Founding Performance Marketer (PPC)

Healthtech-1; Greater London; On-site; GBP 60,000 - 90,000; Full time

Job summary

Healthtech-1 is hiring a founding performance marketer to lead paid search. You’ll own Google Ads end-to-end, shape bidding strategies, and run experiments across geographies while collaborating with product and engineering teams to boost bookings.

The role emphasizes a hands-on, in-house approach, building scalable paid channels and a privacy-conscious measurement system in line with health data standards.

Qualifications

• 5–7 years of hands-on PPC experience in product companies.
• Experience managing £500k+ spend and optimizing CPC/CPA.
• Deep understanding of full user journeys from impression to conversion.

Responsibilities

• Own our Google Ads account end to end across campaigns and geographies.
• Define bidding strategy and budget allocation with focus on CPC and CPA.
• Run an experimentation programme for bidding, audiences, ads, assets and landing pages.
• Collaborate with engineers and product teams to optimize landing pages and booking flow.

Skills

PPC management

Google Ads

Bidding strategy

Campaign optimization

Conversion tracking

Tools

Microsoft Advertising

GA4

Job description

We're unlocking access to the NHS, because healthcare is not truly free until it's truly accessible

The world’s best healthcare, for free. It's not a new idea, it's called the NHS. But the largest healthcare provider is fundamentally broken. Patient satisfaction is at an all time low, and the biggest reason cited is lack of access. So we’re on a mission to fix it with technology that actually works.

We're building the front door of UK healthcare, creating a future where one billion NHS appointments are transparent and instantly bookable, and patients are guided to the right service first time using AI.

We're developing critical national infrastructure. Today, 26% of GP practices in England use our patient registration software, while one in five GP practices in London use Bookable Search to help new patients find and book appointments seamlessly.

Our latest product, Bookable Navigator, extends this vision by automatically booking appointments for existing patients.

We operate from within a working GP practice in East London. We're backed by Y Combinator, Innovate UK and the NHS Clinical Entrepreneur Programme, and were previously ranked the 8th fastest-growing startup in the UK and 33rd fastest-growing in Europe.

Read more about our principles and our "why" in the Healthtech-1 Handbook.

Our Principles

Exciting challenges lie ahead. Guided by our principles, we’ll meet these challenges with a thoughtful and caring approach. These principles drive everything we do at Healthtech-1:

1. Care deeply
2. Work hard
3. Be your word
4. Trust in radical truth and transparency
5. Do your life's best work
6. Find the fun

Why this role matters

Finding and booking a GP is still one of the most frustrating experiences in UK healthcare. Bookable.health fixes that. Patients search, find a practice or pharmacy near them, register and book in minutes. Our first product is already used by 26% of GP practices in England, and Bookable is how we connect those practices directly with patients.

Paid search drives most of our patient traffic today. We run a seven-figure-a-year paid search account, and small gains compound fast: a 10% lift in conversion is worth hundreds of thousands of pounds a year to us. We're hiring a founding performance marketer to take paid search into an excellent patient acquisition engine, and then build out our next paid channels. This is a founding role, not a "BAU" or "maintenance" role.

What you'll own

• Our entire Google Ads account, end to end: Search, Performance Max, Demand Gen and AI Max campaigns across multiple geographies
• Bidding strategy and budget allocation, with a sharp eye on cost per click, cost per conversion and search impression share
• A real experimentation programme covering bidding, audiences, ads, assets and landing pages, not just nudging CPA targets
• Keyword and search term strategy: expansion, negatives, match types, and finding high-intent queries others miss
• Ad and asset testing, working with our growth marketer on copy and creative
• The full journey from impression to booked appointment. You'll work directly with our engineers and product team on landing pages, search results and the booking flow so that paid traffic actually converts
• Privacy-safe measurement: conversion tracking and attribution that meets health-data standards and ad platform healthcare policies
• New paid channels: Microsoft Ads, remarketing, and emerging AI search and assistant platforms

What we're looking for

• 5–7 years of hands-on PPC experience, ideally in-house at a product company rather than agency-side
• You've personally run accounts with £500k+ in spend and high click and conversion volume, and you can talk in detail about what you changed and what happened as a result
• You're fluent in bidding strategy, account structure and automated campaign types, and you know when not to trust them
• You think in full user journeys (impression, evaluation, intent, conversion, remarketing), not just traffic
• You've launched products or