Director of Marketing

Truss Veterinary Alliance, LLC Durham, North Carolina, United States

A few years ago, we asked a question: what if pets with problems that can’t wait — but don’t belong in the ER — had somewhere great to go? And what if the people providing that care actually loved their jobs? Today the answer is Truss Vet, with five veterinary urgent care clinics across North and South Carolina, a growing community of doctors, and more on the way.

At Truss Vet, we’re on a mission to elevate the human-animal bond by removing barriers to compassionate, high- quality veterinary care. Our urgent care clinics are built for pets with non-life-threatening issues that don’t belong in the ER but can’t wait for a regular vet visit. The sweet spot between general practice and emergency care. We deliver exceptional medical outcomes while ensuring a better quality of life for our team.

Yes, both. That’s the whole point.

The Director of Marketing is a strategic, data-driven leader who owns all client/patient acquisition and urgent care awareness marketing for Truss Vet. You'll build and execute a comprehensive marketing strategy grounded in measurable KPIs such as patient volume growth, care partner volume, reach, brand awareness, and cost per acquisition. You'll manage a small but growing team, oversee the HQ marketing budget, provide guidance on clinic-level marketing spend, and own the full spectrum of digital marketing execution: paid search, social media advertising, analytics, and reporting.

This is a first-time role, which means you will have the opportunity to build out the Marketing function for Truss Vet!

This is a hybrid role (3 days in person) based at our Durham, NC headquarters, designed for someone who thrives at the intersection of strategic thinking and hands-on execution. The individual filling this role should be equally comfortable presenting data-backed strategy to leadership and diving into campaign optimization (pressing the buttons).

• Reports to: Chief Executive Officer
• Location: Durham, NC (Hybrid - 3 days in office)
• Direct Reports: Care Partner Relationship Manager, Marketing Coordinator

Key Responsibilities

• Develop and execute a data-driven annual marketing strategy aligned with company growth targets and clinic expansion plans
• Define clear, measurable KPIs for patient acquisition, awareness, reach, and cost per acquisition; establish benchmarks and track performance across all channels
• Analyze market penetration, competitive positioning, and growth opportunities within current and expansion markets (NC, SC, TN scaling to 10 markets)
• Identify the channels (organic social, paid social, search, local activation, partnerships) that drive the highest ROI for patient acquisition in different markets
• Translate strategy into quarterly plans and campaign roadmaps; adjust based on performance data and market feedback
• Partner with clinical operations and the Care Partner Relationship Manager to align marketing efforts with clinical capacity and care partner development
• Build and own a repeatable new-clinic launch marketing playbook, covering pre-opening awareness, grand-opening activation, and a 90-day ramp plan to target patient volume, for each new market entry.

• Own all Ad strategy, setup, optimization, and reporting (Google, Meta, etc.)
• Manage paid search and social campaigns across all clinic locations and markets to drive qualified patient visits
• Conduct ongoing A/B testing, audience segmentation, and bid optimization to improve campaign efficiency and reduce cost per acquisition
• Devise, optimize, and maintain reporting on campaign performance, channel mix, and budget allocation across HQ and clinic-level spend
• Ensure…