Head of Performance Creative

What happens when an AI health tech scale-up surges from $10m to $400m ARR in just 12 months? The paid creative strategy must evolve from scrappy iteration to a sophisticated, category-defining growth engine.

At ProfilesCreative, we are partnering with this hyper-growth, founder-led scale-up to appoint a Head of Performance Creative based remotely in the United States (with flexibility for UK or EU-based candidates). Serving over 200,000 monthly patients and operating profitably, the business is investing more than $3m per month on Meta alongside surging Google spend. Leading the creative function for their flagship brand, you will sit right at the nexus of artistic craft, consumer psychology, and granular performance analytics to scale impact across borders.

Key Responsibilities

• Define Creative Strategy & Standards: Architect the end-to-end creative vision, messaging direction, and visual quality bar across all performance marketing channels.
• Lead and Grow the Team: Manage, mentor, and elevate an established in-house creative team of five, driving high output while hiring to support further expansion.
• Build Systematic Testing Engines: Establish a rigorous, data-informed ideation and creative testing framework to continually iterate, learn, and scale winning concepts.
• Optimize Commercial Impact: Partner directly with the Performance Growth team to decode customer acquisition cost (CAC) drivers and translate data points into high-converting assets.
• Spearhead International Expansion: Develop and execute the creative localisation playbook to power market entries into Germany and the Netherlands.
• Diversify Channel Reach: Evolve winning paid social formulas into broader formats, taking creative campaigns into TV and emerging social channels.

Required Skills & Experience

• Proven Leadership in Performance Creative: Demonstrated track record heading up performance creative functions within high-growth DTC or e-commerce environments.
• Paid Social Mastery: Deep, platform-specific expertise in Meta advertising, paired with proven experience deploying high-velocity creative testing frameworks.
• Large-Scale Spend Management: Direct experience driving creative output tied to substantial paid media budgets at scale.
• People Management: Direct background managing, guiding, and scaling in-house design, video, and creative production teams.
• Commercial and Analytical Fluency: Exceptional capacity to balance brand storytelling with rigorous metrics, directly tying aesthetic decisions to revenue outcomes.

Nice-to-have

• Experience in healthcare, wellness, or direct-to-consumer subscription platforms.
• Hands-on experience developing localized assets for European expansion (specifically Germany and the Netherlands).
• Familiarity scaling campaigns across multi-channel environments including TV and emerging digital platforms.

Why Join

This is an opportunity to take ownership of a massive multi-million-dollar monthly testing ground at a pivotal inflection point in the brand's trajectory. You will steer creative strategy for an already-profitable AI health innovator that is expanding across Europe, backed by substantial resources, rapid decision-making, and an ambitious, founder-led mission. If you are ready to craft high-impact campaigns that directly redefine customer acquisition on a global stage, apply today.