Senior Performance Manager, Paid Media - Patient Recruitment

Flourish Research is looking for motivated, talented, creative individuals who want to learn and grow in their careers while contributing to research that changes lives! We offer an excellent comprehensive benefits package, a supportive and collaborative work environment, and endless growth opportunities.We are actively hiring a Senior Performance Manager, Paid Media, to join our Patient Recruitment division.The Senior Performance Manager, Paid Media is responsible for leading strategy, execution, experimentation, and measurement across paid media channels to drive patient recruitment across a multi-site clinical research network. This role owns qualified patient acquisition and connects paid media performance to downstream enrollment outcomes. The Senior Performance Manager partners closely with Patient Recruitment, Marketing Tech, and Analytics teams to optimize the full funnel, from initial lead through qualified and enrolled patients, using a highly data-driven, hands-on approach to consistently achieve performance and growth targets.Schedule: Monday-Friday, Normal Business Hours Location: Remote Compensation: Competitive base compensation + bonus Classification: Salary, Exempt Benefits: Health, dental, and vision insurance plans, 401(k) with 4% match, tuition reimbursement, parental leave, referral program, employee assistance program, life insurance, disability insurance, and 15 days of PTO + 10 company holidays. RESPONSIBILITIESOwn paid media strategy, execution, and optimization across active clinical trial protocols and site locationsManage campaign structure, taxonomy, bidding strategies, and budget pacing across platforms, including Google Ads, Meta, Reddit, and TikTokDrive qualified patient acquisition by optimizing toward downstream conversion events, including pre-screen submissions, qualified patients, and enrolled participantsDesign and execute structured experiments (geo splits, incrementality testing, audience targeting, match type testing) with clear hypotheses and decision frameworksLeverage platform AI, automation tools, and LLM-driven workflows to improve campaign performance, including keyword expansion, ad copy generation, and budget reallocationPartner with Marketing Tech and Analytics teams to implement enhanced conversion tracking, offline conversion imports, and accurate attribution across the patient funnelMonitor and optimize performance metrics, including cost per lead, cost per qualified patient, and cost per enrolled patient across studies and regionsManage geographic targeting at the DMA, city, and ZIP level aligned with site catchment areas and enrollment prioritiesCollaborate with Patient Recruitment teams to align media strategy with site capacity, enrollment goals, and protocol timelinesDevelop and maintain a unified condition-based search strategy to minimize overlap between paid and organic effortsPartner with content, SEO, and brand teams to translate search insights into patient-facing content across channelsMaintain clean data pipelines and ensure accurate reporting within BI dashboards and CRM/CTMS systemsEnsure all campaigns adhere to HIPAA, healthcare advertising policies, and brand safety standardsEstablish and maintain SOPs, naming conventions, QA processes, and operational frameworks to support scalable growthIdentify performance gaps and implement continuous optimization strategies to improve efficiency and outcomesParticipate in vendor management and collaborate with platform partners to leverage new features and resolve issuesPerform additional duties as assigned by managementQUALIFICATIONS7+ years of experience managing and scaling paid media campaigns across multiple platforms and marketsProven success driving performance outcomes tied to downstream conversions beyond initial leads (e.g., qualified patients, appointments, enrollments)Experience operating in high-growth, performance-driven environments with measurable KPIsBachelor’s degree required; marketing, communications, or related field preferredDigital marketing, paid media, or performance marketing training preferredDeep expertise in paid search and paid social, including modern strategies such as broad match, smart bidding, and audience targetingStrong experience with experimentation frameworks, including incrementality testing and performance analysisHands-on experience with AI-driven marketing tools, automation, and LLM-assisted workflowsStrong understanding of full-funnel performance marketing and attribution across complex customer journeysAbility to translate campaign data into actionable insights and strategic recommendationsHigh level of operational discipline, including campaign structure, naming conventions, and QA processesStrong cross-functional collaboration skills with marketing, analytics, and operations teamsAbility to balance strategic thinking with hands-on execution in a fast-paced environmentWorking knowledge of HIPAA-compliant advertising and healthcare marketing regula