General Manager, Direct-to-Consumer (DTC)

General Manager, Direct-to-Consumer (DTC)Extension Health / EHRX — New York City (In Person) | Full-Time OTE$140K – $180K · Base + performance bonus tied to revenue targetsThe OpportunityThis is a rare early career moment: your first real GM seat. You've spent the last few years in growth, marketing, or operations at a venture-backed consumer health company — and you've been good at your lane. Now you want the whole track.Extension Health is NYC's premier longevity medicine center, founded by Dr. Jonathann Kuo, MD. EHRX is our fast-growing telehealth brand, bringing compounded prescription peptide therapy to consumers nationwide. LegitScript Certified, 503A pharmacy-backed, physician-led — and genuinely at an inflection point.You'll report directly to the SVP of Growth & Strategy and own the direct-to-consumer P&L across both brands. This isn't a marketing director role with \"GM\" in the title. You'll touch acquisition, conversion, retention, operations, pricing, and team-building. The full stack.What You'll OwnP&L responsibility for direct-to-consumer revenue across Extension Health and EHRX, with quarterly targets you set and defendEHRX growth — scaling the telehealth business nationally, owning channel strategy, consumer acquisition, funnel optimization, and new treatment launchesPerformance marketing — overseeing paid media across Meta, Google, and emerging channels, working with our agency and building toward an internal teamConversion and retention — CRO, subscription growth, LTV, email and lifecycle strategyGo-to-market — owning product launches, promotional calendars, and pricing strategy for EHRXTechnology and operations — owning the direct-to-consumer stack and telehealth consumer journey from first click to first shipmentReporting and accountability — weekly revenue reporting, forecasting, and clear analysis of what's workingTeam building — hiring and developing your team as the business scalesWho We're Looking ForYou've been a Senior Manager or Director at a venture-backed consumer health company — think Hims, Ro, Keeps, Noom, Care/of, or a similar brand. You know the playbook. Now you want to run one.4–7 years of experience in DTC, digital health, or direct-to-consumer — with increasing scope and ownership over timeHands-on familiarity with performance marketing fundamentals: CAC, LTV, payback, ROAS — you don't need to run the campaigns, but you need to be able to call BS on the numbersOperator instincts: you build processes, track metrics, and hold people accountable without needing a lot of structure above youComfortable with imperfect information and fast decisions — this is a founder-led company, not a Fortune 500Commercial curiosity: you care about margin, pricing, and unit economics, not just top-line growthStrong communicator who can manage up to the SVP and founder, and sideways with a clinical teamNice to HaveShopify or similar DTC ecommerce platformsTelehealth platforms (Qualiphy, Spruce, etc.)Subscription or membership-based business modelsPeptide therapy, longevity, or regenerative wellness category experienceFDA/FTC compliance considerations in digital health marketingCompounding pharmacy workflowsWhat We OfferYour first real P&L — with the backing of an established, physician-led brand that already has product-market fitA short line to leadership, with genuine influence over strategy from day onePerformance bonus tied directly to the revenue targets you set — if the business grows, you grow with itThe chance to build a national direct-to-consumer brand that's already clinically credible, LegitScript certified, and growing fastA collaborative, mission-driven team that takes longevity medicine seriouslyTo apply, send your resume and a brief note on why this is the right next move for you: