Lead the paid media and performance marketing strategy across the full DTC funnel for patient marketing. Drive scalable growth with strong ROI discipline across a nine-figure budget. Build and lead a high-performing team. Manage agency partners. Oversee performance and brand paid media programs. Partner with analytics to implement modern measurement and experimentation frameworks (MMM, attribution, incrementality testing). Plan, forecast, and report on channel performance. Scale patient starts efficiently. Continuously test creative, targeting, bidding, and new channels. Collaborate with brand, product, engineering, and finance teams.