The posting
Senior Performance Marketing Manager - Remote
About Thriveworks
Thriveworks is one of the leading mental healthcare companies in the USA, with over 2,800 employees, founded by and still led by clinicians. We have recently launched a new vision to become America's most valued mental healthcare company—where our teams can fulfill their purpose and do their best work, where clients are treated with warmth and respect, and where communities benefit from access to high-quality care that helps them heal and thrive in life. Thriveworks is committed to providing accessible, top-tier mental health services through a network of licensed therapists and mental health professionals. As we enter this exciting new chapter, our mission remains focused on helping people live happier, healthier lives through both in-person and online counseling services.
About the Job
We're looking for a Senior Performance Marketing Manager to join our marketing team. This is a high-ownership, high-visibility role that sits at the center of how Thriveworks grows: managing significant spend across Google, Meta, Microsoft, and emerging channels to connect people in need with the mental health care that can change their lives.
You'll own the paid media program end-to-end, partnering with Operations, Clinical, Data, and Creative to build campaigns that quality new patient acquisition. In our model, a click isn't the goal. A kept appointment with a great therapist is.
This role is for those who believe performance marketing should be measured all the way through the funnel—and who want to be the one actually doing the measuring. You're not just setting direction. You're in the platforms, running the campaigns, pulling the data, and driving the decisions. If that sounds like your kind of role, keep reading.
What Success Looks Like
You bring range: the analytical discipline to manage seven figures in annual spend without losing a dollar of efficiency, and the strategic instinct to know when the numbers are telling you something the dashboard isn't.
You think in funnels, top-down. You understand that in healthcare, the cost per acquisition only means something if the patient shows up, and you optimize accordingly.
You're someone who builds infrastructure, not just campaigns. You'll use automation, API tooling, and AI to make the program smarter over time. You're proactive about what's working and honest about what isn't. You don't wait for a playbook, you write one. And you know how to work across functions without losing momentum.
You'll Thrive Here If You Are
Analytically sharp // You live in the data and know how to turn it into a decision
Highly organized // Juggling channels, budgets, and markets is your baseline
A builder // You improve infrastructure, not just performance
A clear communicator // In reporting, in the room, and in a brief
Collaborative // Cross-functional by default, not by obligation
Accountable // You own the numbers, and you own the miss
Your Background
You've managed serious paid media budgets, and you have the performance growth receipts to show for it.
You've run campaigns that didn't just drive volume but drove efficient, qualified demand. You understand the difference between a good CPA and a good patient, and you know how to optimize for both.
You've worked in healthcare, health services, or another regulated environment where compliant tracking, HIPAA-aware audience strategy, and funnel nuance aren't optional. You've managed campaigns across multiple geographies that have varying supply-levels. And you know how to structure accounts and bid strategies to perform.
Past colleagues would probably describe you as sharp, dependable, rigorous, and someone who makes the whole team better. Bonus points if you've built automation layers, worked with API-based tooling, or experimented with AI in your workflow.
Key Responsibilities
• Own and manage all paid media channels end-to-end: Google Ads (Search, Performance Max, YouTube, Demand Gen), Meta, and Microsoft. CTV/Pinterest as growth channel priorities.
• Build and manage our automation and reporting layer using Claude AI and the Google Ads API—replacing manual analysis with scalable, intelligent workflows.
• Align spend to provider capacity market-by-market, partnering with Operations to ensure paid demand matches therapist availability.
• Optimize through the full patient funnel (not just cost per booking, but cost per kept appointment)
• Manage all tracking infrastructure in compliance with HIPAA requirements.
• Brief and direct freelance creative teams on video and static ad assets, ensuring creative is always tested, refreshed, and performing.
• Design and run structured A/B tests across channels, audiences, creative, and landing pages to drive continuous improvement.
• Own geo-level budget pacing, bid strategy, and campaign architecture across a high-volume, multi-location account structure.
• Lead weekly performance reporting and provide strategic recommendations to marketing leadership.
• Phase in CTV/programmatic testing as the core program stabilizes.
What You Bring
Required
• 10+ years of hands-on paid media management.
• Hands on Google Ads, Meta Ads, Microsoft Ads experience.
• Experience building the strategy and then executing it.
Preferred
• Healthcare, health services, or patient/consumer acquisition experience, or another regulated industry is a strong plus.
• Familiarity with API-based automation or AI tooling is a strong plus.
• Experience with multi-location or geo-targeted campaign management at scale.
• Programmatic, CTV or Paid Pinterest experience.
Benefits
- An amazing team culture
- Professional development & advancement opportunities
- 401K with a 3% employer match
- Healthcare, Dental, Vision, and life insurance benefits
- Paid time off and paid holidays
- Professional EAP program for team members & household
- Additional coverage options available, such as Short Term Disability, Long Term Disability, and Group Accident Insurance
Successful Thriveworks employees believe in our mission to help people live happy, healthy lives. They also embody our core values, which focus on the ability and willingness to adapt, raise the bar, act with integrity, achieve our goals, and work well together. If you think you fit the bill and belong on our team, apply today!
Physical demands for Thriveworks positions may include being sedentary for long periods. Entering text or data into a computer through a traditional keyboard is also a requirement.
Thriveworks is an Equal Opportunity Employer. Our people are our most valuable assets. We embrace and encourage differences in age, color, disability, ethnicity, gender identity or expression, national origin, physical and mental ability, race, religion, sexual orientation, veteran status, and other characteristics that make our employees unique. We encourage and welcome diverse candidates to apply for any position you are qualified for to bring your unique perspective to our team.
Interested in joining Team Thriveworks? We're thrilled to meet you!
With Job scams becoming more and more frequent, here's how to know you're speaking with a real member of our team:
- Our recruiters and other team members will only email you from [email protected] or an @thriveworks.com email address.
- Our recruiters and other team members may also contact you via text or phone to schedule an interview.
- A google meets interview invitation will be sent via email and will only come from an @thriveworks.com email address.
- Our interviews will take place over Google Meet (not Microsoft Teams, Zoom, or any other platform).
- We will never ask you to purchase or send us equipment.
If you see a scam related to Thriveworks, please report it to [email protected]. You can contact [email protected] with any questions or concerns.
Thriveworks is an Equal Opportunity Employer. Our people are our most valuable assets. We embrace and encourage differences in age, color, disability, ethnicity, gender identity or expression, national origin, physical and mental ability, race, religion, sexual orientation, veteran status, and other characteristics that make our employees unique. We encourage and welcome diverse candidates to apply for any position you are qualified for to bring your unique perspective to our team.
Applicants must be legally authorized to work in the United States at the time of hire. This position is not eligible for employment visa sponsorship, either now or in the future.
By clicking Apply, you acknowledge that Thriveworks may contact you regarding your application.
