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 Paid Media Director at Ten Adams, you'll lead paid media planning, execution and optimization across our healthcare client engagements. You'll turn client goals and budgets into measurable channel outcomes. Reporting to the VP Performance, you'll own paid media strategy, lead the team, and manage our vendor and platform relationships. You'll be the senior paid media voice on our team.

Day-to-Day Responsibilities

Media Strategy & Channel Optimization (50%)

• Own integrated paid media strategy across all channels, turning client business priorities and budget targets into channel plans, budget allocations and integrated media approaches.
• Direct strategy across traditional and digital channels in alignment with our Performance Growth Framework (Traffic / Conversion / Friction).
• Lead the full media plan lifecycle — negotiation, execution, optimization and reconciliation — across traditional, paid search, paid social, programmatic, CTV/OTT, streaming, native and emerging channels.
• Partner with Analytics and the VP Performance on measurement — experimentation, testing and the metrics that prove media is working.
• Feed the Brand Performance Audit with channel-level inputs: how each channel is performing, where spend is hitting saturation or diminishing returns, and where efficiency is starting to slip.
• Bring AI and automation into the media workflow responsibly and keep us current on emerging platforms and ad-tech 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 — including performance management and career development.
• Define operating cadence, workflows and quality standards.
• Manage vendor partnerships, ad platform relationships and media tool contracts.
• Oversee media budget management, billing reconciliation and monthly revenue/commission reporting in partnership with Leadership and Finance.

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 and digital channels.
• Demonstrated experience leading and developing media teams across multiple client engagements.
• Advanced knowledge across all paid media channels — traditional, paid search, paid social, programmatic, CTV/OTT, streaming and emerging tactics.
• Comfortable with media measurement and attribution, and able to partner with Analytics on testing and performance reporting.
• Working knowledge of programmatic ecosystems, ad-tech platforms and AI-enabled media capabilities.
• 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 works effectively across our Performance team.
• Eager to collaborate, align and grow into a performance-driven framework and KPI architecture.
• 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.