Job Title

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: