Paid Media Director

About Ten Adams Healthcare brands have the power to change lives—and we're here to help them do exactly that. At Ten Adams, we're an independent healthcare brand performance agency where strategic thinking, creativity and insights come together to drive measurable results for hospitals and health systems, multi-location health and wellness providers, and B2B healthcare tech. Join our team of driven, curious, authentic professionals who take ownership, grow personally and professionally, and commit to driving health forward. At Ten Adams, bold ideas aren't just welcomed; they're expected. Together, we're helping healthcare brands grow stronger, businesses hit targets and communities live healthier, one meaningful connection at a time. The Role As the Paid Media Director at Ten Adams, you will lead the planning, execution and optimization of paid media across engagements, translating the agency’s Performance Growth Framework into measurable channel outcomes for healthcare organizations. Reporting to the VP Performance, this role owns paid media strategy, team leadership and vendor governance, and serves as the senior paid media voice within Ten Adams’ unified Performance discipline. Day-to-Day Responsibilities Media Strategy & Channel Optimization (50%) Lead integrated channel strategy, planning and optimization across paid media engagements, applying the Performance Growth Framework. Drive measurement rigor, experimentation and incrementality testing in partnership with Analytics and the VP Performance. Direct integrated paid media strategy across traditional and digital channels in alignment with the Performance Growth Framework (Traffic / Conversion / Constraint). Translate KPI hierarchies and constraint diagnostics into actionable channel plans, budget allocations and bid strategies. Lead negotiation, execution, optimization and reconciliation of media plans across traditional, paid search, paid social, programmatic, CTV/OTT, streaming, native and emerging channels. Provide channel-level inputs to the Brand Performance Audit process, including baseline performance, saturation signals and marginal CAC trends. Champion responsible adoption of AI and automation in media planning, buying and optimization workflows. Monitor paid media trends, emerging platforms and ad-tech developments relevant to performance-driven media. Collaboration & Strategic Integration (20%) Serve as the senior paid media voice across Performance, Creative, Product and Client Experience teams to align channel decisions with brand and business objectives. Build trusted client media relationships and present media strategy with executive-level clarity in client and prospect settings. Partner with Analytics on media measurement, attribution and incrementality testing aligned to the unified KPI architecture. Provide regular performance updates to the VP Performance and agency leadership. Team Development & Media Operations (20%) Lead, coach and develop the paid media team and define operating cadence, workflows and quality standards. Manage media budgets, vendor partnerships and revenue/commission reporting in partnership with Leadership and Finance. Lead the paid media team across coaching, performance management and career development. Manage vendor partnerships, ad platform relationships and media tool contracts. Oversee media budget management, billing reconciliation and monthly revenue/commission reporting. Business Development (10%) Contribute paid media architecture, channel recommendations and investment frameworks to new business proposals and pitch presentations. Identify organic growth opportunities for retained clients through media investment expansion and incrementality-led recommendations. Required Skills Hard Skills 10+ years of experience in paid media planning/buying across traditional/digital channels. Demonstrated experience leading and developing media teams across multiple client engagements. Deep fluency in paid search, paid social, programmatic, CTV/OTT, streaming, native and emerging channels. Expertise in media measurement, attribution, incrementality testing and performance indicators. Working knowledge of programmatic ecosystems, ad-tech platforms and AI-enabled media capabilities. Experience operating within performance marketing frameworks, KPI architecture and constraint-based planning. Experience influencing scoping, pricing and revenue modeling for media engagements. Healthcare marketing experience is strongly preferred. Soft Skills Strong leadership and coaching capabilities. Collaborative partner who operates effectively within a unified Performance structure. Adaptable change agent comfortable with evolving organizational structures. Decisive operator who understands tradeoffs and resource constraints. Clear communicator who translates channel complexity into client-ready clarity. Strong negotiation and relationship-building skills with vendors, platforms and clients. Detail-oriented and capable of managing multiple accounts and budgets simultaneously. Remote or hybrid from our office in Evansville, IN. Ten Adams is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.