Manager for Healthcare SEO Agency

What you're building — two engines Engine A (on-site): blog/condition/modality/location content published on wavecrestbh.com. The agency ran none of this. It's our cheapest, highest-leverage lever and it creates the deep pages worth linking to. Engine B (off-site): anchored backlinks placed on third-party publishers (what the agency did). You out-produce them here. Cadence you're accountable for PhaseTimelineOn-site posts/moLink placements/moRampMonths 1–28–1210–15BuildMonths 3–416–2420–30Steady aggressiveMonth 5+30–4035–50 Non-negotiables you must enforce (these protect the whole operation) Anchor ratio is law. Across any rolling 90-day window: branded 30–35%, naked/generic 25–30%, partial-match 20–25%, exact-match commercial ≤20%. If exact-match creeps over 20%, throttle it. This is the rule that keeps us from getting penalized. QA gate is real. Nothing publishes or gets logged "live" without passing the editor. Volume with bad QA on health content is worse than no volume. YMYL / health standard. Cite authoritative sources (NIH, SAMHSA, peer-reviewed). No guaranteed-outcome claims, no success-rate stats we can't back, no "#1 / best rehab" language. Ever. Host quality floor. No PBNs / link farms / "guaranteed DA 80" sellers. One toxic link cluster outweighs fifty good links. When in doubt, skip the placement. Destination mix. Per 10 links: ~3 homepage, ~5 program/money pages, ~2 supporting on-site pages. The team you'll manage 3–6 Writers — Engine A + B drafting, to your briefs. Interchangeable; swap underperformers freely. 2–3 Outreach/Placement Specialists — source & secure publishers, confirm live links, log DA. 1–2 Editors/QA — the gate. Protect this seat; don't let it become the bottleneck. 1 Data/Tracker Manager — owns the master tracker, index checks, DA drift, ranking movement. You hold the strategy: the keyword plan, the anchor assignments, the destination map, and the monthly targets live with you. The brief — not the writer — carries the strategy, which is why writers are swappable. How you're measured (and how you measure the team) Output vs. plan: placements + posts delivered vs. phase target. Cost-per-link vs. the agency baseline — this is the number that justifies the program to me. Anchor-ratio compliance (rolling 90-day pivot must stay in-band). Index rate: placed links that actually get indexed (a non-indexed link does nothing). Rank movement on priority keywords/pages over 60–90 days. QA reject rate trending down as the bench matures.