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Performance Ad Creative Designer
Louisville, KYMarch 28th, 2026
Ad Creative Designer (Performance) – Telehealth & WellnessLA, San Diego, Orange County, Austin, TX preferred. Remote considered for exceptional candidates.We’re looking for a hands-on Performance Ad Creative Designer to join an ambitious, fast-moving growth agency with LA and Orange County, CA roots and a newly-established office in Austin, TX.Our ideal candidate is a one-person creative engine capable of concepting, designing, editing, and iterating high-converting, high-volume ads with a primary initial focus on scaling telehealth and next-gen wellness brands to 7+ figures/month in ad spend. This is not a Creative Director role.This is not campaign management.This is not brand-only work.You will personally produce the ad creative that fuels aggressive growth and testing environments. If your portfolio doesn’t reference performance metrics, this probably isn’t the role. You'll work alongside a growing team in an environment that fosters personal and professional growth, with a culture, employee perks, and leadership to prove it.Compensation & Benefits$75,000-$100,000k + BonusFlexible PTO17 paid holidaysMedical, dental, and vision coverage401(k)Entrepreneurial environment and close-knit, supportive team that wants to win togetherWhy This Company:We’re builders. We move fast, challenge assumptions, and care deeply about outcomes. You’ll have real ownership, real influence, and the opportunity to help shape how modern performance media is done — without the bureaucracy of corporate clients. We work on a select few projects, with a vested interest in the success.What You’ll Do:Create high-converting short-form video ads (UGC, testimonial, direct response, native)Design static + carousel ads built for rapid A/B testingDevelop multiple hooks and angles per productRapidly iterate based on performance data (ROAS, CPA, CTR, CVR)Use AI tools to accelerate scripting, video creation, editing, and variation productionShip high volume creative weekly without sacrificing performance qualityOur Ideal Candidate Has Likely:Helped scale telehealth, GLP-1, NAD+, nutraceutical, supplement, or DTC wellness brandsWorked inside accounts spending $500K–$1M+/monthBuilt creative tied directly to measurable performance improvementsThrived in fast-paced testing environments (30–100+ variations/week)Cared more about conversion metrics than aesthetics, but know how to stay within brand guidelines and maintain brand equity/positioning
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