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Salary: GBP 50,000 - 70,000 / annual
Healthtech-1 is building the front door of UK healthcare, creating transparent and instantly bookable NHS appointments powered by AI. The company operates from within a working GP practice in East London and is backed by Y Combinator, Innovate UK, and the NHS Clinical Entrepreneur Programme. Today, 26% of GP practices in England use their patient registration software, and one in five GP practices in London use Bookable to help patients find and book appointments seamlessly.
As Founding Performance Marketer (PPC), you will own the entire Google Ads account end-to-end, managing Search, Performance Max, Demand Gen, and AI Max campaigns across multiple geographies. You'll develop bidding strategy and budget allocation with sharp focus on cost per click, cost per conversion, and search impression share. You'll build a real experimentation programme covering bidding, audiences, ads, assets, and landing pages—not just nudging CPA targets.
Key responsibilities include keyword and search term strategy (expansion, negatives, match types, finding high-intent queries), ad and asset testing in collaboration with the growth marketer, and owning the full journey from impression to booked appointment. You'll work directly with engineers and product teams on landing pages, search results, and the booking flow to ensure paid traffic converts effectively. You'll implement privacy-safe measurement with conversion tracking and attribution that meets health-data standards and ad platform healthcare policies. You'll also evaluate and launch new paid channels including Microsoft Ads, remarketing, and emerging AI search and assistant platforms.
Success looks like: paid search fully in-house with every pound having a clear owner and rationale; measurably lower cost per conversion and wasted spend with higher impression share in priority areas; a regular testing cadence producing learnings that feed back into product and marketing; a built case for the next paid channel with launched campaigns; and engineering and product treating you as the voice of paid traffic when shaping the booking journey.
The role is based in Stratford, East London, onsite 4 days per week (anchor days: Monday, Tuesday, Thursday, Friday). The office is located inside a working GP practice, giving you direct visibility into real-world impact. The company offers homemade breakfast and lunch daily when in office, a collaborative high-trust culture, and an 8-week growth cycle (1 week strategy/research, 7 weeks delivery).
REQUIREMENTS:
- 5–7 years of hands-on PPC experience, ideally in-house at a product company rather than agency-side
- Personally run accounts with £500k+ in spend and high click and conversion volume; ability to discuss in detail what changed and what happened as a result
- Fluent in bidding strategy, account structure, and automated campaign types; know when not to trust them
- Think in full user journeys (impression, evaluation, intent, conversion, remarketing), not just traffic
- Experience launching products or channels, cutting budgets, or driving metrics under pressure; startup or scale-up experience valued more than long tenure at established brands
- Constant learner comfortable with rapid AI-driven changes in search; tested things yourself and have opinions on where search is heading
- Comfortable working directly with engineers, marketers, and founders; make your case with data
- Experience in health or another regulated category (finance, etc.) is a strong advantage
- Core tools: Google Ads (Search, PMax, Demand Gen, AI Max); Next: Microsoft Ads, remarketing, AI platforms; Analytics: PostHog and platform reporting, SQL a plus
