Director of Client Operations (Remote) Full Time

Director of Client Operations

Patient Pipeline | Des Moines, Iowa | On-site | Full-time | $85,000–$95,000 + performance bonus

THE OPPORTUNITY

Patient Pipeline is a specialized digital marketing agency serving LASIK and refractive surgery practices across North America. We’re a lean, high-performing team with a decade of niche expertise — and we’re looking for an operator who can run our client organization so the founder can focus on growth.

This isn’t an account manager role with a fancy title. You’ll own client retention, team performance, and delivery quality — and for the right person, this is a direct path to General Manager.

WHAT YOU’LL OWN

— Client retention across a portfolio of 20+ refractive surgery practices

— Day-to-day leadership of our client-facing team (account managers, project manager)

— Delivery quality — nothing goes to a client without your confidence behind it

— Client onboarding, monthly reporting cadences, and escalation management

— Building and enforcing the systems, SOPs, and accountability structures that make this agency run without founder dependence

— Identifying at-risk accounts early and taking action before churn happens

WHO YOU ARE

— You’ve run operations or client services inside a digital marketing agency

— You’re a natural relationship builder who also knows how to hold the line

— You’ve managed people — not just projects

— You think in systems. When something breaks twice, you build a process

— You’re comfortable owning a number — retention rate, client health, revenue per account

— You don’t need hand-holding and you don’t wait to be told what to do

Agency background is strongly preferred. If you’ve run client services for an agency — even a small one — and you’re ready to step into a leadership role, this is the job.

EXPERIENCE

— 5+ years in agency client services, account management, or operations

— At least 2 years managing a team or function (not just projects)

— Digital marketing fluency — paid media, SEO, creative, and client outcomes

— Track record of improving retention or reducing churn

— Healthcare or medtech experience is a plus, not a requirement

THE PATH FORWARD

This role is designed to grow. The Director who proves themselves here becomes our General Manager — with full P&L ownership, team-building authority, and a seat at the table on business development and strategy.

COMPENSATION & BENEFITS

— $85,000–$95,000 base salary

— Performance bonus tied to client retention and revenue metrics

— Health insurance stipend

— 401(k)

— 3 weeks PTO