Senior Manager, Paid Search

Talkiatry is seeking a Senior Manager to own Paid Search, one of our largest and most strategically important patient acquisition channels. This role is responsible for improving acquisition efficiency and scaling patient volume through value-based optimization, rigorous experimentation, and disciplined budget allocation across Google, Bing, and ZocDoc.

The ideal candidate approaches Paid Search as a quantitative growth problem, not just a channel management function. They are capable of operating with the rigor of a data scientist, even if they don’t formally hold that title. They are highly analytical and are comfortable making budget allocation decisions and forecasting under uncertainty. They have experience applying incrementality thinking and value-based bidding to improve acquisition efficiency at scale. Success in this role is defined not just by platform-level optimization, but by improving marginal acquisition efficiency and helping the business make smarter investment decisions at scale.

Talkiatry is transforming mental health care by making high-quality psychiatry more accessible, human, and sustainable for both patients and clinicians. Co-founded by a patient and a triple-board-certified psychiatrist, we were built to solve one of healthcare’s most urgent challenges: millions of people struggle to access mental health care, while clinicians face growing administrative burden and burnout. Through our technology-powered, in-network platform, we’re changing that, creating a better experience for patients and empowering clinicians to focus on delivering exceptional care.

Today, Talkiatry is the largest dedicated psychiatry practice in the U.S., with 750+ psychiatrists, 250+ therapists, and more than two million patient visits delivered nationwide. At our scale, every innovation has real impact. Every workflow we improve, every technology solution we build, and every patient experience we redesign helps thousands of clinicians provide better care to hundreds of thousands of patients. We’re not just growing quickly — we’re redefining how behavioral healthcare is delivered in America.

Joining Talkiatry means joining a mission-driven team that is solving complex problems at scale, driving meaningful change in healthcare, and building the future of mental health care with compassion, innovation, and purpose.

• Own and scale Talkiatry’s paid search program end-to-end, including forecasting, budgeting, pacing, bidding strategies, account structure, and creative testing for Google, Bing, and ZocDoc.

• Develop and execute a rigorous testing roadmap, including ad copy, keyword strategy, landing page variants, and automation/algorithmic controls; quantify impact using sound experimental design.

• Build and maintain marginal CAC and spend sensitivity curves to inform investment decisions, pacing, and budget allocation across search channels; work closely with marketing leadership to regularly present this to Finance to inform budget planning and reallocation decisions.

• Optimize both automated and manual bidding strategies to drive performance at scale. Use advanced tactics such as smart bidding, portfolio strategies, and dynamic bid adjustments to efficiently hit key performance targets like CAC, Marginal CAC and ROAS.

• Monitor key market signals (e.g. auction insights, impression share, CPC trends), as well as competitive pressures, platform changes, and algorithm updates, proactively adjusting strategy to maintain our competitive advantage.

• Partner closely with Analytics, Finance, and Operations to ensure accurate attribution, efficient spend allocation, and alignment with downstream capacity and patient demand.

• Integrate downstream retention, engagement, and LTV signals into bidding and optimization systems by partnering with Analytics and Growth leadership.

• Evaluate channel and campaign performance through the lens of incrementality and marginal efficiency, not solely platform-reported attribution.

• Leverage AI-enabled workflows and tools where appropriate to improve analysis, testing velocity, and operational efficiency.

• 6-9+ years of experience in B2C growth/performance marketing, with 5+ years deep in paid search (especially Google) with hands-on expertise in Google Ads, Bing Ads, and related tools.

• Experience leveraging downstream conversion quality, LTV, retention, or other value signals within bidding and budget allocation strategies.

• Strong analytical and technical fluency, including experience using SQL, Python, Excel, and/or BI tools to analyze large datasets, inform investment decisions, and build forecasting or scenario-planning frameworks.

• Proven experience running structured A/B and multivariate tests in paid media.

• Proactively identify actionable insights and recommendations on spend allocation and growth opportunities.

• Experience evaluating and operationalizing emerging Google campaign types (e.g. Performance Max, AI Max) using structured testing methodologies and clear guardrails.

• Sharp problem-solving instincts, high ownership, and a bias toward structured experimentation.

• Comfort making high-conviction recommendations with imperfect data and amid evolving market conditions.

• Demonstrated ability to operate in a fast-paced, high-growth environment with shifting priorities.

• Bonus:

  • Experience in analytically rigorous environments such as finance, consulting, analytics.

  • Experience marketing in healthtech or other regulated categories.

  • Experience running YouTube, Google Demand Gen, and/or Google App Campaigns.

• Top-notch team: we're a diverse, experienced group motivated to make a difference in mental healthcare.

• Collaborative environment: be part of building something from the ground up at a fast-paced startup.

• Flexible location: work where you want to, either remotely across the U.S. or from our HQ in NYC

• Excellent benefits: medical, dental, vision, effective day 1 of employment, 401K with match, generous PTO plus paid holidays, paid parental leave, and more!

• Grow your career with us: hone your skills and build new ones with our Learning team as Talkiatry expands.

• It all comes back to care: we’re a mental health company, and we put our team’s well-being first.

Talkiatry participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S. only after a job offer is accepted and Form I-9 is completed. For more information on E-Verify, please visit the following: EVerify Participation & IER Right to Work.

At Talkiatry, we are an equal opportunity employer committed to a diverse, inclusive, and equitable workplace and candidate experience. We strive to create an environment where everyone has a sense of belonging and purpose, and where we learn from the unique experiences of those around us.

We encourage all qualified candidates to apply regardless of race, color, ancestry, religion, national origin, sexual orientation, age, citizenship, marital or family status, disability, gender, gender identity or expression, pregnancy or caregiver status, veteran status, or any other legally protected status.