Director of Growth, Marketing

Overview

TrimRx is redefining what responsible healthcare looks like in the GLP-1 space. While much of the market optimizes for speed and volume, we optimize for outcomes - owning the experience after the prescription and designing care that works in real life.

Internally, this commitment shows up in how we build our team: with clarity, accountability, and systems that support people to do their best work without unnecessary friction or ambiguity. TrimRx is committed to building a thoughtful, people-first organization as it scales. We are in an early stage of formalizing internal systems, policies, and workflows to support sustainable growth and a positive employee experience.

As we scale, building a thoughtful, disciplined, people-first organization is not optional, it is foundational to delivering safe, ethical, high-quality healthcare.

Role Overview

The Director of Growth is responsible for leading and scaling the company’s marketing function in close partnership with executive leadership. This role owns the strategy, structure, performance, and efficiency of all marketing efforts across the business.

This leader is accountable for marketing spend discipline, affiliate and agency performance, and full-funnel growth outcomes. They will bring financial rigor to how marketing investment decisions are made—ensuring CAC, LTV, and payback dynamics are clearly understood and actively managed.

This role serves as a strategic counterbalance within a founder-led environment. The Director of Growth is expected to provide clear, data-backed recommendations, challenge assumptions when needed, and guide the business toward sustainable, profitable growth.

This is a highly entrepreneurial, builder-oriented role. The ideal candidate is comfortable operating in ambiguity, capable of building structure where it does not yet exist, and willing to execute hands-on when needed. This is not a purely strategic position—this leader must be equally strong in execution.

This is a critical leadership role with significant ownership and a clear path to CMO.

Key Responsibilities

Growth Strategy and Performance

• Expand focus beyond paid media into brand, organic growth (SEO, community, Reddit), and retention channels
• Define and track KPIs across the full marketing and customer lifecycle funnel
• Identify new channels, customer segments, and growth opportunities
• Drive experimentation frameworks (A/B testing, CRO, channel testing) to continuously improve performance
• Translate data insights into actionable growth initiatives

Marketing Leadership and Execution

• Organize, build, mentor and grow a full marketing team
• Oversee Brand Reputation & Community, Affiliate, Paid Acquisition, and Creative & Brand teams
• Ensure alignment and coordination across all marketing functions
• Establish clear campaign planning, execution, and reporting processes
• Maintain consistent brand positioning and messaging across all channels
• Lead the evolution of messaging from price-based positioning to value- and care-based differentiation

Team Structure and Organizational Design

• Develop and coach team leads across each marketing function
• Create and execute a hiring roadmap aligned with growth targets and departmental needs
• Transition the organization from founder-led reporting to a structured team model
• Identify gaps, redundancies, and structural inefficiencies
• Design and implement scalable org structure and reporting lines across marketing

Customer Lifecycle, Retention, and Experience

• Improve engagement and lifecycle marketing programs
• Drive initiatives to increase customer lifetime value (LTV) and reduce churn
• Partner cross-functionally to enhance patient/customer experience
• Build systems to capture, leverage, and improve reviews and customer feedback

Marketing Spend & Efficiency

• Own and optimize marketing spend across all channels
• Establish clear CAC, LTV, and payback benchmarks
• Identify and eliminate inefficient spend
• Build forecasting models tied to revenue and margin
• Partner with Finance to align marketing investment with business health

Affiliate Agency and Governance

• Own affiliate channel strategy, partner selection, and performance management
• Audit and restructure affiliate payouts and partner mix
• Establish clear performance thresholds and shut-off criteria
• Manage external agencies with clear KPIs, reporting requirements, and accountability
• Ensure full transparency into channel performance and data integrity

Key Relationships

Reports to: Founder

Partners Closely With:

• Product and Technology
• Finance
• Operations
• Marketing Agencies and Affiliates

This Role Is Not

• A passive, reporting-only function. This role owns outcomes, not just insights
• A “set it and forget it” growth seat - channels, partners, and spend must be actively managed and challenged
• A paid acquisition-only role. Growth must be diversified across affiliate, brand, and lifecycle channels
• A buffer for poor performance. This role is responsible for identifying underperformance and taking decisive action
• A yes-person to leadership. This role is expected to challenge assumptions and advocate for what the data supports
• A purely strategic position. This leader must be willing to go hands-on to fix what is not working

Qualifications

• 7-10 years of experience in growth, marketing, or related leadership roles with direct ownership of multi-million dollar marketing budgets
• Deep industry knowledge in Telehealth Industry with success in navigating compliance constraints, refund/dispute dynamics, subscription vs upfront pitfalls and aggressive vs responsible acquisition
• Proven track record of building and scaling marketing teams in high-growth environments
• Deep expertise in affiliate marketing and partner ecosystems
• Deep understanding of paid, organic, brand, and lifecycle marketing channels.
• Strong financial acumen with experience owning CAC, LTV, and payback models, has scaled affiliate programs past $5M /mo
• Strong leadership, coaching, and cross-functional collaboration skills

What Success Looks Like

• A clear, scalable marketing org structure with defined reporting lines and reduced founder dependency
• Strong leadership and performance across Brand Reputation & Community, Affiliate, Paid Acquisition, and Creative & Brand teams
• Expansion beyond paid media into brand, organic, and retention-driven growth
• Strong, differentiated brand positioning based on value and care

Pay Range: $175,000-$200,000

Equal Opportunity

TrimRx is an equal opportunity employer. We are committed to building a diverse and inclusive team and welcome applicants from all backgrounds.

Benefits:

• Paid time off

Language:

• Spanish (Preferred)

Work Location: In person