Senior Performance Marketing Specialist

XRHealth; Needham (MA); Hybrid; USD 90,000 - 110,000; Full time

Benefits offered by this job

Competitive compensation

Hybrid work flexibility

Office in Needham, MA

Job summary

XRHealth in Needham, MA is seeking a hands-on Performance Marketer to own and optimize paid acquisition across Meta and Google. You’ll drive growth with real budget authority, collaborating with creative, data, and enrollment teams, and reporting to leadership.

You’ll manage campaigns end-to-end, focusing on CAC, ROAS, and conversion-rate improvements while ensuring healthcare advertising compliance. This role offers hybrid flexibility and a direct impact on patient access to care.

Qualifications

• 3 years managing paid media campaigns with hands-on Google Ads and Meta Ads execution.
• Proven experience managing $50K monthly ad spend.
• Experience in U.S. healthcare, health & wellness, telehealth, insurance, medical devices, or senior-focused D2C marketing.
• Working knowledge of healthcare advertising compliance and HIPAA-aware practices.
• Strong analytical skills across GA4, attribution tools, dashboards, and spreadsheets.
• Experience producing clear performance reports and translating data into decisions.

Responsibilities

• Plan, launch, and manage campaigns across Meta, Google Search, Performance Max, YouTube, Display, Discovery, and Demand Gen.
• Manage day-to-day campaign management: bids, budgets, audiences, creatives, and targeting.
• Ensure accurate campaign setup, tracking, and platform configuration.
• Monitor campaign performance daily and act on insights.
• Produce weekly/monthly performance reports with actionable insights.
• Identify and test new paid acquisition channels.

Skills

Paid media management

Google Ads

Meta Ads

Analytics GA4

Campaign optimization

Tools

GA4

Tag Management

Excel

Dashboards

Job description

About XRHealth

XRHealth is the global leader in immersive healthcare, delivering FDA-listed virtual reality therapy devices directly to patients at home. Our VR therapy platform is covered by Medicare and the VA, and is actively improving outcomes for patients managing chronic pain, stroke recovery, mental health, and more. With over 1 million VR therapy sessions completed and 50,000 patients treated, we’re scaling fast, and we need a performance marketer who can grow with us.

The Role

This is a hands‑on ownership role. You’ll manage and optimize our paid acquisition engine across Meta and Google, driving measurable patient growth. You’ll own the full paid media function: strategy, execution, measurement, and optimization, as an experienced individual contributor.

You’ll work closely with our Marketing Director and collaborate across creative, data, and enrollment teams. You’ll have real budget authority, real impact on growth, and direct visibility to leadership.

What You’ll Do

Paid Media Execution & Ownership

• Plan, launch, and manage campaigns across Meta, Google Search, Performance Max, YouTube, Display, Discovery, and Demand Gen
• Manage day-to-day campaign management: bids, budgets, audiences, creatives, and targeting
• Ensure accurate campaign setup, tracking, and platform configuration

Performance Monitoring & Optimization

• Monitor campaign performance daily and act on what you find
• Continuously improve CAC, conversion rates, and ROAS
• Run structured A/B tests across creatives, messaging, and landing pages
• Optimize bids, audiences, placements, and creative performance
• Optimize conversion paths and landing page performance

Measurement & Analytics

• Own the performance tracking stack: GA4, tag management, attribution tools, and dashboards
• Produce weekly and monthly performance reports with clear, actionable insights
• Track KPIs, identify issues early, and measure performance against acquisition goals
• Partner with the data team on lead quality, pipeline attribution, and reporting

Channel Expansion

• Identify and lead testing across new and emerging paid acquisition channels
• Brief creative teams on high-performing ad asset needs
• Communicate performance clearly to non-platform stakeholders

What We’re Looking For

• The most important thing: you’ve run paid media campaigns for a U.S. audience in a regulated or health‑adjacent category, and you understand what that means for compliance, creative, and targeting.

Required

• 3 years managing paid media campaigns with hands‑on Google Ads and Meta Ads execution
• Proven experience managing $50K monthly ad spend
• Experience in U.S. healthcare, health & wellness, telehealth, insurance, medical devices, or senior‑focused D2C marketing
• Working knowledge of healthcare advertising compliance and HIPAA-aware practices
• Strong analytical skills across GA4, attribution tools, dashboards, and spreadsheets
• Experience producing clear performance reports and translating data into decisions

Strong preference

• Direct experience marketing to Medicare-eligible (65 ) audiences
• D2C patient or member acquisition experience
• Familiarity with Medicare or VA advertising guidelines

Nice to Have

• HubSpot experience (we’ll train the right person)
• Experience with medical devices, telehealth, or health subscriptions
• Experience in fast-paced startup or scale-up environments

You’ll Thrive Here If…

You’re happiest operating Google and Meta Ads, inside spreadsheets, and reviewing dashboards. You spot patterns others miss and make decisions based on evidence, not intuition. And you can explain what’s working and why to people who don’t live in the platforms, clearly, confidently, and without jargon. And you care about the end result: patients getting access to care that actually works.

Why Join XRHealth?

• Work on a product that meaningfully improves patients’ lives
• High ownership from day one and real impact on growth
• Fast-moving, innovative environment at the intersection of healthcare and immersive technology
• Competitive compensation ($90,000–$110,000) and hybrid flexibility — Needham, MA office with flexible remote days