Account executive - media (London)

We are Four, an international, independent agency powered by creativity and collaboration. Our 250 strong team spans media, creative and communications, working from hubs in London, Cardiff, Sheffield and the UAE.

Our award-winning media team sits at the heart of the business, combining smart strategy, specialist tools and strong client service to deliver campaigns that get noticed and get results. We work across a range of sectors, but this role sits within our healthcare media team, supporting campaigns for some of the world’s leading prescription medicines, medical devices and OTC brands.

As an Account Executive in our Paid Media team, you will help major healthcare and pharmaceutical companies shape treatment landscapes by reaching the doctors who rely on accurate, relevant information to support patient care. Your work will help ensure clinicians see and engage with information about medicines and treatments that can genuinely improve patient outcomes. You will be part of a team that takes accuracy, responsibility and impact seriously.

This role is ideal for someone with energy, strong attention to detail and initiative who wants to learn fast, take ownership early and build a meaningful career in healthcare marketing. You will work closely with a senior member of the media team, supporting day to day activity across key accounts and gaining direct exposure to clients from the outset.

What You’ll Do

• Play a hands-on role in the planning, activation and optimisation of paid media campaigns, ensuring everything runs smoothly and to a high standard.
• Support the smooth running of client accounts alongside the wider client team.
• Assist with planning and buying paid media campaigns across social and professional platforms.
• Build and deploy campaigns across platforms such as LinkedIn, Meta and Google Ads.
• Work directly with the ad operations team to build and deploy display media campaigns.
• Monitor performance and proactively suggest optimisations to improve results.
• Assist in creating clear and accurate media plans.
• Manipulate and analyse data to support performance reporting and insights.
• Create reports, provide commentary and optimisations, and present these to clients.
• Attend meetings, capture actions and follow through on deliverables.
• Liaise with publishers, creative agencies and internal teams to ensure campaign milestones are met.
• Monitor media and identify opportunities or ideas for the wider team.
• Develop an understanding of healthcare systems, pharmaceutical advertising regulations and relevant therapy areas.

Over time, you will be trusted with greater responsibility and encouraged to contribute your own ideas and recommendations.

What We’re Looking For

• Someone proactive, organised and detail oriented, with the confidence to take initiative and the energy to keep things moving.
• Some experience in paid media, paid social or digital marketing, either agency or in-house.
• Exposure to platforms such as LinkedIn Ads Manager, Meta Ads Manager or Google Ads.
• Strong attention to detail and confidence working with numbers and data.
• Clear written and verbal communication skills.
• A positive, can-do attitude and willingness to learn.
• The ability to manage a busy workload and prioritise effectively.
• A genuine interest in marketing and the role of healthcare advertising globally.

Experience in healthcare or pharmaceutical advertising is beneficial but not essential. Full training and support will be provided.

Why Join Four

• Work on high impact healthcare campaigns that genuinely matter.
• Gain exposure to the full marketing mix across media, creative and communications.
• Learn directly from experienced senior colleagues in a supportive environment.
• Early responsibility and clear progression opportunities.
• A sociable, inclusive and collaborative culture.
• Hybrid working with a central East London office.
• A defined career path with room to grow across the business.

We welcome applications from people with disabilities and neurodivergent individuals, and we’re happy to provide reasonable adjustments throughout the recruitment process. Please note: We do not accept CVs from recruitment agencies.

We are proud of our inclusive, diverse community and we’re committed to reflecting the world we live in. We encourage applications from all backgrounds – particularly from underrepresented groups – and we’re constantly working to improve representation across our business. We never discriminate on the grounds of age, disability, sex, sexual orientation, gender identity, gender reassignment, marriage or civil partnership, pregnancy or maternity, race or religion.