About AIOS

AIOS is building the world’s first full-stack AI doctor.
We’re at $350M ARR, growing from $10M/yr 12 months ago. We’re the world’s fastest growing AI doctor.
We’re faithfully serving >150k/mo patients via Bolt Pharmacy, our main UK brand. We’re profitable.
Our strategy exists at the intersection of two strong theses:

The AI doctor that wins will get to escape velocity using GLP-1s, the fastest growing consumer product in history.
The $2T European healthcare market is overlooked by the most talented builders.

Our master plan:

Step 0 → $100M/yr by end of 2025 : We went from $10M to $100M in 6 months serving the UK GLP-1 market.
Step 1 → $1B ARR by end of 2026 : Over the last 12 months we’ve grown from 3k to 150k UK active GLP-1 patients. We’ll continue this growth curve to hit $1B ARR.
Step 2 → $10B ARR by end of 2028 : Blitzscale Europe. We’ll be Europe’s largest GLP-1 provider.
Step 3 → $100B/yr by end of 2031 : Get regulatory approval across Europe for our Full Autonomous Prescribing (FAP) system. Win contracts at scale with European payers to mass replace human labor. We’ll be the dominant full-stack AI doctor in Europe.
Step 4 → $1T/yr by end of 2035 : With one line of code and zero human time, you can use AIOS to treat any patient globally with any medication.

In so doing, we’ll become the world’s first trillion-dollar healthcare company.
We’re a young, founder-led company. 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

Being a Senior Media Buyer at AIOS

We are building a world-class team.

As Senior Media Buyer (Paid Search) at Aios, your mission is to unlock Google as a major growth channel, taking it from a small share of our paid mix today to a mature, scaled second engine that runs alongside Meta.

Google is our biggest under-tapped opportunity. Non-brand spend today is small relative to what the account can support, and our plan is to close the gap to Meta significantly across the year (>£1m/month).

Your job is to architect and drive that scale-up: growing spend profitably, without blowing out CAC, and without ever cutting corners on the strict ASA and CAP compliance rules that govern what we can say in ad copy (Rule 12.12 in particular).

Early on, you’ll ramp into the accounts: current campaign structure, keyword strategy, tCPA dynamics, Search Abs Top IS, ad copy inside compliance constraints, feed setup on Shopping, and how each market behaves. As trust builds, you’ll take on increasing ownership of the Google operation end-to-end.

This is not a strategy-only role. The work today is hands-on craft inside Google Ads. Over time, the ceiling is much higher: you’ll lead the Google pod, take on EU markets as they launch (Germany, Netherlands, Portugal, Denmark, Sweden), and expand into adjacent channels as you earn the right.

Great performance means Google spend scales while CAC holds or improves, Search Abs Top IS climbs materially, tCPA campaigns get pushed to their real ceilings without breaking, new markets launch cleanly without hurting UK performance, compliance is never a firefight, 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 (Head of Performance).

You’ll work most closely with:

André Andrade - Creative Lead
Michael McCann - Head of CRO
Reinhardt Grobbelaar - Performance Associate

Key responsibilities

Google Ads ownership: Over time, you operate the Google accounts day-to-day. UK is the core market and your priority today, with the rest of the EU on the cards this year. Search, Performance Max, Shopping, YouTube, Demand Gen. Keyword research, match type strategy, negatives, ad copy, extensions, feed hygiene, landing page alignment, daily optimisation.
Profit-aware scaling: You push spend up while keeping tCPA / CAC inside target bands. You understand how to grow Search Abs Top IS through budget, bidding, and quality score. You know how to scale a tCPA campaign when actual performance is running well ahead of target without blowing out CACs.
Compliance mastery & account resilience: You operate cleanly under ASA / CAP and GPhC rules, particularly Rule 12.12 (POMs cannot be advertised to the public). You never reference prescription medicines, named drugs, or use words like “medication” in ad copy. You maintain and evolve our MCC and account structures to keep them resilient against the unique compliance challenges of GLP-1 advertising.
Multi-geo orchestration: You run multiple country accounts in parallel without dropping balls - different keywords, localised ad copy, different match type strategies, different compliance realities, different reporting cuts. You build the systems that make multi-geo manageable as it grows.
Ad copy, feed and landing page craft: You write ad copy that converts inside tight character limits and strict compliance rules. You treat Bolt like an e-commerce product on Google Shopping, owning the product feed, data quality, and the ad-to-LP handoff.
Team building: As we add more buyers alongside you and underneath you, you hire, mentor, and lead the Google pod. You build the bench that this hire is the seed of.

Need to have

Proven Google scale (hands-on): You’ve personally operated Google Ads 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 Google-specific depth: You know Search, Performance Max, Shopping, YouTube, and Demand Gen. You can hold a credible conversation about tCPA vs tROAS vs Max Conversions, match type strategy, quality score levers, negative keyword hygiene, Search Abs Top IS optimisation, feed structure, attribution windows, and how to layer audiences on top of search intent.
DTC consumer: You’ve scaled DTC brands, not maintained them after they were scaled by someone else. 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. You think in purchases, CAC, LTV, and cohort economics - not MQLs and lead gen.
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. The leadership team trusts your metrics and your decisions.
Ad copy and landing page fluency: You think in hooks, angles, and offers, not just keywords. You write ad copy that converts. You collaborate closely with CRO / LP teams and know how to isolate ad performance from LP performance when something breaks.
Multi-geo experience or the operating discipline to absorb it: Either you’ve run Google Ads 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, or lead-gen ecosystems (MQLs, SQLs, demand gen for sales teams); you’ve only ever been an optimiser inside a mature account; you operate primarily through agencies or teams without staying hands-on; you’re a former Google rep whose expertise is theory not scale; or you can’t point to specific examples of personally moving the needle on a £1M+/month Google account.

Nice to have

Meta Ads experience: Hands-on scaling Meta at real DTC volume. Not a focus, but would be advantageous to have another head that could help out here when needed.
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 category where ASA / CAP / GPhC / MHRA compliance is a daily reality. Bonus if you’ve personally handled an ASA challenge and come out clean.
Google Ads Customer Match sophistication: You’ve navigated the Customer Match approval process and can talk practically about how to solve issues like ADVERTISER_NOT_ON_ALLOWLIST.
Attribution sophistication: Comfort with MMM, incrementality testing, geo holdouts, post-purchase surveys - and a healthy scepticism of platform-reported ROAS. Bonus if you understand how to fight for accurate view-through and cross-device attribution on Google specifically.
Multi-market operating history: You’ve run Google Ads across multiple countries simultaneously and learned the practical patterns that come with it, chiefly the UK and/or EU.
Management / mentorship experience: You’ve hired, developed, and led paid search 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:

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.
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.
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.
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.
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.
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.
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.
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.
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.
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–$250/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

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AIOS (YC W20/S21)