We are looking for a high-level operator and leader to take over the day-to-day leadership of the PhysioFunnels Marketing Agency—a multi-million dollar healthcare marketing division serving private practice owners across the United States and the UK.
This is not a “campaign manager” role. This is not a “marketing coordinator” role.
And it’s definitely not a role for someone who just wants to manage tasks from Slack. This is a leadership position for someone who knows how to run a real agency business.
Someone who understands:
people management
client retention
operational efficiency
delivery standards
contribution margin
accountability
team culture
and the pressure that comes with leading a people-heavy service division
You will work directly with founder Paul Gough and become one of the key senior leaders inside the company as we continue evolving from a traditional marketing company into an AI-first media and technology business.
About PhysioFunnels
PhysioFunnels is one of the leading marketing agencies serving private practice physical therapy owners. We have 100+ clients across the fully done-for-you program that involves META Ads, Google, Website design, funnel creation, landing page and social media production.
For more than a decade, we’ve helped clinic owners:
Generate patients
Grow revenue
Build authority
and transition toward more profitable cash-based business models
Our clients are ambitious, growth-minded healthcare business owners who expect high standards, fast communication, and measurable outcomes. The division currently operates with a largely UK-based fulfillment and support team. Over the next phase of growth, we are restructuring leadership and operations to create a stronger 50/50 split between the UK and the USA—including some outsourced in Columbia— with this role becoming the senior operational leader based near our Florida headquarters.
What You’ll Be Responsible For
You will lead the entire PhysioFunnels agency division from an operational, delivery, staffing, and performance standpoint. Your job is to ensure the division becomes:
more profitable
more efficient
more accountable
more scalable
and less founder-dependent
You will oversee:
client delivery
onboarding
retention
fulfillment operations
project management
staffing structure
KPI accountability
margin performance
communication standards
and day-to-day execution across the division
You will work closely with:
client success teams
media buyers
account managers
copywriters
onboarding staff
sales leadership
and the executive team
You will also play a major role in helping integrate AI, automation, and operational systems into the future of the agency.
Who This Role Is Perfect For
This role is for someone who:
has managed a $3M–$5M+ agency or service business
Has managed a team of at least 12-15 people and is very comfortable hiring and firing
understands contribution margin and operational efficiency
has led remote and international teams
knows how to hold people accountable
is calm under pressure
can make difficult decisions quickly
and can create structure without creating bureaucracy
You are probably someone who:
loves scorecards
notices operational drift quickly
hates excuses
understands that client retention is operational excellence
and knows how to balance culture with accountability
You must be comfortable leading experienced people, improving underperformers, restructuring workflows, and building systems that scale.
Most importantly: You must be execution-focused. We do not need another strategist who talks about ideas all day. We need someone who can walk into a growing division and help it become tighter, faster, calmer, more profitable, and easier to scale.
Requirements
Essential Experience
Experience managing a $3M–$5M+ marketing agency, coaching business, or service-based company
Strong operational leadership experience
Experience managing remote teams
Strong understanding of contribution margin and operational KPIs
Experience improving client retention and delivery systems
Proven ability to lead through growth and operational change
Comfortable working in fast-moving entrepreneurial environments
Preferred Experience
Healthcare marketing experience
Experience with direct response marketing
Experience with SaaS or AI-integrated businesses
Familiarity with CRM systems, automations, and project management tools
Experience integrating offshore/international teams
Key Metrics You’ll Own
You will be measured on:
contribution margin
client retention
onboarding speed
delivery efficiency
client satisfaction
team accountability
operational consistency
and overall divisional performance
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Division Lead Marketing Agency
Paul Gough Media · Celebration, FL, USA · Remote ·
- Job type:
- Full Time