Cosi-Care - Performance & Paid Ads Manager

About Cosi-CareCosi Care is a fast-growing, mission-led medical device and skincare brand supporting people living with chronic itch and skin conditions such as eczema. Co-Founded by a product designer and entrepreneur, we combine engineering, evidence based design, and community-driven storytelling to create genuinely life-changing products. With strong traction in the UK and rapid expansion in the US, we're now entering a critical performance-scaling phase- and we're looking for a best-in-class paid media leader to architect and transform our paid acquisition engine. This is not a "set up ads and report" role. This is a strategic, analytical, commercially critical position.What you'll be doingWe are hiring an exceptionally experienced Meta & Google Ads Manager to own, evolve, and scale our paid media strategy across the US and UK.You will act as the paid growth authority within the business - shaping strategy, building robust testing frameworks, deeply analyzing performance, and guiding content creation strategy for paid media.You will work closely with the founder, creative team, and wider marketing function, and be expected to challenge assumptions, raise the bar, and bring elite-level performance thinking into the business.What You'll Be Responsible ForPaid Media Strategy & OwnershipOwn end-to-end paid acquisition strategy across Meta (Facebook & Instagram) and Google Ads (Search, Shopping, Performance Max).Design and execute a scalable, multi-channel growth framework aligned with revenue, CAC, LTV, and margin targets.Lead budget planning, allocation, and forecasting across platforms with clear commercial rationale.Advanced Performance AnalysisDeliver deep, insight-led analysis - not surface-level reporting.Diagnose performance issues and opportunities across:Creative fatigue and iterationAudience structure and signal qualityFunnel conversion pointsIncrementality and attributionTranslate complex data into clear recommendations for the founder and leadership team.Creative & Testing LeadershipPartner with content and creative teams to:Build structured creative testing roadmapsDefine winning angles, hooks, formats, and messagingIterate rapidly based on performance signalsGuide UGC, founder-led content, and performance creative with a commercial lens.Platform & Technical ExcellenceMaintain best-in-class account structures for Meta and Google.Ensure robust tracking and data integrity (Pixel, CAPI, GA4, attribution models).Confidently navigate algorithm changes, learning phases, and platform volatility.Strategic Guidance & InfluenceAct as a trusted senior advisor on paid growth.Confidently challenge ideas when data suggests a better approach.Support international scaling, new product launches, and promotional strategy.What We're Looking For (Non-Negotiable)Experience managing high-spend Meta and Google Ads accounts, ideally in DTC / e-commerce.Demonstrated ability to scale performance profitably, not just drive top-line revenue.Extremely strong analytical skills - you are comfortable living in the data.Proven experience working closely with founders or senior leadership.Deep understanding of:Attribution challengesCreative-led growthPaid media as part of a wider growth ecosystemConfident, opinionated, and commercially minded - able to explain why something is or isn't working.Nice to Have (But Not Required)Experience in healthcare, medical devices, or regulated consumer products.Experience scaling brands internationally (UK US).Experience mentoring junior performance marketers.Personal interest or lived experience with skin conditions or health-led brands.Working Style & ExpectationsHigh level of autonomy and ownership.Fast-moving, founder-led environment - decisions matter and impact is visible.This role is for someone who wants to build something exceptional, not coast.Why Join Cosi-Care?Opportunity to architect and own paid growth at a pivotal scaling moment.Work directly with a founder who deeply understands product, brand, and community.Mission-driven company with real-world impact.Significant room for growth, influence, and long-term leadership.Pay: $55K - $95K base salaryLocation: Seneca One, Buffalo, NY (On-site)Compensation