The Challenge
Talkiatry is scaling mental healthcare with accessible, human-centered psychiatry. You'll own the paid growth engine driving patient acquisition at meaningful scale, balancing CAC efficiency with volume ambitions while building the forecasting rigor and channel diversity that powers next-stage growth.
Your Mission
Audit current paid portfolio performance across Meta, Google, TikTok, Reddit, Affiliate, ZocDoc, and offline channels; establish baseline CAC by channel and identify quick efficiency wins
Build weekly/monthly forecasting models and pacing dashboards that tie paid investment directly to CAC and visit volume targets—get stakeholders aligned on metrics
Design and launch a structured experimentation framework; allocate 10-15% of budget to high-impact pilots (new channels, creative angles, audience segments)
Present annual paid growth strategy to leadership with 12-18 month roadmap, investment recommendations, and explicit assumptions on CAC curves and channel expansion
Deliver proven efficiency improvements across core channels; demonstrate CAC reduction of 10-15% or equivalent volume growth at flat/reduced spend
Integrate 1-2 emerging offline channels (podcasts, CTV) into core planning; bring strategic ownership in-house while maintaining agency partnerships for execution
Build and operationalize creative testing engine; run structured A/B tests across channels with documented learning loops and iteration velocity
Grow team capability: hire or upskill 1-2 paid specialists; document playbooks for channel management, creative briefs, and forecasting so function scales with business
KPIs You'll Own
Customer Acquisition Cost (CAC) by channel
Track CAC across digital (Meta, Google, TikTok, Reddit, Affiliate, ZocDoc) and offline (Podcasts, CTV); report weekly/monthly and vs. target.
Patient acquisition volume
Total new patients acquired via paid channels; measure absolute volume and cohort contribution to company bookings.
Paid marketing ROAS / LTV:CAC ratio
Return on ad spend and lifetime value to CAC ratio; ensure paid acquisition remains profitable as scale increases.
Channel mix & diversification
% of volume from top 3 channels; track trend toward a healthier, more resilient portfolio.
Forecasting accuracy
Compare monthly/quarterly forecast vs. actual on CAC and volume; aim for <10% variance.
Experimentation velocity
# of structured tests launched per month; conversion rate of pilots into core channels.
Tools & Stack
Your Team
Your Manager
CMO or Chief Growth Officer (not specified in job posting)
Current Team
In-house digital team managing Meta, Google, TikTok, Reddit, Affiliate, ZocDoc; agency partners handling podcasts and CTV
New role or backfill; opportunity to expand team with 1-2 paid specialists over 12 months
The Package
Salary
$180K-$220K base
Remote
On-site, New York, NY (Full-time)
Benefits & Perks
Company Intelligence
Talkiatry is a national mental health practice co-founded by a patient and triple-board-certified psychiatrist. The company solves accessibility (60% of U.S. adults with diagnosable mental illness go untreated) and provider burnout (45% of clinicians out-of-network) through technology and human-centered care.
Culture
Human-centered, mission-driven healthcare; founders deeply understand both patient and provider pain; emphasis on accessible, responsible care
Is This Role For You?
- You've managed $5M+ paid budgets across multiple digital channels and understand CAC modeling, forecasting, and unit economics at scale
- You thrive as both operator (hands-on campaign management, testing) and strategist (annual planning, portfolio allocation, long-term roadmap)
- You're comfortable with ambiguity and data gaps; you know how to build bottom-up models and challenge assumptions with rigor
- You're motivated by impact: healthcare, mission-driven growth, and the chance to meaningfully influence business strategy excites you
- You expect a pure optimization role or hands-off strategic advisory; this is a working director role requiring both execution and leadership
- You need hybrid/remote flexibility; this is on-site in NYC
- You're uncomfortable with offshore teams, agencies, or complex cross-functional dependencies; you'll collaborate with Finance, Ops, Brand, and external partners daily
Interview Process
Initial conversation
Recruiter screens for paid growth experience, scale, and CAC familiarity; 20-30 min
Case study or portfolio review
Walk through a paid campaign you've led at scale; discuss CAC trends, channel mix, and how you'd approach optimization
Director/CMO conversation
Deep dive on growth strategy, forecasting approach, and how you'd build/scale the function at Talkiatry; 45-60 min
Finance or Ops conversation
Discuss forecasting rigor, budget planning, and cross-functional collaboration; 30-45 min
Final offer round
Meet co-founder or CEO; align on mission, scope, and growth vision
Interested in this role?
Apply now and hear back within days, not weeks.
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About Growth Marketing Roles
Growth marketers drive user acquisition, activation, and retention through data-driven experimentation. They sit at the intersection of product, data, and marketing — running A/B tests, building funnels, and scaling what works.