YouTube agency)

- Review and challenge Google/YouTube agency performance weekly.

- Align channel‑level and blended CAC, MER, and payback goals.

- Ensure creative and learnings from Meta inform YT/Google, and vice versa.

- Flag tracking, attribution, and funnel issues that impact total new‑customer growth.

Daily optimization, reporting & resilience

- Run a weekly rhythm: plan → execute → review → re‑plan, with reporting leadership can trust without having to ask follow-up questions. Your forecasts are realistic. Your decision rules are clear. Your comms are crisp.

- Conduct morning / mid‑day / end‑of‑day checks when scaling (6–7 days/week).

- Make real‑time adjustments to budgets, bids, audiences, and creatives based on data.

- Maintain and harden our Business Manager / account structures to handle platform volatility, policy changes, and the unique compliance challenges of healthcare‑adjacent advertising

Expansion & team (over time)

- New-channel expansion (over time): As you earn the right, you take on adjacent channels - Google, YouTube, programmatic, affiliate - applying the same operator discipline.

- Team building (over time): As we add junior buyers underneath you, you hire, mentor, and lead the Meta pod. You build the bench that this hire is the seed of.

Outcomes (how we’ll judge you)

- Meta CAC under target CPA within 30 days, trending towards world class affiliates at scale.

- Consistent profitable spend at $5k–$20k+/day on Meta.

- Predictable cadence of new creatives launched, scaled, and killed based on hard numbers.

- Clear understanding and communication of blended CAC across Meta + Google/YouTube.

- New markets launched on time without tanking core performance, and forecasts leadership can trust more than their own intuition.

Requirements (need‑to‑have)

- Proven scale on Meta (hands-on): You've personally operated Meta accounts at 100k+/month spend for DTC ecom brands, in the platform yourself every day. Not "led a team that did it." Not "oversaw an agency that did it.” You did it.

- 5+ years of Meta-specific depth: You know the platform's quirks, its policy landmines, its bidding behavior, its measurement nuances. You can hold a credible conversation about CBO vs ABO, account structure trade-offs, attribution windows, BAU vs incrementality, signal loss, and creative testing frameworks.

- DTC consumer scale-up background: You've grown brands, not maintained them. You know what it feels like to push spend month-over-month while keeping performance in band, and to break through ceilings that other operators accept

- Structured operator behaviors: Forecasting, weekly reporting cadence, explicit decision rules, written planning. You're not just a great optimizer - you're someone the team can rely on. your work is legible and reliable.

- Creative fluency: You think in concepts, hooks, formats, and angles - not just metrics. You can brief well, give sharp creative feedback, and design testing structures that actually produce learnings.

- Startup intensity: You measure yourself in outcomes, not hours, but the outcomes here require real intensity. You'll work 50+ hours/week, async, in a high-ownership culture.

⚠️ Not the right fit if: you've only worked with big corporate brands, B2B, brand awareness campaigns; you've only ever stepped into already-scaled accounts as an optimizer; you operate primarily through agencies or teams without staying hands-on; or you can't point to specific examples of personally moving the needle on a 100K+/month Meta account.

Nice to have (not required, but you jump the line)

- Google Ads experience: Hands-on across search, PMAX demand gen, and YouTube. We'll likely want you to take this on over time.

- Successful affiliate track record: you’ve either run offers through big affiliate networks or been a top‑producing paid affiliate yourself for telehealth / weight loss / HRT brands, and know what it takes to hit “affiliate‑level” CAC in the wild.

- Other channel range:affiliate, programmatic, offline (CTV, podcast, OOH) and potentially TikTok Ads - any depth here accelerates how quickly you can broaden out.

- Healthcare / regulated category experience: (telehealth, weight loss, HRT/ ED/ supplements, or any other category where compliance is a daily reality)

- Attribution sophistication: Comfort with incrementality testing, post-purchase surveys - and a healthy skepticism of platform-reported ROAS.

- Management / mentorship experience: You've hired, developed, and led media buyers before, even informally.

- Crisp written communication: You can translate platform-level mechanics into clear narratives for non-experts (leadership, finance, creative). Your weekly notes are the kind that get forwarded.

- A clear case where you moved CAC from “agency level” to “affiliate level” on a real offer

- Experience targeting women 40–65 at scale on Meta/Googgle

Compensation

Base + performance‑based upside tied directly to CAC and profitable spend.

Target range $120k–$300k+ total compensation, depending on experience and performance. Top performers will be pushed toward the high end of the range.

🧩 WHO WE ARE & HOW WE OPERATE
We're a hard-driving, fast-paced team of continuous improvers—a team, not a family—hiring and developing stars (leaders) in every role. We live by six core beliefs that drive massive success:

Remarkable: Go the extra mile to create jaw-dropping experiences (JDCE) that turn first-timers into re-order loyalists-we're in the reorder business. Develop unique superpowers; do what competitors won't.

Adaptable: Lifelong learners who grow or die-learn fast, fail fast, grab ideas anywhere, simplify everything, and proactively fix/improve everything around you.

Accountable: Own your outcomes like it's your company - be demanding yet supportive, 100% responsibility, share updates in Slack/Kustomer (our collective brain), own mistakes and fix them fast.

Speed is King: Act now over perfection; good executed today beats perfect next week. Maniacal urgency, get sh*t done measurably, predisposed to action and efficiency.

Don't Sugar Coat It: Tell the truth straight - tough talks help growth; - uncomfortable conversations fuel progress; no avoidance, speak up respectfully.

Humble: Think of the business first - admit gaps, share wins, own losses, pick what's right over who's right.

Apply Now

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