Vice President Performance Optimization Jobs in Indiana

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 thePaid Media Directorat Ten Adams, you will lead the planning,executionand 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, teamleadershipand 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,experimentationand 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, budgetallocationsand bid strategies.

• Lead negotiation, execution,optimizationand reconciliation of media plans acrosstraditional,paidsearch, paid social, programmatic, CTV/OTT, streaming, native and emerging channels.

• Provide channel-level inputs to the Brand Performance Audit process, including baseline performance, saturationsignalsand marginal CAC trends.

• Champion responsible adoption of AI and automation in media planning,buyingand optimization workflows.

• Monitor paid media trends, emergingplatformsand 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 businessobjectives.

• 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,coachand develop the paid media team and define operating cadence,workflowsand quality standards.

• Manage media budgets, vendorpartnershipsand revenue/commission reporting in partnership with Leadership and Finance.

• Lead the paid media team across coaching, performancemanagementand career development.

• Manage vendor partnerships, ad platformrelationshipsand media tool contracts.

• Oversee media budget management, billingreconciliationand monthly revenue/commission reporting.

Business Development (10%)

• Contribute paid media architecture, channel recommendations and investment frameworks to new business proposals and pitch presentations.

• Identifyorganic growth opportunities forretainedclients 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.

• Expertisein media measurement, attribution, incrementalitytestingand performance indicators.

• Working knowledge of programmatic ecosystems, ad-techplatformsand AI-enabled media capabilities.

• Experienceoperatingwithin performance marketing frameworks, KPIarchitectureand constraint-based planning.

• Experience influencing scoping,pricingand revenue modeling for media engagements.

• Healthcare marketing experienceis stronglypreferred.

Soft Skills

• Strong leadership and coaching capabilities.

• Collaborative partner whooperateseffectively 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,platformsand 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.