Senior Media Buyer at AIOS — Remote, $150k–$250k/yr inc equity

# About AIOS **AIOS is building the first vertically integrated AI doctor in Europe.** We’re \>$250M ARR, serving \>100k/mo patients, growing \>10x YoY. We’re Europe’s fastest growing healthcare company. We’re profitable. As our wedge into the European healthcare system we’re using GLP-1s, the fastest growing consumer product in history. We’re the only AI-native GLP-1 provider in Europe. Our master plan: - **Step 1 → $1Bn/yr** : Over the last 12 months we've grown 40x to \>100k UK GLP-1 patients. In 2026, we’ll hit $1Bn/yr and become #1 GLP-1 provider in UK. - **Step 2 → $10Bn/yr** : Blitzscale Europe. Become Europe’s largest GLP-1 provider by acquiring, retooling, then rapidly scaling regulated infrastructure across the top 10 EU markets, just as we did in the UK. - **Step 3 → $100Bn/yr** : Use our scale to vertically integrate across agentic patient care, autonomous prescribing, robotic dispensing, and dark factory manufacturing of medication. We'll be the first and only vertically integrated AI doctor in Europe. TLDR = 2026-2030 is the blitzscale landgrab until the semaglutide patent cliff, then we vertically integrate and own the whole value chain. The only way to keep up with this scale is to replace all marginal human time with AI. Our infrastructure will have served 100 million patients worldwide by 2035. We’ll then use that infrastructure to deliver next-generation healthcare products at mass scale for low cost so every human can live at least 100 healthy years. In so doing, we’ll become the world’s first trillion-dollar healthcare company. We’re a young, founder-led startup. 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](https://www.notion.so/Working-at-AIOS-5b5c0a584af44de78ac7fb9b2cf8d993?pvs=21) ## Being a Senior Media Buyer at AIOS We are building a world-class team. As Senior Media Buyer at Aios, your mission is to drive elite Meta performance as we scale paid acquisition across the UK and new international markets. Meta is our largest and most important paid channel. We’re currently spending £2.5M+/month, growing fast, and preparing to expand into multiple new markets. Your job is to help us scale that spend profitably, without losing control of CAC, creative learnings, reporting discipline, or market-by-market execution. You’ll work directly with our Head of Performance, Dave, who stays deep in-platform alongside you to start. Early on, you’ll ramp into the accounts: campaign structure, creative library, compliance constraints, reporting cadence, and how each market behaves. As trust builds, you’ll take on increasing ownership of the Meta operation. Day to day, this means planning spend, structuring campaigns, optimising toward profit-aware ROAS/CAC targets, translating performance signals into clear creative briefs with our Creative Lead, André, and running the kind of operating cadence that makes your work easy to trust. This is not a strategy-only role. The work today is hands-on craft inside Meta. Over time, the ceiling is much higher: you’ll help build the Meta media buying pod, expanding into adjacent channels like Google, TikTok, YouTube, and programmatic. Great performance means CAC holds or improves as spend scales, weekly pacing runs like clockwork, new markets launch on time without hurting core market performance, 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 [Dave Lane](https://www.linkedin.com/in/davidanthonylane/) (Head of Performance) You’ll work most closely with: - [Richie (Rick) Singh](https://www.linkedin.com/in/richiesingh/) - VP Consumer Growth - [André Andrade](https://www.linkedin.com/in/andretz/?locale=en) - Creative Lead - [Michael McCann](https://www.linkedin.com/in/michael-mccann-33b79642/) - Head of CRO ## Key responsibilities - `Meta ownership across all live markets:` Over time, you operate the Meta ad accounts day-to-day across the UK and new markets as they launch. Account structure, campaign builds, audience strategy, bidding, budget pacing, daily optimization - you live in the platform, not above it. - `Profit-aware scaling:` You push spend up while keeping ROAS / CAC inside target bands. You know when to lean in, when to hold, and when to pull back. You can defend every meaningful spend decision with a clear hypothesis and a clear read. - `Multi-geo orchestration:` You run multiple country accounts in parallel without dropping balls - different audiences, different creative variants, different compliance requirements, different reporting cuts. You build the systems that make multi-geo manageable. - `Creative partnership with André's team:` You work hand-in-hand with our Creative Lead to translate platform signal into briefs, run rigorous testing frameworks, and scale winners systematically. You don't just consume creative - you shape