Head of Performance Marketing (m/f/d)

About Hilo by Aktiia

High blood pressure is the world’s most common disease, causing 18 million deaths each year. At Hilo by Aktiia, our vision is a world where no lives are lost or damaged from the effects of high blood pressure, and our mission is to build the technology that helps people control it.

We are a venture-backed scale-up that has raised over $96M. Our technology, rooted in 18 years of research at the Swiss Center for Electronics and Microtechnology (CSEM), is the world’s only medically accurate, cuffless, continuous blood pressure monitor for daily life. It is CE Marked as a Class IIa medical device and was FDA-cleared in 2026 as the first cuffless OTC blood pressure monitor in the United States. We are remote-first, headquartered in Neuchâtel, Switzerland.

Role Overview

This is a high-impact growth role for a commercially minded performance marketing expert.

You will own Hilo's paid acquisition engine across Meta, Google, and Amazon, managing an annual budget of approximately €7.8M with significant growth expected over the coming years.

Today, we work with specialist agencies across our acquisition channels. Your role is not to execute every campaign yourself, but to own performance outcomes, challenge assumptions, improve measurement, and ensure every euro spent delivers maximum impact.

We're looking for someone who combines strong business judgment with deep channel expertise and a passion for building smarter, AI-enabled ways of working.

You should be equally comfortable discussing CAC models with Finance, creative performance with Brand, and channel strategy with agency partners.

Location: Remote within Europe

Travel: Quarterly team gatherings and occasional workshops

Core Responsibilities

Own Paid Acquisition Performance

• Own acquisition performance across Meta, Google, and Amazon
• Manage and challenge agency partners to deliver best-in-class outcomes
• Make investment decisions across channels based on data and business impact
• Own CPA, CAC, and acquisition efficiency targets
• Identify new growth opportunities and test emerging channels

Build a Smarter Growth Engine

• Develop AI-powered workflows that improve reporting, planning, optimisation, and decision-making
• Automate repetitive processes wherever possible
• Continuously improve how the acquisition function operates and scales

Strengthen Measurement & Experimentation

• Build and evolve attribution, measurement, and CAC models
• Establish frameworks for incrementality testing and experimentation
• Create clear reporting and decision-making mechanisms for commercial stakeholders
• Partner with Finance to improve visibility into marketing efficiency and growth economics

Partner Across the Business

• Work closely with Brand to improve creative performance
• Partner with Analytics and Tracking teams to strengthen measurement
• Collaborate with Finance on forecasting, planning, and budget allocation
• Influence growth decisions across the wider business

Essential

• Significant experience owning paid acquisition performance in a DTC, subscription, marketplace, consumer internet, or technology business
• A track record from a top-tier company or team — you've sharpened your skills on strong products, with strong teams, and know what "great" looks like 
• Deep expertise in Meta advertising and strong understanding of Google acquisition channels
• Experience managing substantial paid marketing budgets
• Proven ability to scale acquisition channels while improving efficiency
• Strong commercial and analytical thinking
• Experience managing external agencies and holding them accountable for results
• Practical experience using AI tools and workflows to improve marketing performance and productivity
• Comfortable operating in fast-moving, high-growth environments

Nice to Have

• Amazon advertising experience
• Subscription or recurring revenue business experience
• Experience in healthcare, medtech, pharma, or other regulated industries
• Experience building incrementality testing frameworks
• Familiarity with GA4, attribution platforms, Looker, Metabase, and tag management tools

What Success Looks Like

In Your First 30 Days

• Build a strong understanding of our acquisition ecosystem, measurement setup, and growth opportunities
• Establish trusted relationships with key stakeholders and agency partners
• Identify immediate opportunities to improve performance and efficiency

Within Your First Year

• Deliver measurable improvements in acquisition efficiency
• Strengthen our measurement and experimentation capabilities
• Build scalable systems and AI-enabled workflows that increase team leverage
• Position the business to confidently scale acquisition investment

What Makes You A Great Fit

At Hilo by Aktiia, our values guide everything we do:

Move the Needle - You focus on what truly drives impact for our customers and company. - You use data and clarity to guide your decisions and prioritise what matters most. - You push boundaries with bold, thoughtful innovation and hold yourself accountable for results.

Move Fast, Learn, Refine - You work with urgency and purpose, balancing speed with high quality. - You treat mistakes as learning opportunities, experiment thoughtfully, and iterate quickly. - You ship the workflow rather than wait for the perfect stack.

Team First - You put the team above individual interests, building trust through openness and respect. - You encourage healthy debate, challenge directly while caring personally, and stand behind team decisions. - You own paid outcomes while partnering deep with brand, data, and finance.

Why Join Us?

• Hilo by Aktiia is becoming one of the most important med-tech companies, and you can be part of this exciting story.
• Work on a mission that matters: transforming cardiovascular health at global scale.
• Be part of a high-impact, fast-growing, and venture-backed scale-up company.
• Collaborate with a diverse, passionate, and talented team.
• Competitive compensation and other benefits (depending on location).