Senior Media Buyer
Fella Health
Senior Media Buyer
Fella Health
AIOS is building the world’s first full-stack AI doctor.
We’re at $450M ARR, growing from $7M/yr in April 2025. We’re faithfully serving 200k/mo patients via Bolt Pharmacy, our main UK brand. We’ve just launched Bolt Med, our international brand. We’re profitable.
Our strategy exists at the intersection of two strong theses:
The AI doctor that wins will get to escape velocity using GLP-1s, the fastest growing consumer product in history.
The $2T European healthcare market is overlooked by the most talented builders.
Our master plan:
Step 0 → $100M/yr by end of 2025: We went from $10M to $100M in 6 months serving the UK GLP-1 market.
Step 1 → $1B ARR by end of 2026: Since April 2025 we've grown from 3k to 200k UK active GLP-1 patients. We’ll continue this growth curve to hit $1B ARR.
Step 2 → $10B ARR by end of 2028: Blitzscale Europe. We’ll be Europe’s largest GLP-1 provider.
Step 3 → $100B/yr by end of 2030: Get regulatory approval across Europe for our Full Autonomous Prescribing (FAP) system. Win contracts at scale with European payers to mass replace human labor. We’ll be the dominant full-stack AI doctor in Europe.
Step 4 → $1T/yr by end of 2035: With one line of code and zero human time, you can use AIOS to treat any patient globally with any medication.
In so doing, we’ll become the world’s first trillion-dollar healthcare company.
We’re a young, founder-led company. This is still Day 1 and all our work is ahead of us.
You can read more about working with us here: Working at AIOS
We are building a world-class team.
As Senior Media Buyer (Google) at Aios, your mission is to be our feral Google operator: own every Google channel, YouTube above all, and take Google from a small share of our paid mix today to a mature, scaled second engine that runs alongside Meta.
Google is our biggest under-tapped opportunity. Spend today is small relative to what the account can support, and our plan is to close the gap to Meta significantly across the year, led by YouTube. Search is largely automated now and is table stakes. The upside is reaching people who aren't searching for us yet with a disruptive ad experience, and capturing adjacent demand nobody else is chasing.
Your job is to architect and drive that scale-up: growing spend profitably, without blowing out CAC, and without ever cutting corners on the strict ASA and CAP compliance rules that govern what we can say in ad copy (Rule 12.12 in particular).
Early on, you'll ramp into the accounts: current YouTube and Demand Gen structure, creative performance, search and Shopping setup, ad copy inside compliance constraints, and how each market behaves. As trust builds, you'll take on increasing ownership of the Google operation end-to-end.
This is not a strategy-only role. The work today is hands-on craft inside Google Ads. The highest-value part is YouTube and Demand Gen: building demand for people who aren't looking yet and expanding the tent pole beyond people already searching. Over time, the ceiling is much higher: you'll lead the Google pod, take on EU markets as they launch (Germany, Netherlands, Portugal, Denmark, Sweden), and expand into adjacent channels as you earn the right.
Great performance means YouTube and Google spend scales while CAC holds or improves, growth is proven incremental, new creative and funnels reach people who weren't searching, new markets launch cleanly without hurting UK performance, compliance is never a firefight, 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 PST).
You'll report directly to David Charles (Growth).
You'll work most closely with:
Jake Antifaev (Growth)
Our incoming creative strategists
YouTube-first Google ownership: You own YouTube and Demand Gen as our primary growth lever: how we reach people who aren't searching yet, how we build and sequence the video and creative experience, and how spend scales across formats and audiences. UK is the core market and your priority today, with the rest of the EU on the cards this year. Alongside that, you operate the wider Google accounts day-to-day (Search, Performance Max, Shopping, Display): keyword research, match type strategy, negatives, extensions, feed hygiene, landing page alignment, daily optimisation.
Profit-aware scaling: You push spend up, especially on YouTube and Demand Gen, while keeping CAC inside target bands and proving the growth is incremental, not just platform-reported. You know when to push, hold or cut based on blended new-customer CAC and holdout reads. On search, you scale tCPA campaigns when performance is running well ahead of target without blowing out CACs.
Demand creation and adjacent demand: You build campaigns and funnels for people who aren't yet looking for a solution, with a clear creative concept and a measurable test plan. You also capture and convert adjacent / tertiary search demand beyond obvious solution-aware terms.
Compliance mastery & account resilience: You operate cleanly under ASA / CAP and GPhC rules, particularly Rule 12.12 (POMs cannot be advertised to the public). That applies to video scripts, on-screen text and thumbnails as much as to ad copy. You never reference prescription medicines, named drugs, or use words like "medication" in ad copy. You maintain and evolve our MCC and account structures to keep them resilient against the unique compliance challenges of GLP-1 advertising.
Multi-geo orchestration: You run multiple country accounts in parallel without dropping balls - different keywords, localised ad copy, different match type strategies, different compliance realities, different reporting cuts. You build the systems that make multi-geo manageable as it grows.
Creative, copy and landing page craft: You shape the creative, not just consume it: you brief our Creative Lead and video editors on concepts, hooks and formats for YouTube and Demand Gen, and you write ad copy that converts inside tight limits and strict compliance rules. You treat Bolt like an e-commerce product on Google Shopping, owning the product feed, data quality, and the ad-to-LP handoff, and you work with CRO on the funnel behind the click.
Team building: As we add more buyers alongside you and underneath you, you hire, mentor, and lead the Google pod. You build the bench that this hire is the seed of.
Proven YouTube / Demand Gen scale (hands-on): You've personally scaled YouTube and/or Demand Gen for new customers on a named DTC ecom brand, in the platform yourself every day. You can show start → end monthly spend, timeframe, channel mix, and proof the growth was incremental, not just platform-reported. Scaling by 1–2 orders of magnitude is a clear yes. Search is table stakes: you're hands-on across Search, Performance Max, Shopping and GDN too, and your search scale can't be mostly branded. Not "led a team that did it." Not "oversaw an agency that did it." You did it.
Demand creation, not just capture: You've built campaigns and funnels that reach people who aren't searching for a solution yet, with a clear creative concept and measurable results. You also find ways to capture and convert adjacent / tertiary search demand beyond obvious solution-aware terms.
5+ years of paid media depth, with YouTube and Demand Gen at the core: You know YouTube and Demand Gen deeply: video formats and placements, audience signals and exclusions, creative testing cadence, frequency and reach, and how to read view-through and assisted conversions without fooling yourself. You also treat Search, Performance Max, Shopping and GDN as table stakes: tCPA vs tROAS vs Max Conversions, match type strategy, negative keyword hygiene, feed structure, and attribution windows.
AI-native: You run agentic workflows for buying, intelligence, landing pages and more, and AI tools like ChatGPT are part of how you work every day. You build the systems that make you faster, not just click through the platform.
Creative chops: You have strong opinions about creative. You make your own when you need to, or at the least get highly involved and push your agenda on the creative team. You don't just get served creative on a platter and launch it like a low-ownership bot.
Attribution sophistication: You understand halo effects and how channels contribute to each other, and you're comfortable with MMM, incrementality testing, geo holdouts and post-purchase surveys. You're sceptical of platform-reported ROAS, and you read the data in a way that keeps the team's trust in it when channels flatter each other.
DTC consumer: You've scaled DTC brands, not maintained them after they were scaled by someone else. 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. You think in purchases, CAC, LTV, and cohort economics - not MQLs and lead gen.
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. The leadership team trusts your metrics and your decisions.
Ad copy and landing page fluency: You think in hooks, angles, and offers, not just keywords. You write ad copy that converts. You swipe and build your own landing pages and test rapidly, working with CRO where it helps. You know how to isolate ad performance from LP performance when something breaks.
Multi-geo experience or the operating discipline to absorb it: Either you've run Google Ads across multiple countries before, or you've demonstrably run multiple complex workstreams in parallel without dropping balls.
Startup intensity: You'll work 50+ hours/week, async, in a high-ownership culture. You measure yourself in outcomes, not hours, but the outcomes here require real intensity.
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Not the right fit if: you've only worked with big corporate brands, B2B, or lead-gen ecosystems (MQLs, SQLs, demand gen for sales teams); you've only ever been an optimiser inside a mature account; you operate primarily through agencies or teams without staying hands-on; you're a former Google rep whose expertise is theory not scale; or you can't point to a named DTC account where you personally scaled YouTube / Demand Gen for new customers (with spend, timeframe and incrementality).
