The role

We are looking for a Senior PPC Executive to help manage and improve Google Ads campaigns across a portfolio of LTF clients.

This is a hands-on role for someone who already has solid paid-search experience and wants to develop their strategic, commercial and client-facing skills.

You will be responsible for the day-to-day management of Google Ads accounts, supported by our wider paid media, client services, creative, SEO and CRO teams. You will analyse performance, identify opportunities and help clients generate more qualified patient enquiries—not simply cheaper conversions.

You will not be expected to know everything or manage every part of a client’s marketing. We are looking for someone with strong Google Ads fundamentals, good analytical judgement and the ambition to progress into a Paid Search Manager role.

About LTF

LTF is a specialist digital growth agency working with medical aesthetics, cosmetic surgery and dental clinics.

For more than 16 years, we have helped clinics attract and convert new patients through digital strategy, paid media, websites, content and conversion optimisation.

Our clients trust us with an important part of their growth. That means we care about the quality of the enquiries we generate, what happens after a lead is received and whether our work is producing a genuine commercial result.

We are a remote team, but we work closely together. You will be supported by experienced colleagues across paid media, strategy, design, content, SEO, CRO and client services.

What you will be doing

You will:

• Manage the day-to-day performance of Google Ads accounts across a portfolio of clients.
• Build, monitor and optimise Search, Performance Max, Demand Gen, Display and YouTube campaigns where appropriate.
• Complete keyword research, search-term reviews and negative-keyword management.
• Monitor budgets, bidding strategies, targeting, creative assets and campaign performance.
• Help improve qualified lead volume, cost per lead and conversion rates.
• Identify wasted spend, tracking problems and campaign opportunities.
• Create and test ad copy, campaign structures, targeting approaches and landing-page ideas.
• Support the development of clear testing and optimisation plans.
• Use Google Ads, GA4 and Google Tag Manager to understand performance and support campaign decisions.
• Review lead-quality or CRM information when it is available, rather than relying only on platform conversions.
• Prepare accurate performance reports with clear observations and recommended actions.
• Join client meetings and explain campaign performance in straightforward language.
• Work with our design and content teams to brief new campaign assets.
• Work alongside our Meta Ads specialist so that paid channels support the same wider strategy.
• Keep account changes, tests and important decisions properly documented.
• Stay informed about relevant Google Ads developments and share useful learning with the team.

Using AI and automation well

Google Ads is increasingly automated, but successful campaigns still require good judgement, accurate measurement and strong creative inputs.

You should be comfortable working with automated bidding, Performance Max, Demand Gen and other AI-supported features. You should also understand the importance of monitoring search-term quality, targeting, budgets, tracking and lead quality.

We want someone who can use automation intelligently—not someone who simply accepts every platform recommendation.

What success looks like

During your first six months, we would expect you to:

• Build a strong understanding of your allocated clients and their objectives.
• Take reliable ownership of day-to-day account management.
• Maintain accurate budgets, checks, reporting and account documentation.
• Identify opportunities to reduce wasted spend and improve campaign performance.
• Create clear testing plans instead of making unstructured account changes.
• Develop a better understanding of lead quality and what happens after an enquiry is generated.
• Communicate account performance clearly to colleagues and clients.
• Build the confidence and strategic understanding needed to progress towards a Paid Search Manager position.

Requirements

What we are looking for

You should have:

• At least two years of hands-on experience managing Google Ads campaigns.
• Experience working across Search and Performance Max campaigns.
• Experience managing lead-generation campaigns for service-based businesses.
• A good understanding of keyword research, search terms, bidding, budgets and campaign structure.
• Working knowledge of GA4 and conversion tracking.
• The ability to analyse data and turn it into practical actions.
• A structured and organised approach to account management.
• Good written and verbal communication skills.
• The confidence to contribute during internal and client discussions.
• Strong attention to detail.
• The ability to manage several accounts and priorities within a remote working environment.
• The right to work in the UK. We are unable to provide visa sponsorship for this position.

We are interested in what you have actually managed and improved—not simply the number of Google products listed on your CV.

Helpful, but not essential

It would be useful if you also have:

• Experience working for a digital or performance-marketing agency.
• Experience within medical aesthetics, dental, healthcare, beauty or wellness.
• Experience with Demand Gen, Display or YouTube campaigns.
• Familiarity with Google Tag Manager.
• Experience using CRM data or offline conversions to assess lead quality.
• An understanding of landing-page and conversion-rate optimisation.
• Experience with Microsoft Ads or other paid-media platforms.
• Relevant Google Ads certifications.

You do not need to be an SEO specialist, designer, developer and copywriter as well as a PPC professional. You will work with specialists across LTF, but you should be able to identify what a campaign needs and provide a useful brief.

Benefits

What we offer

• A salary of £27,000–£36,000, depending on experience.
• A fully remote position within the UK.
• Flexible working hours with agreed core availability.
• 28 days’ annual leave, excluding UK public holidays.
• Health-plan membership.
• Employer pension contributions.
• Team events and away days.
• Opportunities for training and professional development.
• Support from experienced colleagues across paid media and the wider patient journey.
• A clear opportunity to develop towards a Paid Search Manager position.
• The chance to work within an established agency specialising in a distinctive and growing sector.