Head of Creative at AIOS — Remote, $150,000–$250,000/yr + 0.10%–0.30% equity in Blackburn

About AIOS

AIOS is building the world’s first full-stack AI doctor. We’re at $350M ARR, growing from $10M/yr 12 months ago. We’re the world’s fastest growing AI doctor, faithfully serving over 150k/month patients and we’re profitable.

Our strategy exists at the intersection of two strong theses:

• The AI doctor that wins will get to escape velocity using GLP-1s, the fastest growing consumer product in history.
• The $2T European healthcare market is overlooked by the most talented builders.

Our master plan:

• Step 0 → $100M/yr by end of 2025: We went from $10M to $100M in 6 months serving the UK GLP-1 market.
• Step 1 → $1B ARR by end of 2026: Over the last 12 months we've grown from 3k to 150k UK active GLP-1 patients. We’ll continue this growth curve to hit $1B ARR.
• Step 2 → $10B ARR by end of 2028: Blitzscale Europe. We’ll be Europe’s largest GLP-1 provider.
• Step 3 → $100B/yr by end of 2031: Get regulatory approval across Europe for our Full Autonomous Prescribing (FAP) system. Win contracts at scale with European payers to mass replace human labor. We’ll be the dominant full-stack AI doctor in Europe.
• Step 4 → $1T/yr by end of 2035: With one line of code and zero human time, you can use AIOS to treat any patient globally with any medication. In so doing, we’ll become the world’s first trillion-dollar healthcare company.

We’re a young, founder-led company. This is still Day 1 and all our work is ahead of us.

Being the Head of Creative at AIOS

We are building a world-class team. As Head of Creative at AIOS, your fundamental role is to own creative — setting the direction, quality bar, and ideation system that drives performance at $1M+/month Meta spend (+ fast-scaling Google spends). You'll take our ad creative to best in category, closing the gap in emotional resonance and visual quality that currently caps our CAC efficiency.

You will lead and develop our in-house creative team of five (and growing), anchoring everything in performance data and a distinctive creative point of view for our largest brand, Bolt Pharmacy in the UK. You will then build the creative localisation playbook for Germany and the Netherlands as we blitzscale into Europe later this year. You'll extend the creative flywheel to TV and other social channels as those channels develop.

You'll achieve this by building an AI-driven repeatable creative system: brief to production to performance loop, 300+ distinct concepts per sprint, and a testing roadmap that keeps media buying ahead of saturation. You'll be a key driver of all Brand asset refreshes, helping set the creative direction and making sure the new identity lands across every customer touchpoint.

Great performance in this role means creative is our sharpest growth lever and competitive advantage. The performance team has a constant pipeline of conceptually distinct, emotionally resonant creative to test. Our ads stop people in their feed, create a strong emotional connection, and improve the effectiveness of every incremental dollar we spend.

This is a full-time, fully remote role, and you’ll work async in the timezone of your choice - as long as you’re around until midday Pacific Time for calls as needed. You'll report directly to Dave Lane (Head of Performance).

Key responsibilities:

• Creative Strategy: Set the creative direction for all creative, primarily Meta ($1M+/month), anchored in performance data. You are the taste-maker.
• Raise Creative Quality: Close the 8→10/10 gap in the UK. The gap is emotional resonance and visual quality. Create differentiated, non-formulaic ads that reduce our CAC. Set the bar and hold it across everything we put in market.
• EU Creative Expansion: Build the creative localisation playbook for Germany, the Netherlands, and other local markets. Create market-native work that reflects local psychology, platform behaviour, and cultural nuance.
• Own the Ideation Pipeline: Every brief must pass the distinctiveness test: would Meta's algorithm treat this as a genuinely new concept?
• Build the AI Creative System: Elevate the existing AI-assisted production stack, from brief to production to iteration, with tight feedback loops between creative output and performance data.
• Bolt Brand Visual Refresh: Lead the Bolt brand visual refresh, ensuring the new identity is consistent and lands across every customer touchpoint.
• Test & Scale: Lead high-velocity experiments across hooks, formats, angles, and messaging. Scale winners aggressively. Inform future channel creative, including CTV and linear TV, as those tests develop.
• Partner with Performance: Work hand-in-glove with Dave, our Head of Performance, and the growing media buying team. Connect creative output directly to CAC and ROAS. The goal is subscription-first creative at 300+ distinct concepts per sprint.
• Oversee TV Creative: Oversee the development of best-in-class DRTV and performance creative for our first forays into the channel.
• Lead the Creative Team: Manage and develop a small but high-impact team. Andre shifts towards production operations and AI workflows; you shift the team from execution to creative excellence.

Need to have:

• Performance creative at scale: 5+ years leading performance creative for DTC brands running £500k+/month in adspend on Meta.
• Concept, brief, direct: You are a creative, not just a creative manager. You can generate concepts, write briefs that unlock the team, and give direction that raises the ceiling.
• Emotional creative instinct: You know why some ads make people feel something and others do not.
• Brand and visual quality: You have strong visual sensibility and aesthetic standards.
• Team leadership: You have managed creative teams at real scale and developed talent above where you found it.
• Systems thinking: You build repeatable systems for ideation, briefing, and production.
• Data fluency: You read creative performance data fluently and use it to inform decisions.
• AI creative tooling fluency: You have a demonstrated history of using AI to multiply creative output.
• Structured operator behaviors: Forecasting output, weekly reporting cadence, explicit decision rules, written planning.
• Startup intensity: 50+ hours a week, async, in a high-ownership culture.

Nice to have:

• Agentic: You're a doer. You’ve been pulled into important problems, taken risks, excelled in new areas.
• Brand identity project experience: You have led or been the senior voice on a brand refresh, rebrand, or visual identity evolution.
• EU multi-market creative: Direct experience directing creative across multiple European markets.
• Regulated category experience: Health, wellness, GLP-1, telehealth, or any category where compliance shapes the creative.
• Broadcast and long-form video: CTV, DR TV, Linear TV, or YouTube long-form video creative experience.
• Cross-channel paid social: Direct experience running creative on TikTok, YouTube shorts, Snap, or other paid social platforms beyond Meta.
• Landing page collaboration: You have worked closely with CRO or product teams on the ad-to-LP handoff.
• Founder-adjacent mindset: You have founded something in the past or you plan to.

Our cultural standards:

• Belief in the mission: We will have served 100 million patients by the end of 2035.
• Unwavering integrity: We maintain impeccable ethics and unwavering integrity.
• Only the paranoid survive: We execute with unhesitating conviction.
• If we’re average we fail: We focus on the quality of our execution.
• Commitment to candor: We expect full transparency from each other.
• A maniacal sense of urgency: Speed is critical and we need things done yesterday.
• Enduring frugality: We are frugal and hate being wasteful.
• Bulldozing barriers: We believe the world is malleable and we shape it.
• Keep your head down: We focus on what matters.
• The power of focus: Know your One Thing, and nail it.

Compensation & Benefits:

You get paid above market salary and you get early stage equity.

Compensation: $150,000–$250,000/yr + 0.10%–0.30% equity

Benefits:

• Healthcare: comprehensive medical insurance (if appropriate)
• Vacation: PTO with a yearly minimum (2+ weeks + national holidays)
• Remote: fully distributed, fully async
• Personal development: $1,200/yr for books, courses, coaching
• Personal wellness: $1,200/yr for gym, health apps
• Coaching: free biweekly health coaching
• Equipment: MacBook + work-from-home equipment provided

What are we missing? We're still early so you get to shape our culture.

How to apply: Apply on Ashby