Role Description
Brello Health is seeking a world-class Paid Performance Creative Director β a rare blend of visionary creative leader and hardcore data-driven performance marketer. This is not a traditional creative director role. You will own the full creative pipeline for paid media at scale: from ideation and art direction to production oversight, content distribution, and AI-accelerated iteration.
You will be the driving force behind creative strategy across every major paid channel, ensuring that every dollar of media spend is backed by high-converting, platform-native content.
Key Responsibilities
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Deep, hands-on knowledge across all of the following platforms is non-negotiable:
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Meta
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YouTube (In-Stream & Pre-Roll)
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YouTube Shorts
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TikTok
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Pinterest Ads
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Connected TV/OTT (incl. Vibe)
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Linear TV Ads
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Programmatic In-Stream (Display & Video)
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Creative Strategy & Art Direction
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Lead end-to-end creative strategy for all paid performance channels.
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Provide hands-on art direction for video, static, and motion creative.
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Own the creative brief process: translating performance data and audience insights into actionable creative direction.
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Define platform-specific creative standards and maintain a living playbook for every channel.
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Partner with brand, product, and growth teams to ensure creative is both on-brand and conversion-optimized.
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Performance & Optimization
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Use data to drive every creative decision β deeply fluent in creative analytics (VTR, CTR, CVR, ROAS, hook rate, hold rate).
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Design and run structured creative testing frameworks (A/B, multivariate).
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Collaborate with media buyers to understand creative performance at the ad set and audience level.
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Identify creative fatigue signals early and maintain a healthy pipeline of fresh creative.
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Build reporting dashboards and present creative performance insights to executive leadership.
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Team Leadership & Production Oversight
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Lead and grow a high-performance creative team.
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Manage relationships with production houses, UGC agencies, influencer networks, and creative freelancers.
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Set and manage creative production budgets, timelines, and workflows.
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Establish feedback loops between creative, media, and analytics teams.
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AI Tools & Technology
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Actively use AI tools to accelerate creative production, ideation, and iteration.
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Proven experience with tools such as: Runway, Midjourney, ElevenLabs, Sora, Pika, Adobe Firefly, Kling, or equivalent.
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Use AI for script generation, storyboarding, asset variation, voiceover, translation/localization, and creative testing at scale.
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Stay ahead of emerging AI creative tools and evaluate them for adoption into the production workflow.
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Develop internal AI usage standards and train team members to use AI tools responsibly and effectively.
Qualifications
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10+ years of experience in performance creative, paid media creative strategy, or a hybrid creative/growth role.
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Demonstrated track record managing $5M+ in annual paid media spend with measurable creative impact on ROAS/CAC.
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Deep platform expertise across Meta, YouTube, YouTube Shorts, TikTok, Pinterest, CTV/OTT, and linear TV.
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Hands-on experience with creative analytics tools (Meta Ads Manager, YouTube Studio, TikTok Ads Manager, Triple Whale, Northbeam, or similar).
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Strong art direction portfolio with examples spanning video, static, UGC-style, and motion creative.
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Experience building and leading creative teams β including managing external agencies and production vendors.
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Proven, demonstrable use of AI tools in a professional creative workflow.
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Ability to move fast without sacrificing quality β comfortable in a high-velocity, test-and-learn environment.
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Exceptional communication skills β able to present creative rationale and performance insights to C-suite stakeholders.
Preferred Requirement
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Experience in DTC, e-commerce, fintech, or subscription-based growth marketing environments.
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Familiarity with programmatic creative and dynamic creative optimization (DCO) platforms.
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Background in or exposure to influencer marketing and UGC content strategy at scale.
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Hands-on video editing or motion design skills.
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Experience with TV ad production β from concept through broadcast delivery.
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Knowledge of creative localization for international markets.
How to Apply
To be considered for this role, your application must include:
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Resume with clearly outlined platform experience and budget scale managed.
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Portfolio or case study deck (PDF or link) β include at least one example per channel where possible.
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AI tool proof: a section in your portfolio or a separate document showing AI tools used in real campaigns, with context and results.
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Brief written response (200β400 words): Describe a campaign where you owned creative from concept to performance reporting β what was the challenge, what did you do, and what were the results?
Benefits
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Full benefits package including medical, vision, dental, 401(k) with company match, PTO, Flex days, holidays, and more!
Equal Opportunity Employer Statement
Brello Health is proud to be an Equal Opportunity Employer where we are committed to fostering a diverse and inclusive workplace. We are committed to cultivating a culture where all team members feel valued & respected. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity or expression, sexual orientation, national origin, genetic information, disability, age, veteran status, or any other characteristics protected by applicable law.
If you have any questions or require immediate assistance or accommodations during the application or interview process, please contact us at [email protected].