Eko builds AI and digital tools to enable every healthcare provider to more accurately detect heart and lung disease – the leading causes of death globally. Our FDA cleared, industry leading products are used by hundreds of thousands of clinicians on millions of patients around the world. With Eko, clinicians can detect cardiac and pulmonary disease with higher accuracy, diagnose with more confidence, manage treatment effectively, and ultimately give their patients the best care possible. We have strong venture capital backing from investors like Artis Ventures, Questa Capital, Highland Capital, and Mayo Clinic Ventures. Recognized by TIME magazine in 2025 as one of the world’s top healthcare technology companies, Eko is one of the fastest growing digital health companies with products used around the world at some of the most prestigious health systems. We have more than 8 FDA clearances including novel AI algorithms, and we invest heavily in quality clinical research and R&D to build and validate exceptional products for patients we care deeply about. We’ve built a mission driven, high performing, talented, and diverse team of engineers, physicians, PhD’s, creatives, and technologists. We are committed to investing in each other and our mission to ensure all patients have access to high quality care. We are headquartered in Emeryville, California and privately-held with world class investors and partners. About the Role: The Director of Media & Ad Operations owns the financial, analytical, and operational backbone of paid growth for the Direct to Provider business at Eko. You will be accountable for media efficiency, budget allocation, and channel testing strategy across all paid acquisition and upper-funnel investments. This role is a great fit for someone who thrives in a technical, data-mature environment and enjoys the challenge of determining where incremental dollars should be deployed to drive long-term growth. You will work in tight partnership with the GM of Provider and Senior Director of eCommerce to oversee performance across digital, influencer, and emerging channels. This is a high impact role where you will build and manage a small team of performance marketers, working closely with them to define a vision, execute a strategy informed by customer insights, and ultimately scale paid marketing initiatives to drive omnichannel customer acquisition and revenue growth for the direct provider business at Eko. You will help drive our performance culture, directly managing and recruiting A+ talent and guiding internal and external partners in creating effective and impactful work. You will report to the General Manager of the Provider business, and hold a key role on the Provider Leadership Team at Eko. The Team

The Performance Marketing Team at Eko is responsible for efficiently driving direct-to-clinician omnichannel growth through paid marketing, earned marketing, and ecommerce initiatives. The team’s core functions include acquisition channels, creative development, campaign execution, and unpaid/organic marketing. In addition, Performance Marketing works very closely with Web, Product, Supply Chain, Customer Support, Insights/Analytics, and Partnerships teams to drive growth, measure success, and facilitate amazing customer experiences.

Responsibilities:

Lead and scale Eko’s paid & earned media marketing efforts for the Direct Devices business unit across Social, Influencers, Search, Programmatic, Offline, Audio, Email/SMS, and Partnerships —managing both in-house talent and external agencies to drive efficient growth.

Guide the development of growth-focused creative, setting the priorities for video, static, and audio ad production based on performance insights and customer research, working closely with our in-house creative team and external creative agencies.

Own the campaign calendar and channel execution for key messaging moments, limited edition colorways, price promotions, and industry events—ensuring timely, cohesive, and high-performing campaigns.

Drive forecasting, performance reporting, and OKR setting for the direct business, including Revenue, ROAS, and contribution margin, ensuring the team hits targets through strategic planning and continuous optimization.

This might describe you:

5+ years of experience leading performance marketing at a high-growth DTC brand.

Deep hands-on experience managing several of the following channels for direct response objectives: Paid Social, Paid Search, Display, YouTube, Linear TV, CTV, Influencer, Affiliate, Radio, Podcast, Direct Mail.

In-depth understanding of content asset development across a breadth of styles, medium, and sources (from still photography to moving, video, to user-generated content)

Experience managing a team of performance channel managers with a track record of growing, coaching and developing talent.

Creative thinker who is full of ideas, but follows a structured test-and-learn approach; recognizes patterns, forms hypotheses, can clearly identify next steps from test results.

Experience setting objectives and measurable goals, determining budgets, and delivering against bookings, revenue, and ROAS targets.

Experience determining the “true ROI” of marketing initiatives by leveraging a variety of different marketing measurement methodologies (i.e., last-click, pixel/tag-based, survey-based, MMM, geo/holdout tests, etc.).

Able to manage effectively at macro and micro levels; equally comfortable planning long term strategy with our executive team and getting hands-on with a channel manager to analyze and interpret test results or performance trends.

Humble and zero ego in spite of expertise—easy to work with, great cross-functional collaborator, and someone who is open to and welcomes their POV being challenged.

Hungry to drive results and motivated first and foremost to grow the business.

Enterprising “doer,” with an ownership mentality and a bias towards action. Some portion of your work will be hands-on, even as an executive in the company.

Top-notch analytical skills.

Structured thinker and communicator.

Sense of humor -- we take our work seriously and ourselves un-seriously.

The opportunity to work on products that impact the health of millions of people.

Generous paid-time off

Stock incentive plans

Medical/Dental/Vision, Disability + Life Insurance

One Medical membership

Parental Leave

401k Matching

Wellness programs and perks (Headspace, Ginger, Aaptiv, Physera)

Learning and Development stipend

Compensation is market-based and reflects the cost of labor across different U.S. geographic locations. The specific salary is based on several factors, including market location, and may vary depending on job-related knowledge, skills, and experience.

Eko is proud to be an equal opportunity employer and welcome people of different backgrounds, experiences, abilities and perspectives. We are committed to building a diverse and inclusive team.

Head of Performance Marketing

TLDR

Benefits