Ad Operations Specialist

About Breakthrough

Breakthrough is the leading AI-powered marketing software platform built for PT and chiropractic private practices across the US and Canada. Our system drives over 10,000 direct-access patients into member practices every month, with clients averaging 33% annual practice growth.

We are a fully remote, high-growth team with a bias for impact. If you are obsessed with performance, proactive by nature, and want your work to meaningfully help people get back to health naturally — we want to hear from you.

About The Role

We are hiring an Ad Operations Specialist to manage and optimise paid advertising accounts on behalf of our PT and chiropractic practice clients. This is a hands-on, results-driven role at the centre of our performance marketing function.

You will work directly within Facebook Business Manager and Google Ads, managing client accounts, creating and testing ad creatives, diagnosing underperformance, and communicating clearly with our Customer Success team. You will report to and work closely with our senior Ad Ops Specialist.

What You Will Own

Cold Market Advertising Results (50%)

• Manage customer Facebook and Google ad accounts day-to-day, making proactive adjustments to drive the best possible results and lowest CPL.
• Monitor account performance metrics at all times and report clearly to the team — you know every account’s health without being asked.
• Diagnose underperforming accounts, implement solutions, and escalate where needed.
• Stay current on Facebook and Google platform changes, algorithm updates, and industry best practices.
• Conduct proactive R&D to keep Breakthrough and its clients ahead of the curve.

Ad Creative Development (20%)

• Own the ad creative library across all funnels — knowing what is live, what is fatiguing, and what needs to be refreshed.
• Proactively identify exhausted creatives and rotate in new ones before performance drops.
• Create, test, and optimise ad creatives including copy, images, and video assets.
• Run structured A/B tests and apply learnings systematically across accounts.
• Stay informed on creative best practices to continuously improve client results.

CSC Liaison & Client Communication (20%)

• Keep Customer Success Coordinators updated on account status, changes, and anything clients need to be informed about.
• Address technical ad account tickets that come in from the CSC team promptly and clearly.
• Produce regular optimisation reports for key client accounts and flag performance concerns before clients raise them.
• Ensure all teams have the information they need, when they need it.

Process & Quality (10%)

• Follow existing Ad Ops processes and flag gaps where documentation is missing or needs updating.
• Contribute to improving team workflows and provide feedback on usability and efficiency.
• Ensure quality standards are maintained consistently across all accounts.

What We Are Looking For

Required

• 2+ years hands-on experience managing Facebook and/or Google Ads accounts on behalf of clients (agency or in-house).
• Proven track record of maintaining and improving KPIs across paid social and search campaigns.
• Strong analytical skills — you are comfortable living in data and translating it into clear actions.
• Experience writing ad copy and briefing or producing creative assets.
• Detail-oriented with the ability to manage multiple accounts simultaneously without things falling through the cracks.
• Clear, proactive communicator — you surface issues early and update stakeholders without being prompted.
• Self-directed and resourceful — you solve problems independently and know when to escalate.

Preferred

• Experience in healthcare, wellness, or service-based industries.
• Familiarity with Google Analytics and performance reporting.
• Experience working within a remote, fast-moving team environment.
• Meta Blueprint or Google Ads certification.

What Success Looks Like

In this role, you will be measured on outcomes — not just activity. The metrics that matter:

• Client accounts are hitting or improving their CPL and lead volume targets.
• Ad creatives are refreshed proactively — fatigue is caught before performance drops.
• CSCs and clients are never surprised — you communicate changes and performance shifts before they have to ask.
• Accounts you manage are set up for continuity — processes are documented and nothing lives only in your head.

Our Values

We hire for values as much as skills. You will thrive here if these resonate:

• Own The Results — you are reliable, accountable, and do not make excuses.
• Beginners’ Mind — you approach your work with curiosity and are always learning.
• Elevate Others — you think team first and go the extra mile without being asked.
• Be Real — you speak up, give honest feedback, and engage in healthy conflict.
• Do Shit That Makes A Massive Difference — you are hungry, proactive, and persevere through challenges.
• Seeks To Understand The Customer First — you keep the client’s outcome at the centre of every decision.

Why Breakthrough

• Fully remote — work from wherever you do your best work.
• A small, high-performance team where your contribution is visible and your impact is real.
• Work that matters — our clients help people get out of pain without unnecessary surgery or medication.
• A company in active growth, transitioning from services to software — you are joining at an exciting moment.
• Contractor engagement with the opportunity to grow into a long-term role as we scale.