← All roles

Head of Performance Creative at AIOS — Remote, $150,000–$300,000/yr + 0.10%–0.30% equity

Fella & Delilah· Growth
Apply on company site
Remote$150k - $300k + equityFull-timePosted 3mo ago

About the role

Head of Performance Creative at Aios owning creative for the performance team, driving world-class in-house creative and AI-driven systems to scale Meta and other channel spend, with expansion into Europe and TV.

Responsibilities

  • Creative Strategy: Set the creative direction for all performance creative, primarily Meta (3M+/month spend), anchored in performance data.
  • Raise Creative Quality: Close the 8→10/10 gap in the UK through differentiated, non-formulaic ads that reduce CAC.
  • EU Expansion: Build the creative localisation playbook for Germany, the Netherlands, and other local markets.
  • Own the Ideation Pipeline: Ensure briefs pass the distinctiveness test and are genuinely new concepts.
  • Build the AI Creative System: Elevate AI-assisted production with tight feedback loops between creative output and performance data.
  • Test & Scale: Lead high-velocity experiments across hooks, formats, angles, and messaging; scale winners aggressively.
  • Partner with Performance: Work with Head of Performance and media buying team to tie creative output to CAC and ROAS.
  • Oversee TV Creative: Develop best-in-class DRTV and performance creative for TV tests.
  • Lead the Creative Team: Manage and develop a small but high-impact team.

Qualifications

  • 5+ years leading performance creative for DTC brands
  • Experience with £1m+/month ad spend on Meta
  • Creative and hands-on briefing ability
  • Strong emotional instinct and ability to articulate hooks and brand voice
  • Proven leadership of creative teams at scale
  • Systems thinking for repeatable ideation and production processes
  • Data fluency in interpreting Meta performance metrics
  • AI-native approach to multiplying creative output while maintaining craft
  • Structured forecasting, weekly reporting, and clear decision rules
  • Startup intensity with high ownership and 50+ hours/week (async)

Skills

Required:Creative strategy and leadershipPerformance data interpretationAI-assisted creative productionSystematized ideation and briefing
Nice to have:Multi-market localization

Benefits

  • Healthcare: comprehensive medical insurance
  • Vacation: PTO with a yearly minimum (≥2 weeks) plus holidays
  • Personal development: budget for books, courses, coaching
  • Personal wellness: budget for gym and health apps
  • GLP-1s: free clinic membership
  • Equipment: Macbook and work-from-home gear provided
  • Culture shaping opportunity: early-stage company with room to influence
Last updated Oct 21, 2026. Interested? Apply on the company site.
Fella & Delilah logo

About Fella & Delilah

Fella & Delilah is the direct-to-patient clinic for busy families to…

Fella is optimized for busy bigger guys who want a no-nonsense solution to getting healthier. Delilah is built for strong women in their prime who want a sustainable solution to feel their best. We use affordable, effective weight loss medication to solve our customers’ most pressing healthcare need, then aim to remain their core healthcare provider for the rest of their life — expanding to hormonal health, mental health, longevity, and primary care. **We’ve grown >1000x since Aug 2021, >100x since Aug 2022, >10x since Aug 2023**. We’re >$50M ARR. We’ve been cashflow positive for the last 24mo. We’re >10,000 customers with high NPS. Almost all of this has so far been through Fella. Delilah is still very new. We’re a young startup and we’re just getting started. This is still Day 1 and all our work is ahead of us. You can read more about working at Fella & Delilah here: https://www.notion.so/Working-at-Fella-Delilah-14a2ac8575d34d148d009bb410387af4?pvs=21

consumer-health-serviceshealthcaretelemedicine
Company profileWebsite