About Hilo by Aktiia

High blood pressure is the world's most common disease, causing 18M deaths each year. At Hilo by Aktiia, we're building a world where no lives are lost to its effects — with technology that helps people take control of their health. 

We're a venture-backed scale-up with $96M raised from investors in Europe and the US. Rooted in 18 years of research at the Swiss Center for Electronics and Microtechnology (CSEM), our device is the world's only medically accurate, cuffless, continuous blood pressure monitor for daily use — clinically validated and CE Marked as a Class IIa medical device, now available in 12 countries. In July, we launched in the US. 

We're a remote-first company headquartered in Neuchâtel, Switzerland, united by our passion for impact and innovation. Applicants must already hold a valid visa or work permit for their country of residence, as Hilo is not able to provide visa sponsorship.

Role overview

As Performance Marketing Manager – Paid Search, you will lead paid search across Google Ads and Microsoft Advertising, with ownership of strategy, investment and commercial results. You will use data to identify where we can grow, improve performance from ad click to purchase and make clear decisions about where to spend. Beyond paid search, you will drive the development and testing of additional paid acquisition channels, including native advertising and help scale those with strong commercial potential.

Reporting to the Head of Performance Marketing, you will play a key role in our performance marketing team, working with internal teams and external partners to strengthen our paid acquisition capabilities and prepare our channels for Hilo’s next stage of growth.

Work location: Our company operates on a remote-first model. This role can be performed remotely from anywhere in Europe. Fluent English and German are a must. Occasional travel to our office in Neuchâtel, Switzerland, or to team events may be required.

Core responsibilities

• Set the paid search strategy across the US, UK, Germany and further growth markets.
• Lead campaign strategy and execution across Search, Shopping and Performance Max, working closely with internal teams and external partners and include Google Demand Gen where it support our goals.
• Manage budgets, pacing, bidding and investment across platforms and markets.
• Measure performance against acquisition cost, conversion, revenue, and ROI, using business data alongside platform reporting.
• Build a testing roadmap across keywords, audiences, creative, product feeds and landing pages and use the results to improve conversion and guide investment.
• Partner with marketing, product, creative and analytics colleagues to strengthen tracking and improve the customer journey.
• Use AI tools and platform automation to accelerate research, analysis and execution, while checking outputs and keeping health claims accurate.
• Drive the testing and development of additional paid channels, such as native advertising and scale successful approaches.
• Present results, risks and opportunities clearly, with a point of view on what Hilo should do next.

Requirements

Background & Experience

• At least 5 years of hands-on paid search experience in an international setting, with accountability forbudgets and measurable business results.
• Deep expertise in Google Ads, and strong working experience with Microsoft Advertising.
• A data-driven approach grounded in sound measurement, rigorous testing, and commercial judgment.
• A track record of improving conversion rates, acquisition efficiency, and ROI across multiple markets.
• Experience with media planning and performance forecasting.
• Experience launching and evaluating paid channels beyond search.
• The ability to set direction and influence colleagues while staying close to campaign execution.
• Practical experience using AI and automation, with the judgment to verify their outputs.
• Nice to have: experience in health tech, medical devices, wearables, or subscription products.

Benefits

What Makes You A Great Fit

At Hilo by Aktiia, our values guide everything we do: 

Move the Needle — You focus on what truly drives impact for our customers and company. You use data and clarity to guide your decisions and prioritize what matters most. You push boundaries with bold, thoughtful innovation and hold yourself accountable for results.

Move Fast, Learn, Refine — You work with urgency and purpose, balancing speed with high quality. You treat mistakes as learning opportunities, experiment thoughtfully, and iterate quickly. You take ownership, act hands-on, and always look for smarter, faster ways to get things done, including leveraging AI and new tools.

Team First — You put the team above individual interests, building trust through openness and respect. You encourage healthy debate, challenge directly while caring personally, and stand behind team decisions. You act as an owner, stepping in when needed and doing what’s necessary for the team’s success.

Why Join Us?

• Hilo by Aktiia is becoming one of the most important med-tech companies and you can be part of this exciting story.
• Work on a mission that matters: transforming cardiovascular health at global scale.
• Be part of a high-impact, fast-growing, and venture-backed scale-up company.
• Collaborate with a diverse, passionate and talented team.
• Competitive compensation, equity program and other benefits (depending on location).

Ready to Move the Needle?

If you are passionate about making a meaningful impact in people's lives and excel in an environment where individuals take ownership and are committed to delivering results, we are happy to receive your application.