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In-House Media Buyer - Meta, Medical Clinic Lead Gen (Head of Media Buying track)

Confidential employer

Posted 8/29/2026Rate visible after sign-upSource: Curated from source
Facebook Ads
Media Buying
Lead Generation
Shopify
Ecommerce
About the Role

READ THIS BLOCK FIRST. IT SAVES US BOTH TIME.

If any of these are untrue, close the tab. We will not make exceptions and we
will not read the application.

  • You have personally managed at least $500,000 in Meta ad spend. Not "worked

on an account that spent that." You, in the account, making the calls

  • You have run lead generation, not ecommerce. Appointments, consultations,

calls booked. If your entire history is ROAS on a Shopify store, this is a
different job than the one you know

  • You have worked in medical, dental, aesthetics, or another high ticket

service where a lead becomes a booked appointment and then a sale weeks later.
Or a vertical close enough that you can explain why it is close enough

  • You want to be in house, exclusively, for one company. Not a retainer client.

Not a fractional seat alongside four other brands. Not your agency taking us
on. One company, all of your attention

That last one is not negotiable and it is the one people try to negotiate. If
you run your own agency or freelance for other clients, we are not the right
fit, no matter how good you are.

WHO WE ARE

Novaris Global. We run paid acquisition for private medical clinics, mostly
plastic surgery and aesthetics. Our clients are in Singapore and we are
expanding.

Here is the part that changes everything about this job. We do not charge a flat
retainer. We take a percentage of the revenue we generate for the clinic. If the
ads produce nothing, we make nothing.

So this is not a role where you optimize toward a dashboard number and file a
report. Your decisions are directly, immediately, and painfully connected to
whether this company makes money. Cost per lead is not the scoreboard. Cost per
booked consultation is closer. Cost per surgery performed is the real one, and
that is the number you will be judged on and paid on.

Most media buyers have never been held to that. The ones who have tend to be
very good, because there is nowhere to hide.

THE ROLE

You own paid acquisition. All of it, across every client.

  • Strategy, structure, budget, and every decision inside the ad accounts
  • Testing. What we try next, why, in what order, and what it would take to

convince you that you were wrong

  • Creative direction on the media buying side. You do not cut the videos, but

you d ---------- what needs to exist, what the next 30 ads have to prove, and which
angle died and why

  • Tracking and attribution. Pixel, CAPI, offline conversions, UTMs, and the

chain from an impression to a surgery that actually happened

  • The whole funnel, not just the account. Landing page, form, speed to first

contact, show rate, close rate. Half the wins in this business are downstream
of the ad and most media buyers pretend that half is somebody else's problem

  • Reporting that tells the truth, including when the truth is that this week was

bad and here is why

WHO THIS IS ACTUALLY FOR

We are looking for a specific kind of person, and it is not the person with the
best resume.

It is the person who cannot leave a number alone.

You know if this is you. You open the ads manager on a Sunday because something
felt off on Friday and it has been sitting in your head since. You have built
spreadsheets nobody asked for. You get genuinely irritated by an account you
cannot explain. When a campaign works, your first reaction is not relief, it is
"why," and you will not be satisfied until you can say exactly why, because a
win you cannot explain is a win you cannot repeat.

You have opinions about attribution windows. You have been in an argument about
broad versus interest stacking. You have a view on where Meta is right now and
it is your own view, formed from your own accounts, not something you absorbed
from a YouTube video.

You do not accept "the account is doing fine." Fine is an insult. There is
always another test, another segment, another cut of the data, another thing
that has been quietly wrong for three weeks that nobody looked at.

If reading that felt like being described, keep going. If it felt exhausting,
we are genuinely not the right place and no amount of money will fix that.

THE THING WE WANT MOST

We want someone better at this than the founder.

I run media buying here now and I am good at it. I do not want a pair of hands
to execute my ideas. I want someone who looks at how we do things and says "this
is wrong, here is why, here is what we should do instead," and is right often
enough that I stop arguing.

You will have real authority over the accounts. You will also have to defend
your calls with evidence, because you will be arguing with someone who knows the
platform. That is the job. If you want a boss who does not understand what you
do, we are the wrong company. If you have spent years being overruled by people
who understood less than you did, this might be the best part of the offer.

