US Country Manager

United StatesFull-time$150k–$180kPosted Aug 4, 2026

About Hilo by Aktiia

High blood pressure is the world's most common disease, causing 18M deaths each year. At Hilo by Aktiia, our vision is a world where no lives are lost or damaged from the effects of high blood pressure. Our mission is to make this a reality by developing tech to help people control their blood pressure. 

We are a venture-backed scale-up company, having raised over $96M from investors in Europe and the United States. Our technology — rooted in 18 years of research at the Swiss Center for Electronics and Microtechnology (CSEM) — is the world's only medically accurate, continuous blood pressure monitor that is cuffless in daily life in the consumer space. Validated through extensive clinical trials and CE Marked as a Class IIa medical device, our solution is now available in 12 countries. In July, we launched in the US — a major step in bringing Hilo's technology to the millions of Americans living with high blood pressure. 

We are a hybrid/remote-first company, with headquarters in Neuchâtel, Switzerland, united by our passion for impact and innovation. 

Role Overview

As US Country Manager, you are Hilo's first local commercial leader in the US - at the moment traction needs to be scaled. You act as the primary on-the-ground representative of Hilo in the US, owning execution across consumer, partnerships, and ecosystem engagement, while shaping how the brand is perceived locally.

The role spans both B2B and B2C. Early B2C traction is in hand; your mandate is to scale it while building a structured B2B pipeline. This is a senior, hands-on role - you own the evolution of Hilo's go-to-market approach in the US, and you bring local market insight and customer feedback directly into how that strategy develops.

Location: US-based, preferably East Coast, must be authorised to work in the United States, with regular travel to events, KOL meetings, and partner conversations. The role requires minimum half-day working hours to overlap with our CET-based team, and travel to team and business events quarterly (or as-needed). 

Requirements

What you will own 

  • Own P&L delivery for the US — including ambitious revenue growth, CAC, pricing, and retention
  • Lead go-to-market execution for the US — across all D2C and HCP channels
  • Drive local B2C execution — across core US channels including paid media, PR, KOLs/influencers, affiliates, newsletters, social media, and Amazon
  • Build and convert a qualified B2B pipeline — clinics, hypertension specialists, category bodies, and employer/payer partners, moved from early conversations to signed deals
  • Improve the end-to-end US customer experience — partnering cross-functionally with Product, App and website teams,  Operations, and Customer Support to identify and remove friction, improving conversion, retention, and satisfaction
  • Shape US commercial strategy — feeding local market insight, competitive intelligence, and customer feedback directly into planning with the central team
  • Represent Hilo internally and externally — building credibility with press, KOLs, partners, and healthcare stakeholders at industry events, and regularly presenting US commercial performance and market insight to the Executive Leadership Team and Board

What we’re looking for 

  • Deep commercial experience, including having owned a market, country, or business-unit P&L
  • Demonstrated experience taking a product to market and scaling it through a high-growth stage — spanning awareness, distribution, pricing, CAC, and retention across both marketing and sales, with hands-on commercial judgment; you've built the playbook, not just followed one
  • Established relationships with key stakeholders across the US healthcare, medtech, or wellness ecosystem, with a proven ability to leverage those relationships to accelerate commercial partnerships
  • Strong execution mindset — you'll write the brief, edit the press release, sit in the agency review, and present the US numbers to leadership 
  • You lead with data, not narrative, surfacing bad news early and calling a slow week what it is
  • Strong executive communication skills, with the ability to influence senior stakeholders and represent the business confidently in high-impact internal and external settings
  • Experience taking a regulated or clinically validated product to market in medtech, digital health, or consumer health, with credibility among clinicians, payers, and consumers

What Success Looks Like 

Make Hilo the #1 voice in the US blood pressure conversation 

Media, KOL, and event presence are sustained and growing, positioning Hilo as a trusted name in health, cardiology, hypertension, and consumer tech

Make US a sizable portion of global sales 

Volume grows steadily against target CAC, with US.specific insight feeding the pricing, messaging, and channel decisions run centrally

Build meaningful partnership and pipeline 

A qualified pipeline across clinics, specialists, and payer/employer partners is converting – from early conversation to signed deal

Deliver a frictionless US customer experience 

Key friction points across product, web, and support are identified and resolved, with tangible improvement in conversion and customer satisfaction

What Makes You A Great Fit 

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

Move the Needle — You focus on what drives real impact. You let data and clarity guide your decisions, and you take accountability for results. You're a difference maker — you drive ideas to commercial success from start to end. 

Move Fast, Learn, Refine — You work with urgency and purpose, balancing speed with quality. You treat feedback as a chance to learn, and you're deep in customer and partner feedback — translating it to action quickly. 

Team First — You collaborate effectively across teams and build trust through clarity and respect. You're comfortable bridging local execution with a global team, and you communicate openly across time zones. 

Benefits

Compensation & Benefits 

The base salary range for this role is $150.000–$180.000 USD base salary, depending on experience and location and a comprehensive benefits package (health, dental, vision, PTO). 

Why Join Us? 

Hilo by Aktiia is becoming one of the most important med-tech companies, and you can be part of this exciting journey. 

  • Work on a mission that matters - transforming cardiovascular health at global scale 
  • Be part of a fast-growing, high-impact, venture-backed company 
  • Collaborate with a diverse, passionate, and talented team 

Ready to Move the Needle? 

If you are excited about owning a market from the ground up, thrive in high-autonomy commercial leadership roles, and want to contribute to meaningful impact in healthcare, we would love to hear from you. 

Equal Employment Opportunity 

Hilo by Aktiia is an equal opportunity employer. We do not discriminate on the basis of race, color, religion, sex, national origin, age, disability, genetic information, or any other characteristic protected by applicable federal, state, or local law. All qualified applicants will receive consideration for employment. 

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