Head of SEO — Medical Accounts

Requirements: • Available 9:00 AM to 5:00 PM US Eastern, Monday to Friday. This schedule is fixed - our clients are American and you will be on their calls. Please check what that means where you live before applying. • Fluent in the stack: Screaming Frog or an equivalent crawler, Google Search Console, GA4, Ahrefs or Semrush, WordPress at agency scale, Google Business Profile, and structured data. • Managed at least two people for at least a year — actually managed them, including telling someone their work wasn't good enough and keeping them on the team afterwards • Have been the accountable person for a domain's organic performance, not a contributor to it • Can hold a 45-minute call in English with a physician-owner who interrupts you, without a script. Advanced English (C1+) is a hard requirement, not a preference • Technical SEO deep enough to explain a Core Web Vitals fix in terms of the asset causing it, read a log file when the crawl summary doesn't add up, and refuse a quick fix that breaks something downstream • Understand why medical content needs a reviewer, and what happens to a practice that publishes treatment claims without one Not a fit if: you want strategy without hands-on technical work · you don't want to be on client calls · your management experience is "mentoring juniors" · you need the agenda sent to you before you know what to prepare · you'd rather your boss delivered the hard message to your team member · you've bought links or published unreviewed AI content for a medical client and thought it was fine

What you own • The technical standard across every account — crawl health, indexation, schema, Core Web Vitals, migrations, and the judgment calls above them • The client relationship. You run the recurring SEO calls yourself: set the agenda, present results, defend the plan when a client pushes back, and say no when what they want will hurt them • A team of junior SEO specialists. You assign their work, review it before it ships, and tell them directly when it isn't good enough • Coverage. Every account has a named backup with real context, so a week of your absence moves nothing Your first 90 days You take over the recurring client calls. You publish an account plan and a call agenda before each one, not after. You put a QA gate in front of everything the juniors ship. You build the backup map. By day 90, nothing in the department waits on you personally to unblock it.

Nice to have Experience with medical, dental, legal or other regulated/YMYL accounts • Google Business Profile and multi-location local SEO • WordPress at agency scale • Experience building a junior team from scratch, not just inheriting one • Familiarity with AI-assisted SEO workflows and AI search visibility • Bilingual Spanish/English — our team spans several countries