WHERE THIS GOES

Head of Media Buying at Novaris Global.

Right now that is one person, which is why we are hiring carefully. As we take
on clinics, you stop running every account personally and start building the
team that does, setting the standards, and training the buyers under you. In
house, on the team, in the decisions, not a contractor we send a Slack message
to when something breaks.

WHAT WE PAY

A base, plus a share of what your accounts generate.

We are not going to post a number, because the number depends entirely on who
you turn out to be, and the honest answer is that we will pay well above market
for the right person and nothing at all for the wrong one. What we will tell you
is the structure, because the structure is the point: we get paid on client
revenue, so you get paid on client revenue. When you find something that works,
you are not asking for a raise, you already got one.

If you are excellent and you want a ceiling, we are the wrong company. If you
are excellent and you have been annoyed for years that your results made someone
else rich, read that paragraph again.

WHAT WILL GET YOU REJECTED IMMEDIATELY

  • An application that talks about strategy and never mentions a number
  • Cost per lead presented as a result, with nothing about what happened to those

leads afterward

  • "I scaled a client from 5k to 50k a month" with no vertical, no timeframe, no

cost per acquisition, and no mention of whether it stayed there

  • Any suggestion that you would keep your other clients
  • A generic application. We can tell within one line, and so can you

HOW TO APPLY

This application is long on purpose. We are not doing introductory calls with
people who are not close, so everything we would ask on that call is below.
Answer it well and the next conversation we have is a serious one.

Start your message with the word ANDROMEDA.

PART 1. YOUR NUMBERS.

  • Total Meta spend you have personally managed, lifetime
  • The most you have managed in a single month, and in which account
  • Verticals, honestly, with the medical or high ticket service ones first
  • For your best lead gen account: what it spent, over what period, cost per

lead, cost per booked appointment, show rate, and cost per closed sale. If you
do not have the downstream numbers, say so plainly and tell us why they were
not available to you. That answer tells us a lot and a missing number is not
automatically a problem. Making one up is

  • Screenshots welcome. Blur the client name if you need to

PART 2. FOUR QUESTIONS. SHORT ANSWERS ARE FINE. VAGUE ANSWERS ARE NOT.

1. An account is spending $300 a day. Last week cost per lead was $52. This
week it is $31 and lead volume is up 40 percent. The clinic tells you they
booked fewer consultations this week than last. Where do you look first, and
what are the three most likely explanations in order of probability?

2. One ad set has been stable for three weeks at $200 a day with a $180 cost per
booked consultation. You need it at $600 a day within a month. Walk us
through exactly how you do it, and tell us what you expect to break first.

3. A campaign has 30 ads live. Two of them are taking 90 percent of the spend.
The other 28 have spent almost nothing. The client wants to know why they
paid for 28 ads that are not running. What do you tell them, and what do you
do with those 28?

4. The clinic's front desk takes six hours to call a new lead. You have no
authority over the front desk and the clinic owner is defensive about his
staff. What is that costing, and what do you actually do about it?

PART 3. YOUR READ ON THE PLATFORM.

Two paragraphs on where Meta is right now and what it means for how accounts
should be run in 2026. Your own opinion, from your own accounts. We are not
looking for a correct answer, we are looking for a real one. If you agree with
the consensus, say why. If you think the consensus is wrong, that is more
interesting.

PART 4. TEAR SOMETHING APART.

Go to the Meta Ad Library. Find any plastic surgery or aesthetic clinic running
ads right now, anywhere in the world. Look at what they are running.

Tell us what you would change and why. Be specific and be harsh. This is the
part we read most carefully, because it is the only part where we get to watch
you think instead of watching you describe yourself.

PART 5. OPTIONAL, AND IT COUNTS.

A Loom, ten minutes or less, sharing your screen inside an account you actually
run. Walk us through what you are looking at and what you would do next. Blur
whatever you need to. Nothing else in this application is as convincing as this.

WHAT HAPPENS NEXT

We read every complete application. If it is strong, we get on a call, and that
call is a working session on a real account of ours, not an interview about your
strengths and weaknesses.

If that goes well, a paid project on a live account before anyone commits to
anything, because you should also get to find out whether we are worth working
for.

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