Head of Performance Creative at AIOS — Remote, $150,000–$300,000/yr + 0.10%–0.30% equity
About the role
Senior leader responsible for owning and elevating performance creative for AIOS’s global growth, leading in-house creative to drive CAC/ROAS through data-driven, emotionally resonant and scalable ad concepts across Meta, Google, and future channels, with expansion into Europe (Germany, Netherlands) and TV formats.
Responsibilities
- Creative Strategy: Set the creative direction for all performance creative, primarily Meta (~$3M+/month), anchored in performance data.
- Raise Creative Quality: Close the 8→10/10 gap in the UK, create differentiated ads that reduce CAC and set the bar across all market executions.
- EU Expansion: Build the localised creative playbooks for Germany, the Netherlands, and other local markets.
- Own the Ideation Pipeline: Ensure briefs pass the distinctiveness test for new concepts.
- Build the AI Creative System: Enhance the AI-assisted production stack with tight feedback loops between creative output and performance data.
- Test & Scale: Lead high-velocity experiments across hooks, formats, angles, and messaging; scale winners.
- Partner with Performance: Work with Head of Performance and media buying to connect creative output to CAC and ROAS (subscription-first with 300+ concepts per sprint).
- Oversee TV Creative: Lead development of DRTV and performance creative for TV channels.
- Lead the Creative Team: Hire and develop a small high-impact team and drive creative excellence.
Qualifications
- 5+ years leading performance creative for DTC brands
- Experience managing £1m+/month ad spend on Meta
- Creative leader who generates concepts and writes briefs
- Strong emotional instinct and ability to articulate brand voice
- Advanced understanding of Meta creative performance factors (hook, hold, clarity, scroll-stopping)
- Proven leadership of creative teams at scale
- Systems thinking to create repeatable ideation/production processes
- Data fluency in interpreting Meta performance metrics
- AI-native with track record of using AI to augment creative output
- Structured, forecast-driven approach with weekly reporting
- Startup mindset with 50+ hours/week, high ownership culture
Skills
Benefits
- Healthcare: comprehensive medical insurance
- Vacation: PTO with minimum 2 weeks per year 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 home-office setup provided
- Shape company culture as part of early-stage team

About AIOS
Building AI-native infrastructure for the next era of care.
Our overarching mission is to build the AI operating system for consumer healthcare - delivering end-to-end care with near-zero marginal human time. We believe the future of healthcare is automated, intelligent, radically lower cost, and built around the consumer. We believe biology is entering a golden age. We believe profitable, focused companies beat bloated ones. We're determined to get the humans out of healthcare - replacing slow, expensive, legacy workflows with software-driven care delivered at scale. We’ve started by building this infrastructure to power our own brands - including Bolt Pharmacy and Fella Health, among others. Today, that infrastructure is helping patients access life-changing treatment for excess bodyweight. Over time, we’ll extend it across many of the categories that will define the next era of healthcare. Our infrastructure will have served 100 million patients worldwide by 2035. We’ll then use that infrastructure to deliver next-generation healthcare products at massive scale. In doing so, we aim to build the world’s first trillion-dollar healthcare company.
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