SENIOR TECHNICAL AND LOCAL SEO LEAD

SENIOR TECHNICAL AND LOCAL SEO LEAD
Full Time | Remote | 10+ Years Experience Required

ABOUT THE ROLE

PatientEngines is a US marketing agency serving 20+ cash pay medical practices: medspas, weight loss and GLP1 clinics, telehealth, functional medicine and dental.

We are hiring a senior SEO lead who is a master of both technical SEO and local SEO. You will start by reviewing and improving our Local SEO Program, then run it for all clients. You own the SOP, the production work, the vendor orders, the QA and the monthly results. AI handles first drafts and our team handles client communication, so your time goes to strategy, execution and quality.

Hours: to start, at least 4 hours overlap with US Eastern business hours (9am to 5pm New York time)

WHAT YOU WILL DELIVER

Days 1 to 14: Program Review

• Written audit memo (2 to 4 pages): gaps, outdated tactics, compliance risk for medical clients, and anything that will not move rankings in 2026
• Redlined SOP with every step marked keep, change or cut, with the reason
• Tier feasibility check: hours and vendor cost per client for our $399, $699 and $1,299 monthly tiers
• Tool and vendor stack recommendation with monthly cost at 20 clients
• QA checklists for GBP, technical, schema, citations and content
• 30 minute walkthrough call with the CEO to finalize

Days 15 to 30: Pilot

• Final SOP published and in use
• Client dossier template finalized (NAP, services, competitors, brand messaging, claim list)
• Two pilot clients through full foundation build: GBP optimized, GTM, GA4 and Search Console live, schema and entity map validated, core and healthcare citations submitted
• Baselines recorded: BrightLocal 5x5 grid, rankings, citations, reviews, AI search visibility

Days 31 to 60: Prove It

• Pilots through authority build: press release, first relevance links, hyperlocal mentions
• Vendor ordering process documented with templates
• Monthly report template live, first reports delivered
• Technical audit on every active client site with a ranked fix list

Days 61 to 90: Roll Out

• All active SEO clients running on the SOP
• Production calendar showing every client deliverable by week
• Capacity plan: how many clients you can run alone and when we add help

Monthly Deliverables Per Client

• GBP posts
• New or refreshed pages
• Relevance links:
• Hyperlocal mentions:
• Press releases:
• AI search visibility
• Technical health check

How We Measure You

• Grid rank improvement on each client's top 5 keywords at 90 and 180 days
• Booked appointments from organic and GBP
• 95% of deliverables shipped on time
• Zero unsourced medical claims published

CAPABILITIES REQUIRED ON DAY ONE

Technical SEO

• Full crawls in Screaming Frog or Sitebulb: indexation, canonicals, redirects, duplicates, orphan pages
• Core Web Vitals diagnosis and fixes on WordPress, GoHighLevel and Webflow
• JSON LD schema written by hand: MedicalClinic, LocalBusiness, Physician, Service, FAQ, ---------- and sameAs
• Search Console mastery, XML and geo sitemaps, robots.txt, site migrations

Local SEO

• GBP strategy for single and multi location practices: categories from competitor evidence, services, service areas, posts, photos
• GBP suspension recovery, duplicate merges, ownership disputes
• Citation building and cleanup: data aggregators,
• Local grid tracking in BrightLocal or Local Falcon
• Review generation within Google policy

AI Search and Entity SEO

• Getting practices cited in ChatGPT, Gemini, Perplexity and Google AI Mode, etc
• Structured and unstructured citations, brand mentions, press releases as validation
• Entity maps for LLMs alongside schema
• A third party source behind every claim a client makes

Content, Links and Analytics

• Briefs and editing for medical (YMYL) content: service, cost, comparison and location pages
• Link building based on topical and geographic relevance, with clean anchor ratios
• GA4, Tag Manager, call tracking and GoHighLevel attribution
• Writing SOPs others can follow and managing white label vendors
• Daily use of AI tools (Claude, ChatGPT) to speed up audits, briefs and reports

REQUIREMENTS

Required

• 10+ years of hands on SEO with current expertise in technical AND local SEO
• Has managed 15+ Google Business Profiles at the same time
• Two or more case studies with before and after grid scans and lead numbers
• Excellent written English

Strongly Preferred

• Healthcare, medspa, dental or telehealth clients
• Agency experience
• GoHighLevel experience
• Familiar with Semantic Mastery methods

Not a Fit If

• You judge links mainly by DA or DR
• You use Web 2.0 networks, comment spam or PBNs on medical clients
• You need a manager to plan your week

PAID TRIAL

Shortlisted candidates get a paid 72 hour trial.

We share our Local SEO Program and one live client's GBP and website. You return:

• A one page review of the program: the three changes you would make first and why
• A ranked fix list for the client's GBP and site
• Three claims on the client's site that need a third party source, and where that source should come from