Director, Paid Growth Marketing

Talkiatry is seeking a Director of Paid Growth Marketing to scale and evolve our paid patient acquisition engine. This leader will drive efficient performance today while building the systems, forecasting discipline, creative rigor, and channel diversification that power our next stage of growth.

This is not a pure optimization role. You will operate as both operator and strategic owner of our paid growth engine, scaling what works, rigorously evaluating and launching new initiatives, and strengthening the paid growth function as the business grows.

You will be accountable for performance against CAC and acquisition volume targets at significant and growing scale, and help shape how we allocate paid investment across digital and offline channels as the business scales. CAC is an increasingly critical driver of company-level growth planning and executive decision-making, and this role will play a central part in shaping that strategy.

This role offers meaningful ownership and influence within a high-growth healthcare company, with the opportunity to expand scope over time as the function scales.

About Talkiatry

Talkiatry transforms psychiatry with accessible, human, and responsible care. We’re a national mental health practice co-founded by a patient and a triple-board-certified psychiatrist to solve the problems both groups face in accessing and providing the highest quality treatment.

60% of adults in the U.S. with a diagnosable mental illness go untreated every year because care is inaccessible, while 45% of clinicians are out of network with insurers because reimbursement rates are low, and paperwork is unduly burdensome. With innovative technology and a human-centered philosophy, we provide patients with the care they need—and allow psychiatrists to focus on why they got into medicine.

You Will

Drive paid growth investment strategy & annual planning:

• Own and manage the paid investment strategy against CAC, bookings, and visit volume goals.
• Build rigorous weekly and monthly forecasts and pacing models, and develop bottom-up acquisition models that inform annual planning in partnership with Business Ops & Finance.
• Translate annual growth targets into a forward-looking acquisition roadmap, modeling investment needs, channel expansion, and expected efficiency curves over the next 12–18 months.
• Evaluate marginal efficiency and incremental return across the portfolio, allocating a dedicated portion of budget toward structured experimentation and high-impact growth initiatives.
• Proactively present clear investment recommendations with explicit assumptions, tradeoffs, and risk mitigation plans.

• Own the full paid portfolio across in-house digital channels (Meta, Google, TikTok, Reddit, Affiliate, Zocdoc) and agency-supported offline channels (Podcasts, CTV), ensuring a unified investment strategy across both.
• Integrate emerging offline channels into core planning and forecasting, bringing more strategic ownership in-house while partnering with agencies for execution and scale.
• Identify, size, and advocate for new acquisition opportunities across new channels and emerging platform surfaces. Build clear business cases, integrate successful pilots into the core mix, and take calculated, defensible risks while scaling proven levers.

• Design and operationalize structured testing roadmaps across ads, landing pages, audiences, and creator-driven content.
• Integrate creators strategically into the paid mix with repeatable systems for sourcing, briefing, testing, and scaling high-performing content.
• Partner closely with Brand and Creative to ensure sustained messaging iteration and performance lift.

• Synthesize insights across attribution, incrementality testing, media mix modeling, and platform-level data to inform portfolio investment decisions, taking clear, defensible positions even when signals are imperfect or directional.
• Translate complex performance data into clear, executive-ready recommendations for senior leadership.

• Lead, grow, and develop a high-performing paid team, building systems and processes that scale with the business.

• 8–10+ years leading revenue-driving paid B2C acquisition programs, with direct accountability for CAC and acquisition volume targets.
• Experience allocating significant paid budgets across in-house digital channels (e.g., Meta, Google, TikTok, Affiliate) and integrating agency-supported offline channels (e.g., CTV, podcasts) into a unified portfolio strategy.
• Strong forecasting discipline, with experience building bottom-up acquisition models to inform annual planning, including sizing opportunities, modeling tradeoffs, and refining recommendations through cross-functional feedback.
• Experience operating in multi-method measurement environments (e.g., attribution + MMM + incrementality) and making confident budget recommendations under imperfect signals.
• Deep, hands-on analytical fluency; you build and manipulate models in Google Sheets/Excel, work directly in BI tools, and use SQL (or similar querying tools) to interrogate and pressure-test performance data.
• A demonstrated ability to incubate and scale new growth vectors, advocating for high-conviction ideas and integrating successful pilots into the core media mix.
• A track record of designing and operationalizing creative testing roadmaps across ads and landing pages, integrating creators strategically, and tying creative strategy directly to measurable performance outcomes.
• Strong executive communication skills with the ability to clearly articulate and defend investment recommendations.
• Demonstrated ability to build and develop high-performing teams.
• Bonus: Deep hands-on experience running offline channels (e.g., TV, audio, OOH)

• Top-notch team: we're a diverse, experienced group motivated to make a difference in mental health care
• Collaborative environment: be part of building something from the ground up at a fast-paced startup
• Excellent benefits: medical, dental, vision, effective day 1 of employment, 401K with match, generous PTO plus paid holidays, paid parental leave, and more!
• Grow your career with us: hone your skills and build new ones with our Learning team as Talkiatry expands
• It all comes back to care: we’re a mental health company, and we put our team’s well-being first

At Talkiatry, we are an equal opportunity employer committed to a diverse, inclusive, and equitable workplace and candidate experience. We strive to create an environment where everyone has a sense of belonging and purpose, and where we learn from the unique experiences of those around us.

We encourage all qualified candidates to apply regardless of race, color, ancestry, religion, national origin, sexual orientation, age, citizenship, marital or family status, disability, gender, gender identity or expression, pregnancy or caregiver status, veteran status, or any other legally protected status.

Compensation Range: $200K - $250K