Fractional Communications Director — Healthcare B2B

Part-Time Contract (1099) | Remote (US) | 15–20 hours/month

Compensation: $1,500–$3,000/month base retainer + per-placement performance bonuses

The Role

You will build and run our earned media program, working directly with the CEO and alongside our in-house marketing team. Your focus is strategy, pitching, and media relationships. You will not be writing blog posts.

This is a 3-month pilot engagement at 15–20 hours per month, with the expectation of a longer-term relationship (and expanded scope) if the pilot produces placements.

What You Will Own

• Earned media placements in healthcare B2B trade outlets — quotes, features, and contributed articles in publications such as Becker's, Modern Healthcare, Fierce Healthcare, MedCity News, HealthLeaders, Healthcare Dive, HIT Consultant, Medical Economics, and Physicians Practice.
• Executive visibility. Ghostwrite bylines and commentary for the CEO; position him as a voice on credentialing, payer enrollment, RCM, and MSO economics.
• Proactive pitching. 4–6 tailored pitches per month tied to news hooks, regulatory changes, and proprietary data/insights we supply.
• Reactive commentary. Monitor journalist source requests (Qwoted and similar) and turn around expert commentary fast.
• Podcast, speaking, and awards pipeline. Secure podcast appearances and speaking slots (MGMA, HFMA, Becker's events and similar) and manage industry award submissions.

Required Experience

• 7+ years in communications/PR, with a meaningful portion focused on healthcare B2B (provider services, health IT, RCM, payer, or adjacent). Consumer health, wellness, and lifestyle PR do not qualify.
• Placements you personally secured in healthcare trade outlets within the last 18 months. You will be asked for live links, and we will read them.
• Working relationships with reporters and editors covering healthcare business, RCM, and health IT. You will be asked to name them and describe the angle you would pitch.
• Founder/C-suite ghostwriting experience — you can capture an executive's voice and produce publish-ready bylines.
• Fractional or small-company track record. You know how to generate results on a lean retainer without an agency machine behind you.

This Role Is Not For You If

• You are an agency planning to staff this with a junior account executive.
• Your core offering is press release writing and wire distribution.
• Your placement history is pay-to-play (contributor networks, sponsored content, council memberships).
• Your healthcare experience is consumer wellness, supplements, or provider marketing to patients.

Compensation Structure

Base retainer of $1,500–$3,000/month depending on experience, plus per-placement bonuses tiered by outlet ($250–$1,000 per earned placement). We would rather pay for outcomes than activity, and the structure reflects that. The 3-month pilot is renewed or ended based on placements and pitch quality.