what gets made. - `Structured operating cadence:` You run a weekly rhythm - plan, execute, retro, replan - with reporting that the leadership team can trust without having to ask follow-up questions. Your forecasts are realistic. Your decision rules are explicit. Your communication is crisp. - `Account hygiene & resilience:` You maintain, harden, and evolve our Business Manager / ad account structures, keeping them resilient against platform volatility, policy changes, and the unique compliance challenges of GLP-1 advertising. - `New-channel expansion (over time):` As you earn the right, you take on adjacent channels - Google, TikTok, YouTube, programmatic, affiliate - applying the same operator discipline. - `Team building (over time):` As we add junior buyers underneath you, you hire, mentor, and lead the Meta pod. You build the bench that this hire is the seed of. ## Need to have - `Proven scale on Meta (hands-on)`: You've personally operated Meta accounts at £1M+/month spend for DTC ecom brands, in the platform yourself every day. Not "led a team that did it." Not "oversaw an agency that did it." You did it. - `5+ years of Meta-specific depth`: You know the platform's quirks, its policy landmines, its bidding behavior, its measurement nuances. You can hold a credible conversation about CBO vs ABO, account structure trade-offs, attribution windows, BAU vs incrementality, signal loss, and creative testing frameworks. - `DTC consumer scale-up background`: You've grown brands, not maintained them. 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. - `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. - `Creative fluency`: You think in concepts, hooks, formats, and angles - not just metrics. You can brief well, give sharp creative feedback, and design testing structures that actually produce learnings. - `Multi-geo experience or the operating discipline to absorb it`: Either you've run paid media 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. ⚠️ **Not the right fit if:** you've only worked with big corporate brands, B2B, brand awareness campaigns; you've only ever stepped into already-scaled accounts as an optimizer; you operate primarily through agencies or teams without staying hands-on; or you can't point to specific examples of personally moving the needle on a £1M+/month Meta account. ## Nice to have - `Google Ads experience`: Hands-on across search, performance max, demand gen, and YouTube. We'll likely want you to take this on over time. - `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 other category where compliance is a daily reality. - `Attribution sophistication` **:** Comfort with MMM, incrementality testing, geo holdouts, post-purchase surveys - and a healthy skepticism of platform-reported ROAS. - `Multi-market operating history`: You've run Meta across multiple countries simultaneously and learned the practical patterns that come with it. - `Management / mentorship experience`: You've hired, developed, and led media buyers before, even informally. - `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. ## Our cultural standards 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: 1. `Belief in the mission`: We will have served 100 million patients by the end of 2035 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. 2. `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. 3. `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. 4. `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. 5. `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. 6. `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. 7. `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. 8. `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. 9. `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. 10. `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. 🎯 _“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.” ## Compensation & Benefits You get paid above market salary and you get early stage equity, so you get really rich if we nail this. - _Compensation_: $150k–$250k/yr, incl equity - _Healthcare_: comprehensive medical insurance (if appropriate) - _GLP-1s_: free membership with a clinic offering GLP-1s. - _Vacation_: PTO with a yearly minimum (≥2wks/yr + local national holidays) - _Remote_: our team is fully distributed across the world and functions fully remotely - _Personal development_: budget for books, courses, coaching ($1200/yr) - _Personal wellness_: budget for gym, health apps ($1200/yr) - _Coaching_: free biweekly health coaching - _Equipment_: Macbook & work-from-home equipment provided as needed - **What are we missing?** We're still early so you get to shape our culture. ## How to apply 1. Apply on [Ashby](https://jobs.ashbyhq.com/Aios/fcfdd97e-07c5-4db2-9438-b9c5e0b6d6e4) Visa sponsorship is not available for this role.