Head of Performance Marketing / Paid Acquisition ($180k-$250k + Equity) at Fortuna Health

Fortuna Health is a $22M Series A health tech startup backed by a16z and Y Combinator. After securing a dominant B2B position helping providers manage Medicaid navigation, Fortuna is expanding into the D2C market to help 80+ million Americans access and maintain their healthcare coverage through an intuitive, consumer-first platform.

About the role

You will lead Fortuna Health’s transition into the D2C market by building and owning the performance marketing engine from the ground up. Focusing on paid search, you’ll architect the growth funnel, manage significant budgets, and run high-velocity experiments. This is a hands-on, high-impact role driving the primary acquisition channel for a mission-critical healthcare platform.

Location: New York, USA

Why this role is remarkable

• Own the entire D2C acquisition strategy from scratch at a well-funded Series A startup backed by premier investors like a16z and Y Combinator.
• Drive meaningful social impact by helping millions of families navigate the complex Medicaid system to ensure they don't lose vital health coverage.
• Join a high-growth environment with a dominant B2B foundation, now scaling into a massive consumer market with full autonomy over the paid search stack.

Responsibilities

• Architect and execute the end-to-end paid search strategy, primarily focused on Google Ads, to deliver high-intent leads at scale.
• Build a disciplined experimentation engine for ad creative, landing pages, and interactive tools to optimize conversion across the entire funnel.
• Collaborate with senior leadership and operations to report on key metrics like CAC and ROAS, tying marketing spend directly to enrollment outcomes.

Requirements

• At least 4 years of performance marketing experience with a proven track record of scaling paid acquisition in a fast-paced environment.
• Mastery of Google Ads and paid search funnels, ideally within regulated industries such as healthcare, fintech, or legal services.
• Thrives in a high-velocity, in-person culture and possesses a builder’s mindset, comfortable moving from high-level strategy to hands-on account execution.

Pay

$180k–$250k + Equity