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Display (GDN) acquisition at scale: You've scaled DTC-brand acquisition in a meaningful way on Google Display. Almost nobody makes this work for acquisition. If you have, you're a unicorn.
Meta Ads experience: Hands-on scaling Meta at real DTC volume. Not a focus, but would be advantageous to have another head that could help out here when needed.
Other channel range: TikTok Ads, programmatic, affiliate, offline (CTV, podcast, OOH) - any depth here accelerates how quickly you can broaden out.
Healthcare / regulated category experience: GLP-1s, telehealth, weight management, supplements, or any category where ASA / CAP / GPhC / MHRA compliance is a daily reality. Bonus if you've personally handled an ASA challenge and come out clean.
Google Ads Customer Match sophistication: You've navigated the Customer Match approval process and can talk practically about how to solve issues like ADVERTISER_NOT_ON_ALLOWLIST.
Google attribution depth: You know how to fight for accurate view-through and cross-device attribution on Google specifically.
Multi-market operating history: You've run Google Ads across multiple countries simultaneously and learned the practical patterns that come with it, chiefly the UK and/or EU.
Management / mentorship experience: You've hired, developed, and led paid search buyers before, even informally.
Creative background: You have a full creative background, or you're a former creative strategist.
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.
We aim to make this your life's work. This should be the most challenging, most rewarding role of your life. Accordingly, these are the core cultural standards to which we hold ourselves & our team-members:
Belief in the mission: We will have served 100 million patients by the end of 2030 and we transform the life of most patients who join. We have a lot of work to do. We are obsessed with our patients and are dedicated to the mission.
Unwavering integrity: We are at the frontier, so we often live in ambiguity with no trodden path. When we can't look to others for guidance, we must maintain impeccable ethics and unwavering integrity.
Only the paranoid survive: Bad sh*t is coming. By joining us, you're choosing to sail straight towards the storms with unhesitating conviction. However much we've already done, however far we've already come, it's still Day 1 and all our work is ahead of us.
If we're average we fail: We are only interested in "insanely great", a focus on the quality of our execution that in everyday life would be considered pathological. We have a dedication to excellence and reject incompetence.
Commitment to candor: That which can be destroyed by the truth should be. You get full transparency from the company and the company expects full transparency from you. We never say anything about someone that we wouldn't say to them directly. We give feedback with love and do not need to protect people from fleeting physical sensations.
A maniacal sense of urgency: We execute at an intensity that most people think is impossible. Speed is critical and we need things done yesterday. We all work very hard and in such a competitive world there really is no other way to win.
Enduring frugality: We are frugal. We hate being wasteful and we are anti-luxury. A culture of cheapness keeps us young. We spend our cash wisely & carefully, in a way that would make our grandmas proud.
Bulldozing barriers: The world is malleable and we shape it. We truly believe this and act accordingly. We are relentlessly resourceful and are at the mercy of no-one but ourselves. You'll be shocked how capable you are and how much you can achieve.
Keep your head down: We're boring people doing exciting work. We don't chase short-term status. We ignore short-term dopamine hits and focus on what matters. Outsiders will underestimate us and we revel in that.
The power of focus: We live in a world of power laws and we cannot overestimate the unimportance of practically everything. Know your One Thing, and nail it.
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"You just build a f*ing amazing experience. Make each step amazing. Make every decision in the long term interest of the customer. Give the customer massively more value than you take."
You get paid above market salary and you get early stage equity, so you get really rich if we nail this.
Compensation: $250k–$350k/yr including equity, plus significant performance bonuses.
The stuff below is cool as well.
Healthcare: comprehensive medical insurance (if appropriate).
Vacation: PTO with a yearly minimum (≥2wks/yr + local national holidays)
Personal development: budget for books, courses, coaching.
Personal wellness: budget for gym, health apps.
GLP-1s: free membership with a clinic offering GLP-1s.
Equipment: Macbook & work-from-home equipment provided as needed.
What are we missing? We're still early so you get to shape our culture.
Explore more opportunities at Fella Health